Memorandum Of Agreement Page 3

Memorandum of Agreement - Company

AFFIDAVIT OF EXECUTION

CANADA

Name of Witness

PROVINCE OF ALBERTA

of the

TO WIT:

in the Province of Alberta, make oath and say:

1. THAT I was personally present and did see

named in the within Instrument who is (are) personally known to me to be the person(s)

named therein, duly sign and execute the same for the purpose named therein;

2. THAT the same was executed at the

in the Province of Alberta and that I am the subscribing witness thereto;

3. THAT I know the said

and

is (are) in my belief of the full age of eighteen years.

SWORN before me at

in the Province of Alberta,

this

day of

Signature of Witness

Commissioner for Oaths in and for the Province of Alberta

Printed or stamped name of Commissioner for Oaths

My appointment as Commissioner for Oaths terminates:

Dec 1, 2013

Memorandum of Agreement - Company

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