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CIA <br />DECLARATION OF INTEREST <br />�TCHFFINER Municipal Conflict of Interest Act <br />Mayor/Councillor/Committee Member Name: -, 0 1 sMA <br />Date of Meeting:�('eAl 02 1244 <br />Item Title: �'� !�i,�0 C�'`�'j <br />Report Number (if applicable): III d o l `' <br />(*Please circle the appropriate variable) <br />t✓� <br />I, Mayor;/Councillor ! Ccmmittee* member <br />declare that I believe that I have a direct / indirect* pecuniary inte'r'est as <br />defined in the Municipal Conflict of Interest Act related to the above <br />topic/item found on the Council/Committee agenda for the following <br />reason: <br />-CA V ¢,V,lam <br />()in ! Q t � <br />Mayor/Councillor/Committee Member Signature: <br />Date of Declaration: IlLe <br />FOR OFFICE USE <br />Date received. �' Received by <br />V�1�'34 <br />Date entered into registry: Registry updated by: <br />