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DECLARATION OF INTEREST <br />KI"-F(--'HF,NER Municipal Conflict of Interest Act <br />Mayor/Councillor/Committee Member Name: �tML <br />Date of Meeting: <br />Item Title: ul 0o' -i — t 46V C c <br />Report Number (if applicable): - 11 9,3 3 <br />(*Please circle the appropriate variable) <br />I, Mayor / Councillor / Committee* memberA <br />declare that I believe that I have a direct / indirect* pecuniary tnterest 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 />Mayor/Councillor/Committee Member Signature: <br />Date of Declaration: 04 �-12o)(� <br />Date received: Qc--, aa, ,a acct <br />Date entered into registry: <br />FOR OFFICE USE <br />Received by: S •4 <br />Registry updated by: <br />