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AFFIDAVIT

Canada )
Province of Manitoba ) S.S.
  )

I, ____________________, of ____________________, Manitoba, MAKE OATH AND SAY THAT:

  1. ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________



SWORN/AFFIRMED BEFORE ME, )  
at ____________________, )  
Manitoba, on )  
this 25th day of May, 2013. ) ______________________________
  ) ____________________
______________________________ )  
A NOTARY PUBLIC IN AND FOR )  
The Province of Manitoba

My Commission expires: _______________ 		)  
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