Government of Canada / Gouvernement du Canada
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Assignment of Crown Debt Regulations (C.R.C., c. 675)

Regulations are current to 2024-05-01

APPENDIX II(Section 4)

This will acknowledge that notice has been received in this office that by an assignment dated the blank line day of blank line 19blank line, (the assignor) blank line has assigned to you [(the sum of $blank line) or (all moneys)] due or becoming due by the Crown to blank line (the assignor) under blank line for (purpose) dated the blank line day of blank line, 19blank line, numberedblank line.

blank line
Appropriate paying officer for Receiver General

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