Dominion of Canada, Province of Ontario.

To the clerk of the count.. of

...., I,....., do certify, that......ha. satisfied all money due on or to grow due on a certain chattel mortgage made by

....to....., which mortgage bears date the...day of

...., A. D. 18., and...registered....in the office of the clerk of the county court of the...count.. of....on the...day of...., A. D. 18.,...as No. .., that such chattel mortgage has___been assigned...., and that I am the person entitled by law to receive the money, and that such mortgage is therefore discharged.

Witness my hand this...day of...., A. D., 18.

.......Witness, Residence,....., Occupation.....

[ Usual affidavit of execution to be added. ]

TIMBER MARKS. WILL. COPYRIGHT. THE ROYAL FAMILY.