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DITCH CLEANING AGREEMENT Agreement made this _________________ day of _______________ A.D. 20____. Between: Municipal District of Smoky River No. 130 AND _________________________________ of ____________________________, Alberta. Know all men by these presents that I (we) _________________________ of ________________________, in the province of Alberta, farmer(s) hereby request that the Municipal District enter upon my (our) land for the purpose of cleaning my (our) private ditch in ________________________. I (We), ______________________________, agree to accept full responsibility for notifying downstream landowners for the work and shall save harmless and indemnify the Municipal District of Smoky River No. 130 from all causes of action, losses, claims or litigation which may result from flooding, erosion, siltation or any other damage caused to my land or to that of downstream landowners as a result of this work. IN WITNESS WHEREOF I (we) have hereunto subscribed my/our name(s) this __________ day of __________ A.D. 20_______. Signed by the said in the presence of Landowner(s) ______________________________ ____________________________ ______________________________ Witness M.D. of Smoky River No. 130 ______________________________ Reeve
______________________________ Municipal Administrator
Affidavit of Execution CANADA I, PROVINCE OF ALBERTA of the of TO WIT: in the Province of Alberta, make oath and say:
named in the within (or annexed) Instrument who is (are) personally known to me to be the person(s) named therein, duly sign and execute the same for the purpose named therein. 2. THAT the same was executed at of in the , and that I am the subscribing witness thereto. 3. THAT I know the said and is in my belief of the full age of eighteen years. SWORN before me at the of In the Province of Alberta, This day of A.D. 20 .
_____________________________________________ A Commissioner for Oaths in and for the Province of Alberta
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