CERTIFICATE OF DIVORCE (s. 12(7), Divorce Act of 1985)
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| Canada SUPERIOR COURT |
| Province of Québec |
| District of |
| No. |
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| CERTIFICATE OF DIVORCE |
| (Subsection 12(7) Divorce Act) |
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| I hereby certify that the marriage of |
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| and |
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| solemnized at , on the |
| has been dissolved by a judgment which took effect on the |
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| Seal* Issued at |
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| on the |
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| _______________________________ |
| Clerk |
|________________________________________________________________________________|
* Upon request.