Appendix D Draft Infrstructure Agreement

1


……………………………………………
(Name)


……………………………………………
(Signature)



Signed/Executed by owner
(If a company, in accordance with Section 127 of the Corporations Act 2001 (Cth))


……………………………………………………                                  ……………………………………………………
(Director/Company Secretary Name)                     (Director Name)


……………………………………………………                                  ……………………………………………………
(Signature)                                           (Signature)


……………………………………………………                                  ……………………………………………………
(Date)                                                (Date)



In the presence of Witness being a Justice of the Peace:
(If a company, a Witness is not required)

……………………………………………
(Name)


……………………………………………
(Signature)




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