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{{Para-Narrow}}
'''C A N A D A ''' <span style="display:inline-block; width: 380px;"></span>'''File# ________________'''<br style="line-height:5px">
'''PROVINCE OF [PROVINCE]<br>
'''COUNTY OF [COUNTY]'''<br>
{{Para-Narrow-End}}
<center>
'''IN THE [LEVEL OF COURT] OF [PROVINCE]'''
</center>

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