| I, ______________________________ of the ___________________________________ in the
Province of ___________________ , make oath and say [or affirm]:
1. I am ____________________________ of the applicant, __________________________________
(the "applicant"), and as such have knowledge of the matters to which I hereinafter depose.
2. Attached to my affidavit as Exhibit A [is/are] _____ sheet(s) setting out the disbursement
claims of _____________________________________ and the required evidence of disbursement
[receipts and other supporting documentation as required under section 31 which [has/have]
been prepared in accordance with sections 20 to 36 of the Legal Directorate's Guidelines for
the Taxation of Costs, dated May 15, 1998.
3. To the best of my knowledge and belief, the disbursement claims of ______________________
__________________ submitted herewith, and all the documentation in support, represent
disbursements incurred necessarily and reasonably for the purpose of the proceeding.
4. The disbursement claims submitted herewith are made in accordance with the
Commission's determination set out in Cost Order Number _____________ and do not exceed the
costs permitted therein.
5. [Where applicable] The applicant has submitted claims for meals both on a per diem basis
and on the basis of individual meals. To the best of my knowledge and belief, these claims
represent disbursements incurred for the purpose of this proceeding and do not lead to double
recovery.
6. The applicant [has or will] receive(d) the following financial assistance in direct connection
with its participation in the proceeding: ______________________________________ .
7. The applicant is entitled to a rebate in connection with the Federal Goods and Services Tax
to the extent of _____ %, based on ___________________________________________________ .
|
| SWORN [OR AFFIRMED] BEFORE ME at the
[City, Town, etc.] of _____________________
in the [County, Regional Municipality, etc.] of
___________________________, in the Province
of ___________________ on [date] ___________. |
|