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SENAT

SENATE
CA N ADA

PRIMARY RESIDENCE DECLAE4TION

-., the Honourable

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member of the Senate for the province or territory of

DECLARATION DE RESIDENCE PRINCIPALE

Je, l'honorable - - - - - - - - - - - - - -

membre du Senat pour la province ou le territoire


suivant

declare that my primary residence is more than 100 declare que ma residence principale se trouve a plus de
kilometres from Parliament Hill and that I therefore 100 km <!e la colline du Parlement et que, dans le cadre
incur additional living expenses while I am in the de mes fonctions parlementaires, j'engage des frais de
National Capital Region to carry out my parliamentary subsistance additionnels lorsque je suis dans la region
functions.
de la capitale nationale.
For the purposes of the Twenty-Second Report of the Aux fins du Vingt-deuxieme rapport du Comite
Standing Senate Committee on Internal Economy, senatorial permanent de la regie interne, des budgets et
Budgets and Administration, adopted in the Senate
de l'administration adopte au Senat le 18 juin 1998,
June 18, 1998, the address of my primary residence in l'adresse de ma residence principale dans la province
the province or territory that I represent is the ou le territoire que je represente est :
following:

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L'honorable

The Honourable

(signa ture)

(date)

(date)

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