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Action No.
Provincial Court of Alberta
(Civil)
Plaintiff
and
Defendant
Notice of Withdrawal
I withdraw the Civil Claim against
I withdraw the Counterclaim against
I withdraw the Third Party Notice against
My Civil Claim has been completely satisfied.
The hearing was scheduled for
at
time
Dated
, Alberta.
at
Signature of Plaintiff/Defendant/Agent/Solicitor
Dated
at
time
CTS1474 (2009/07)
at
Reset
, Alberta.
Clerk of the Provincial Court
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