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Keying Summary for Form TP-128-V,

Form TP-80-V and Form TP-80.1-V 2019

Authorization number:

TPF-1.Y-V (2019-10)

Page 2

RQ19-TP05

Kandasamy Kalaivani 277 797 676

TP-80-V (continued)

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TP-80.1-V

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This form must be submitted to Revenu Québec.

U907 ZZ 85574855

SIN: 277 797 676 S9331 #330 Kandasamy, Kalaivani [Quebec] Lic:32181/33.21/19

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