Form 49.11A
(rule 49.11)
File number: 20____ ____ G __________

IN THE SUPREME COURT OF NEWFOUNDLAND AND LABRADOR
GENERAL DIVISION

BETWEEN:			
	(Plaintiff’s name)	PLAINTIFF	
			
AND:			
			
	(Defendant’s name)	DEFENDANT	
			
(Modify title of proceeding as necessary.)

Satisfaction Piece
Satisfaction is acknowledge of the order entered by the (plaintiff) (defendant) against the (defendant) (plaintiff) on the ___________ day of _____________, 20_______, for the sum of $______ and costs of $______

DATED at 					  (city/town) in the Province of Newfoundland and Labrador this 		 (day) of 			 (month), 		 (year).

(signature)
Plaintiff/Defendant