Executed as a deed Signed, sealed and delivered for and on behalf of the of Queensland acting through the Department of _______________________________ Natural Resources Mines and Energy ABN 59 020 Signature 847 551 by Date: __________________________ _____________________________________ (name and position) a person duly authorised to act in that behalf in the presence of: __________________________________ Signature of Witness __________________________________ Name of Witness in full Option 1: if the Landholder is an individual **Delete if inapplicable** OR Signed, sealed and delivered by [insert the landholders name and use separate clause for each _______________________________ individual] Signature __________________________________ Date: __________________________ Signature of Witness __________________________________ Name of Witness in full Option 2: if the Landholder is a company **Delete if inapplicable** OR Executed by the [name of the Landholder] _______________________________ ACN[insert] in accordance with section 127 of the Signature of Director/sole Director Corporations Act 2001 (Cth):
Executed as a deed Signed, sealed and delivered for and on behalf of the of Queensland acting through the Department of Natural Resources Mines and Energy ABN 59 020 847 551 by _____________________________________ (name and position) a person duly authorised to act in that behalf in the presence of: _______________________________ Signature Date: __________________________ __________________________________ Signature of Witness __________________________________ Name of Witness in full Option 1: if the Landholder is an individual **Delete if inapplicable** OR Signed, sealed and delivered by [insert the landholders name and use separate clause for each individual] _______________________________ Signature __________________________________ Signature of Witness __________________________________ Name of Witness in full Date: __________________________ Option 2: if the Landholder is a company **Delete if inapplicable** OR Executed by the [name of the Landholder] ACN[insert] in accordance with section 127 of the Corporations Act 2001 (Cth): _______________________________ Signature of Director/sole Director
igabiip-agreement-rehab.docx