Her Majesty the Queen Approved: v. Judge RECORD OF CONVICTION (Sections 570 and 806 C.C.) D/M/Y BE IT REMEMBERED that on the day of , 20 , at , Nova Scotia, of □ □ □ □ pleaded guilty to was tried under Part XXX (indictable) Part XXVII (summary conviction) of the Criminal Code of Canada upon the charge that he/she at or near ________________, in the County of , Province of Nova Scotia, on or about the _____________________day of , 20 between □ □ was convicted found guilty of the said offence and the following punishment was imposed on he/she, namely, DATED at , Nova Scotia, on , 20 . Clerk I certify this to be a true copy of an original document on record at the court office at , Nova Scotia. DATED at , Nova Scotia, on , 20 . Clerk
Her Majesty the Queen v. Approved: RECORD OF CONVICTION (Sections 570 and 806 C.C.) Judge D/M/Y BE IT REMEMBERED that on the day of , 20 , at , Nova Scotia, of □ pleaded guilty to □ was tried under □ Part XXX (indictable) □ Part XXVII (summary conviction) of the Criminal Code of Canada upon the charge that he/she at or near ________________, in the County of , Province of Nova Scotia, on or about the _____________________day of , 20 between was □ convicted □ found guilty of the said offence and the following punishment was imposed on he/she, namely, DATED at , Nova Scotia, on , 20 . Clerk I certify this to be a true copy of an original document on record at the court office at , Nova Scotia. DATED at , Nova Scotia, on , 20 . Clerk
ef-41-35-RecordConviction-Aug2014.docx