Collection Control Services (P.E.I.) Ltd.
P.O. Box 351
Charlottetown, P.E.I.
C1A 7K7
Phone (902)628-1496 Fax:628-1556
The following accounts are referred to you for collection.
Date Debtor Address Amount to Collect Remarks



You are hereby authorized tp proceed with the collection of these accounts which we certify to be legally owing and unpaid as stated.Any payment made direct to us will be considered a "Direct Payment" and wil be reported to you immediately.


Client: ________________________________________________
Duly Authorized By:______________________________________
Nature of Business:______________________________________
Address:_________________________________________________
Telephone: ______________________________________________