Certificate Of Canadian Origin/Certificat D’Origin Canadianne
(Temporary Export Of Original Works Of Art RETURNING
/Exportation Temporaire D’Oueuvres D’Art Original RETOURNER)	

Identification Of Artist/Indentification De L’Artiste

Name/Nom               ____Raymond St. Arnaud __________________________________________
Address/Addresse    ____xxxxxx  xxxxxxxxxx Street______________________________________ 
                                  ____Victoria, BC   Canada   xxx xxx ________________________________

The Artists is a Canadian citizen/L’artiste est un citoyen du Canada.  Yes/oui  No/Non

The Artist Is The Owner Of The Work/L’Artiste Est Le Proprietaire De L’Ouvre  Yes/oui  No/Non

The artist confirms that the original work identified was completed while a resident of Canada. The artist affirms that that the work is his/her property and that the use of this Certificate for re-entry of the work after temporary export shall indicate that no change of ownership has taken place since the date of issue.

I understand that it is a serious offence to make a false or misleading statement, and affirm that the above representations are true.

L’artiste affirme que l’ouvre originale ci-dessus identifiée a été achevée pendant qu’ll (elle) residait au Canada. L’artiste affirme que l’ouvre est sa propriété et que la présentation de ce certificat indique que, en cas d’une rentrée de l’ouvre après son exportation temporaire, il n’y apas eu de changement de propriétaire depuis la date de sa signature.

Je comprends que l’act de faire une déclaration fausse ou trompeuse constitue une grave infarction et affirme que la déclaration ci-dessus est exacte.

Artist/Artistse _______Raymond St. Arnaud_________ Signed/Signature __________________________________________________________

Date ____________________________________________

Certificate Of Canadian Origin/Certificat D’Origin Canadianne
(Temporary Export Of Original Works Of Art/Exportation Temporaire D’Oueuvres D’Art Original)	

Identification Of Work/Identification De L’Ouvre

Name/Nom               ____Raymond St. Arnaud __________________________________________
Address/Addresse    ____xxxx xxxxx Street______________________________________________ 
                                  ____Victoria, BC   Canada   xxx xxx ________________________________

Notes/Remarques____ The date, copyright symbol and the name St. Arnaud appear as an integral part of the image.

Title/Titre  _________ Blinds, No. 3                                                          Medium/Medium_______Photographic Print
Dimensions________ 11hx14w inches                                                      Date Of Completion/Date d’achèvment_________ 2008