Form 6:    Notice of Receipt

Family Relations Act, Part 6
_______________________________________________________________________

          To:     Plan Member 

          Name of Member: _______________________________________________

          Address:        _______________________________________________

          (please print)  _______________________________________________

          Social Insurance or Pension Plan Identity Number: _______________________

          Employer:      _______________________________________________

_______________________________________________________________________

          From:     Pension Plan 

          Name of Pension Plan: ______________________________________________

          Address of Plan:      ________________________________________________

                                ________________________________________________

          Contact Person:       ________________________________________________

          Telephone:            _______________________

________________________________________________________________________

Receipt of Notice:  

We have received the following notice under the Family Relations Act in relation to your
membership in our pension Plan:

[ ]  Form 1: Claim of Spouse to Interest in Member's Pension

[ ]  Form 2: Request for Designation as Limited Member of Pension Plan

[ ]  Form 3: Request for Transfer from Unmatured Defined Contribution Plan

[ ]  Form 4: Request by Limited Member for Transfer or Pension

[ ]  Form 5: Request in relation to a Matured Pension Divided under an Agreement or
     Court Order Made Before July 1, 1995 for Designation as Limited Member and for
     Payment of Benefits
          

From:  __________________________________________________________
                                        (name as shown on notice)
          
Dated: __________________________________________________________
                                                 (date of notice)