Name of Interviewee (Teller)
Date of Interview
Place of Interview
This recorded interview may be used by the public, according to guidelines established by the
Archives of Ontario.
Subject to Canadian copyright law, it may become the property of (literacy program,
community group, Archives)
This recording has no restrictions
This recording cannot be used for (lifetime, or specific time period) During
this period, it may be used with my written permission only.
This recording may be used only for the following purpose (s)
Understood, agreed and signed:
Interviewee (Teller)
Address: 44 ALMA ST. SOUTH, GUELPH, ON. Telephone (519) 822-9429
Interviewer
Date
