The Board of
Railway Commissioners for Canada.

Order no. 24789

Monday, the 6th of
March, A.D. 1916

In the matter of the application of the Canadian Pacific Railway Company, herein- after called the "Applicant Company," under Section 340 of the Railway Act, for approval of Form No. 1735, being a Release and Power of Attorney to be signed hy persons who desire, for special reasons, to travel in cars which are not intended to carry passengers:

964.2.

H. L. Drayton
Chief Commissioner

D'Arcy Scott
Assistant Chief Commissioner

Upon reading the report of the Chief Traffic Officer of the Board, and what is filed in support of the application—

It is ordered,—

That the applicant company's form of release and power of attorney, No. 1735, on file with the Board under file No. 964.2, be, and it is hereby, approved, as follows, namely:—

Form 1753

Canadian Pacific Railway Company.

Special Contract and Power of Attorney.

In consideration of the Canadian Pacific Railway Company permitting me, at my request, to travel between  ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  .. . and  ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  .. . or for part of that distance, in a car not intended to carry passengers, which I am not entitled by law to do, I do hereby agree that the said company may, while I am so travelling, handle and use the said car in all respects as they would be entitled to do if I were not travelling in it, and that the said company shall not be liable for any sum beyond twenty-five dollars because of any injury to me or damage suffered by me, either whilst I am so travelling or in consequence of such travelling, and whether such injury or damage be caused by negligence or otherwise: I am aware that my travelling as aforesaid will be much more risky than travelling in a passenger car.

And I do hereby irrevocably constitute and appoint Mr. (insert name of some reliable person), of  ..  ..  ..  .. ., my attorney for me in my name, to receive the saidi sum for me, and) thereupon to execute a positive acquittance to the company for all claims which I may at any time be entitled to make in consequence of any injury or damage suffered as aforesaid.

Dated  ..  ..  ..  ..  ..  .. . day of  ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  .. . A.D. 191 .

Witness:

 ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  .. .

[Seal]

For twenty-five dollars to me in hand paid, I do hereby release and dis- charge the Canadian Pacific Railway Company from all claims which I am now entitled to make in consequence of any injury to or damage suffered by me whilst travelling as mentioned in the above special contract or in consequence of such travelling.

Witness my hand and seal this  ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  .. . day of  ..  ..  ..  ..  ..  ..  ..  .. . A.D. 191 .

Witness:

 ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  .. .

by

 ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  ..  .. .

His Attorney.

H. L. Drayton
Chief Commissioner,
The Board of Railway Commissioners for Canada.