450
THE HONGKONG GOVERNMENT GAZETTE, SEPTEMBER 30, 1910.
FORM OF INDEMNITY NOTE.
I hereby acknowledge to have received from the Kowloon- Canton Railway Company this
day of
191
valued at Dollars
which
day of
Station from the
the
despatched on or about the..
191
to
>
my
address at
Station on the
dated
Railway, and entered under invoice No.
191, the Railway Receipt for which ; and, for myself, my heirs, executors and administrators, I undertake, in consideration of such delivery as aforesaid, to hold the said Kowloon-Canton Railway, their agents and servants, harmless and indemnified in respect of all claims to the said goods.
And I, undersigned, signing below the consignee of these goods, certify that the first signer is the bona-fide owner of the goods, and I undertake the whole of the said liability jointly and severally with the said consignee, and for this purpose I affix my signature hereto.
Full Signature of Consignee:
Witness
Profession.
Residence.
Profession.
Residence.
Full Signature of Surety
Profession.
Residence.
Witness:
Profession.
Residence.
Date,
Station, J > 191 . )
Executed in my presence,
Stationmaster.
W
* Here enter full description of the consignment. † Here enter "has been lost,' mislaid," or "las mis- carried," as the case may be.
Note.-Ordinary unstamped forms may be used by consignec in respect of the delivery of articles carried at half parcels rates. viz., fresh fish, fruits, vegetables, bazaar baskets, bread, meat. ice and other perishable articles, and by Government Officials being in their official capacity, consignees of animals, goods or parels when the Railway Receipt is not produced by them.
COUNCIL CHAMBER,
"
19th September, 1910.
C. CLEMENTI,
Clerk of Councils.