1037
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FORM No. 6A.
Licence No.
PUBLIC DANCE HALL LICENCE.
(Annual).
of
is hereby licensed to keep (description of licensed premises) as a
public dance hall until the
day of.....
19...... inclusive, subject to the conditions and for the further periods
endorsed hereon.
Fee $120.
Dated this
day of
19
Licensing Authority.
FORM No. 6B.
Licence No.
PUBLIC DANCE HALL LICENCE.
(Temporary).
of
is hereby licensed to keep (description of licensed premises) as a
public dance hall during the month ending
subject to the conditions endorsed hereon.
....19......
Fee $20.
Dated this
day of
..... 19.......
Licensing Authority.
FORM No. 7.
Licence No.
UNDERTAKER'S LICENCE.
of
is hereby licensed to undertake and perform burials of Chinese (or non-Chinese, as the case may be, dead in the cemeteries allotted for that purpose, until the
day of..........
19......
inclusive, subject to the conditions and for the further periods
endorsed hereon.
Fee $25.
Dated this
day of
19......
Licensing Authority.