681

Capacity,.........pieuls.

(Over 15,..........)

Crew Males,

(Under 15.........)

(Over 15,..........)

Females,

(Under 15....)

Received Fee for Licence $1,00.

Date,....

Shroff.

for Harbour Master.

For attachment of Receipt for Licence

Fee.

(Sheet 2.)

(Sheet 3.)

For record of changes and events.

(Cover.)

Hongkong Government.

Other

Boats

Licence.

or

Vessels

Class

191

Name of Owner,

Feet. Inches.

Length,

Crew. Male. Female.

Breadth,.

Over 15

Depth,

Under 15

Number of persons who may be carried

Measurement. ............piculs.

I certify that I have examined the *

owned by......

...applicant for a licence

and that I find the boat is in all respects fit and proper

to be employed in that capacity.

* State nature of occupation.

Issued,

Inspector of Junks.

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