!

325

FORM NO. 4.

Statutory Declaration.

of

I,

do solemnly and sincerely declare that the contents of the Notice hereto annexed are true, and I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the Statutory Declarations Act, 1835.

at

19

Declared by the above named

Before me

this

day of

A Commissioner for Oaths.

Made by the Superintendent of Imports and Exports on the

day of

1918.

?

Superintendent of Imports and Exports.

Approved by the Governor in Council on the

day of

COUNCIL CHAMBER,

1918.

"

3

1918.

Clerk of Counciks.

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