430
[Second Schedule contd.]
FORM No. 5.-RETAILERS LICENCE.
[s. 28.]
Motor Spirit Ordinance, 1930.
Name of licensee
Licensed premises or Service Station
Date of expiration of licence
Fee $5.00.
Date...
Superintendent of Imports and Exports.
Note: This licence is issued subject to the provisions of the above Ordinance and of all regulations made thereunder for the time being in force.
SIR,
FORM NO. 6.-DUTY-PAID PERMIT.
[s. 36.]
Motor Spirit Ordinance, 1930.
I (We) hereby declare that I (we) wish to land
(move) on the
between the hours of
day of
a.m. and
19
p.m. the
light oils described hereunder, the duties on which have been paid, from
Ship and date of arrival.
Nature of light oils.
Marks
Quantity
Total
on cases,
in etc. gallons.
value.
Date.....
(Applicant.)
(Address.)
(Signature of employé or agent if the
applicant is a body corporate or a firm.)
Permission is hereby given as above for the landing (removal) of the light oils described above, the duty on which has been duly paid.
Superintendent of Imports and Exports.
Note: If this permit is not made use of on the day for which it is issued, it must be returned within 24 hours to the office of the Super- intendent of Imports and Exports.