2452

No. 10 of 1916.

TOBACCO.

[Second Schedule contd.]

I hereby acknowledge the receipt from

FORM NO. 9.-Receipt FOR DUTY.

[s. 12.]

Tobacco Ordinance, 1916.

of the sum of dollars

and cents

being the amount payable as duty on the

tobacco described below which is now stored at

Nature of tobacco.

Marks ou cases, etc.

No. of lbs.

Duty per lb.

Total duty.

Date....

Superintendent of Imports and Exports.

FORM NO. 10.-IMPORT STATEMENT.

[s. 29.]

Tobacco Ordinance, 1916.

I (We) hereby declare that the following tobacco was imported by the

S.S.

which arrived in the Colony

on.

Cargo.

No. of

Description

Marks.

Nos.

Nature of tobacco.

Weight in lbs.

Total value.

cases.

of cases.

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