Dutiable Commodities.

FORM 22.

No.

[CAP. 109

Export Permit.

To the DIRECTOR OF COMMERCE AND INDUSTRY.

I submit the following particulars of (1)

will be found at (2)

(3) How imported

and date of importation, or if produced in this Colony, where so produced.

Description of goods.

Marks on cases, etc., and gross weight of each.

dutiable

duty-paid

goods which (1) Strike

Quantity in lb. or gal.

Value.

(4) [Drawback will be claimed in respect of the goods.]

I wish to remove the goods on (5)

between the hours of

if applicable, (3)

to (6)

(4) [as ships' stores] by (7)

to (8)

.a.m. and

The goods are to be conveyed to S.S.

by (9)

Date

19......

19.......

..p.m. from (2) and,

(Exporter).

(Address).

out word not

required.

(2) Place of arrival of importing ship or conveyance, or general bonded or licensed warehouse or manufactory or other place where goods are stored,

(3) Particulars of importing

ship, aircraft, train or vehicle.

(4) Strike out words in brackets if not required.

(5) Date. (6) Place of departure of exporting ship or conveyance.

(7) Particulars

for export

lars of

exporting

ship, aircraft, train or vehicle.

(8) Destination

of goods.

(9) No. of

licensed

harbour

vessel or name of licensee of general bonded warehouse. Strike out if not required.

(Signature of employee or agent, if

exporter is a firm or company).

Permission is hereby given for the removal and export of the goods, within the hours, and in the manner, specified above.

Fee $...

Director of Commerce and Industry.

325

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