CAP. 109]
Dutiable Commodities.
First Schedule, cont.
FORM 25.
No.
Receipt for Duty.
I hereby acknowledge the receipt from
of the sum of dollars
and cents
being the amount payable as duty on the goods described below which are now in
at
Description of goods.
Marks on cases, etc.
Quantity in lb.
Duty
per lb.
Total
or gal.
or gal.
duty.
Date
19.....
CA
328
Director of Commerce and Industry.