CAP. 97]

Licence No.

-

Licence Fee

New Territories.

FORM 4.

HỒNG KÔNG

[rule 3]

G. R.

Audit No.

Dated

NEW TERRITORIES ORDINANCE. (Chapter 97 of the Revised Edition).

DAIRY/MILK SHOP LICENCE.

(Cross out the word not applicable)

Name of Licensee

...........of (address)

is hereby licensed to conduct the trade of a

at the following address—

(each building to be enumerated on the licence)

Licence valid until

Photograph

of Licensee

District Commissioner, New Territories.

124

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