'Capacity...................piculs.

(Over 15,..........)

Crow, Males,

(Under 15,....................)

(Over 15,----)

Females,

(Under 15,........)

Received Fee for Licence $1,00.

Shroff.

Dute,..

For attachment of Receipt for Licence Fee.

221

D

for Harbour Master,

(Sheet 2.)

(Sheet 3.)

For record of c anges and events.

(Cover)

Hongkong Government.

Other

Boats

Licence.

or

Vessels

Class......

.101

Name of Owner.

Feet. Inches.

Length,

Crew. Male. Female.

Breadth,

Úver 15

Depth,

Under 15

Number of persons who may be carried

Measurement......

piculs.

I certify that I have examined the *

owned by..

applicant for a licence

and that I find the boat is in all respects fit and proper

to be employed in that capacity.

• State nature of occupation.

Issued.

Inspector of Junks.

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