18
FORM NO. 4.
[8. 7.]
EXPORT MEMORANDUM.
Opium Ordinance, 1932.
Memorandum of raw opium for export per S.S.
on
Permit No.
Marks
Govt. No
No. of Kind Weight pack- of of ages. opium. opium,
Exporter. Destination.
FORM NO. 5.
Superintendent.
SUPERINTENDENTS CERTIFICATE.
[s. 37.]
I,
Opium Ordinance, 1932.
(Assistant) Superintendent of Imports and Exports,
hereby certify that on
I received personally from
marked
which is dollars
on
said
a
which I found to contain
'
the value of
($
) and that
.I personally handed
..the
to
in a
...sealed with my seal and marked with the
serial number, nature and amount of contents as stated above.
Date
(Assistant) Superintendent of Imports & Exports.
j