further term as be authorized by endorsement hereon under the hand of the Governor,
that lot of land at
roods
estimated to contain
acres
poles more or less which said lot of land with the dimensions abuttals and boundaries thereof is delineated on the plan drawn on these presents and more partienlarly on Government survey plan number
deposited in
Subject to the payment therefor of an annual rent of
dollars and the pay- ment of such royalties as may be notified from time to time in the Gazette and to the provisions covenants and conditions set out in the Mining Regulations, and to the ex- press conditions set forth hereunder :
In witness whereof the said Governor]
has hereunto set his hand and caused the
seal of the Colony to be fixed at
this
19.
EXPRESS CONDITIONS.
25
19
day of
in the presence of
Signed by the said
this
day of
19.
in the presence of
Registered at
.this
day of
19..
No:
No. of former title
District of
Land Officer.