184514-1931-Supplementary-Draft-Bills--Tobacco — Page 34

1

1187

FORM No. 10.

[8. 29.] [Second

Schedule

IMPORT STATEMENT.

Tobacco Ordinance, 1931.

I (We) hereby declare that the following tobacco was

imported by the S.S.

which arrived in the Colony on

Cargo.

No. of Description Marks. Nos.

Nature

of

cases.

of cases.

Weight in lbs.

Total

value.

tobacco.

No. of

cases.

Date.

Description of cases.

Ships stores.

Nature of tobacco.

Weight in Total value.

lbs.

(Owners, charterers, agents

or master.)

(Address.)

(Signature of employé or agent if the above signature is that of a body corporate or firm.)

FORM No. 11.

[8. 29.]

EXPORT STATEMENT.

Tobacco Ordinance, 1931.

I (We) hereby declare that the following tobacco was

exported by the S.S.

which left the Colony on the

Date......

Form No. 10,