184586-1931-Supplementary-Bills-read-a-first-time--Liquors — Page 86

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FORM No. 10.

[s. 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.

Nature

No. of Description Marks. Nos.

of

-cases.

of cases.

Weight in lbs.

Total value.

tobacco.

No. of

cas es.

Date.....

Description of cases.

Form No. 10.

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.

(s. 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....