187465-1932-Ordinance-passed-and-assented-to--Opium-No-7-of-1932 — Page 19

294

THE HONG KONG GOVERNMENT GAZETTE, APRIL 8, 1932.

FORM NO. 4.

[s. 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

of pack- ages opium. opium.

of

Exporter. Destination.

FORM NO. 5.

Superintendent.

SUPERINTENDENTS CERTIFICATE.

[s. 87.]

I,

Opium Ordinance, 1932.

(Assistant) Superintendent of Imports and Exports,

hereby certify that on

I received personally from

marked

which I found to contain

1

which is dollars

on

said

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.