203668-1933-Supplementary-Draft-Bill--Miscellaneous-Licences — Page 22

972

FORM No. 6A.

Licence No.

PUBLIC DANCE HALL LICENCE.

(Annual).

of

is hereby licensed to keep (description of licensed premises) as a

public dance hall until the

day of........

19...... inclusive, subject to the conditions and for the further periods

endorsed hereon.

Fee $120.

Dated this

day of

19

Licensing Authority.

FORM No. 6B.

Licence No.

PUBLIC DANCE HALL LICENCE.

(Temporary).

of

is hereby licensed to keep (description of licensed premises) as a

public dance hall during the month ending

subject to the conditions endorsed hereon.

.19......

Fee $20.

Dated this

day of

19......

Licensing Authority.

FORM No. 7.

Licence No.

UNDERTAKER'S LICENCE.

of

is hereby licensed to undertake and perform burials of Chinese (or non-Chinese, as the case may be) dead in the cemeteries allotted for that purpose, until the

day of..........

19......

inclusive, subject to the conditions and for the further periods

endorsed hereon.

Fee $25.

Dated this

day of

19.....

Licensing Authority.