45875-1916-Order-under-the-Importation-and-Exportation-Ordinance-1915 — Page 32

386

THE HONGKONG GOVERNMENT GAZETTE, JANUARY 7, 1916.

FORM NO. 7.

[Rule 26.

IMPORT STATEMENT.

(Importation and Exportation Ordinance, 1915.)

I (we) hereby declare that the following articles were imported

by the S.S.....

Colony from....

.on

Cargo.

No. of enses or other articles.

Description of cases or other articles.

...which arrived in the

Weight Marks No. for Quan-

tity.

Port of des- Con- f'on- Con- tation if tents signor signee transhipment

cargo.

Ship's Stores.

No. of cases or other articles.

Description of cases or other articles.

Contents.

This statement is also furnished as the import manifest under

the Certificates of Origin Ordinance, 1915.

Dated the............day of.......................

.191......

Owners, Agents or Charterers.

(Address.)

(Additional personal signature if the above name be that of a body corporate or firm or association or organisation.)