722430-1859-GOVERNMENT-NOTIFICATION-NO-75 — Page 2

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The Hongkong Government Gazettę,

[August 27, 1859.

NO. OF LOAN.

FORM OF ENTRY IN BOOK.

2

Clienere

774

Month of

182

WHETHER BORROWER

IF PLEDGE DEPOSITED BY A MESSENGER, THEN AS TO MIE REAL OWNER THEREOF.

DAY OF THE MONTH.

BORROWER,

PLACE OF ABODE OF BORROWER CHING STREET AND

IS OCUPIER OR

INATE.

Name.

Place of ode us before

DESCRIP- TION OF

ARTICLE.

Occepter or

Innate.

loaves & contine

Contrrive through

A

mott, and & Commener even soit, cach succeeding winters

CONDE ON

AICLE

Ricemt\

LOAN.

OF

RATE OF INTEREST,

-

字

號

日 子

當物件人名

街居住

或同居之人

或包組之人