588
THE NEW ZEALAND GAZETTE.

THE NEW ZEALAND GOVERNMENT.
Department
or Service
}
EIGHTH SCHEDULE.
Dr. to
Voucher No..........
New Zealand.

No. of
Authority.
Date of
Service or Supply.
Particulars in full.
Sub-Voucher.
Amount.

186

Total ... £

(Signature of Claimant) .....................................................................

I certify that to the best of my knowledge and belief the foregoing Account is true and correct in every
particular; that the charge ..................................................................... reasonable, and that
(Signature of Officer by whom the expense was incurred.)

To be charged to
Vote No.
Item No.
Under Secretary.

RECEIVED On the ......................................, 186 , from the Paymaster-General, by the hands of ......................................, Esquire,
Paymaster at ......................................, the sum of ..................................... pounds ..................................... shillings and ..................................... pence sterling, in full
payment of the above Account.
(Cheque No. .....................................)
Eighth Form—Abstract of Contingencies.]

NINTH SCHEDULE.
[Clause 36 of Regulations.

I HEREBY AUTHORIZE Mr. ....................................................................., New Zealand.
(whose signature appears in the margin) to receive
the sum of ..................................... pounds ..................................... shillings and ..................................... pence sterling, payable to me at the
Paymaster's Office at ....................................................................., and to sign on my behalf a receipt for the same.
(Signed) .....................................................................
Ninth Form—Order for payment to an Agent.]
[Clause 41 of Regulations.

Copy of the CASH BOOK of the Paymaster at
TENTH SCHEDULE.
for the Month ending the ..................................... day of ..................................... 186 .
Cr.
Dr.

I do solemnly and sincerely declare that the above is a correct copy of my Cash Book for the period
above named, and is a true and faithful account of all public moneys received and expended by me during
the said period, and I make this solemn declaration conscientiously believing the same to be true.
This declaration was made and signed in my presence
at ..................................... this ..................................... day of ....................................., 186 .
Name of Witness ..................................................................... (Signed) .....................................................................
Description ..................................................................... (Office) .....................................................................

I hereby certify that the sum standing to the credit of the Disbursement Account in the name of
in the Bank of New Zealand, at ..................................................................... at the close of business on the ..................................... day of ....................................., 186 , was ..................................... pounds ..................................... shillings and ..................................... pence.
£ ..................................... : ..................................... : .....................................
(Signed) .....................................................................
(For the Bank of New Zealand.)
[Tenth Form—Paymaster's Cash Book.]
[Clause 44 of Regulations.

FORSTER GORING,
Clerk of the Executive Council.