124

THE NEW ZEALAND GAZETTE.

shall pay a fee, as per Schedule hereto, for each head
of cattle so depastured: Provided that no entire
animal shall be allowed to run at large within the
said district.

Forms.
90. The forms in the Schedules hereto, and such
other forms as shall from time to time be prescribed
by the Registrar, shall be used in respect of the
various matters therein referred to.

SCHEDULE A.
MEMORIAL FOR REGISTRATION OF CLAIM, OR TRANSFER OF ANY CLAIM OR LICENSED HOLDING, TO BE PRESENTED
IN DUPLICATE TO THE REGISTRAR, WHO SHALL SIGN AND RETURN ONE COPY THEREOF.

SCHEDULE B.
NOTICE OF NEGLECT, ABSENCE, OR OMISSION.
To Mr. A.B., owner, part owner, or having an interest in the
Claim or Licensed Holding situate at Block:
I hereby give you notice that your hired servant, C.D., working
in the above Claim or Licensed Holding, has been guilty of
[Here state the particulars of the neglect, absence, or omission,]
contrary to the provisions of "The Gold Mining District Act,
1871," and unless you rectify the same without undue delay,
I shall proceed against you for forfeiture of your interest.
Dated this day of , 18 .
E.F.,
Mining Inspector.

Endorsement on the back of Copy.
A copy of this notice was served on A.B. personally or by
posting the same on the claim, at on the
day of , 18 .
Χ.Υ.
(The person who served or posted the same).

SCHEDULE D.
NOTICE OF AMALGAMATION, TO BE LODGED IN DUPLICATE, AND ONE COPY
RETURNED SIGNED BY REGISTRAR.
To the Mining Registrar at
Block.
18
We hereby give notice that we have amalgamated our Claims or Licensed
Holdings situated at , in the
Block, the particulars whereof are
given below.

SCHEDULE C.
APPLICATION FOR PERMISSION TO TUNNEL ON UNOCCUPIED
GROUND.
To the Warden at
Block.
18
I hereby give notice that I desire to obtain permission to
tunnel on unoccupied ground, adjoining to my claim at
Block. The length of the proposed tunnel is feet, and I
desire to obtain permission to occupy feet square at the
mouth of the tunnel, on which to deposit quartz or other
substances.
Signature of Applicant.
No. of Miner's Right.
Any person having any objection to this Application must
lodge the same in writing at the Warden's Office, at
within seven days from the date hereof.
Date.
Warden.

SCHEDULE D.
CERTIFICATE FOR PERMISSION TO TUNNEL ON UNOCCUPIED
GROUNDS.
No.
I hereby certify that
has received permission to cut
a tunnel feet in length on unoccupied ground adjoining
his claim at Block, and to occupy feet square,
for stacking quartz or other substances, at the mouth of such
tunnel. [State conditions, if any.]
Dated at , this day of , 18 .
Warden.

SCHEDULE E.
APPLICATION TO FORM A ROAD OR TRAMWAY, OR DIVERT
A ROAD.
To , the Warden at
We hereby give notice that we desire [to form a public (or
private) Road or Tramway, or to divert a Road] from
to
. The length of such Road or Tramway or diverted
Road is yards or thereabouts, and the proposed width
is feet, and is required for [Here state the reasons for
making same. It passes through the Claims undermentioned
[if any situate at Block. [Here insert Claims through
which Road or Tramway passes.]
Signature of Applicants.
Nos. of Miners' Rights.
Any person having any objection to this Application must
lodge the same in writing at the Warden's Office, at
within seven days from the date hereof.
Date.
Warden.