THE NEW ZEALAND GAZETTE. 629

Fees.
80. The fees in the Schedule hereto annexed shall
be taken and charged in the respective offices therein
mentioned.

Penalties for Breach of Regulations.
81. If any person shall commit any breach,
whether by way of omission or by way of commission,
of any of the foregoing Rules and Regulations, he
shall forfeit and pay for such breach a fine or
penalty not exceeding ten pounds for the first offence,
and not exceeding twenty pounds for any subsequent
offence.

SCHEDULES.

SCHEDULE A.
Notice to Registrar of Marking out Claim.
To the Mining Registrar at
hereby give notice that have marked out a
Claim, the particulars of which are specified below.

| Locality. | Names
of all
Persons
at present
interested
in the
Claim. | Date
and Hour
of
Marking
out. | Dis-
tinguishing
Mark
on Posts. | Number
of Men
to be
employed
thereon. | Name, Class, and Situ-
ation of Claim, des-
cribing as nearly as
possible its position,
with reference to
some fixed or well-
known point, and
to creeks, water-
courses, and existing
claims. |
|---|---|---|---|---|---|
| | | | | | |

(Signature and address of Owner.)
(No. of Miner's Right.)
(Date and hour of giving notice.)

SCHEDULE B.
Received in the Warden's Office, day of
187 , at h. m.
Application for License.
(Under Section .)

In pursuance of the provisions of "The Gold Mining Districts
Act, 1873," I hereby apply for a License for the Claim whereof
particulars are as follows, to be granted to

| Date and Hour
when marked
out as a Claim,
and when re-
ported to Mining
Registrar. | Description
of the Dis-
tinguishing
Mark
on Posts. | Area. | Class and Description of Claim, a cor-
rect plan of which is herewith deposited
with the Warden, showing its position
with reference to some well-known
point, and as to creeks, water-courses,
and existing claims or holdings. |
|---|---|---|---|
| | | | |

I also appoint as the place where all notices required
to be given respecting the above application may be served;
and where, if so served, I will consider them as served on
myself personally.
Dated this day of , 187 Applicant.

SCHEDULE С.
Notice. Abandoned Claim.
To the owner or owners of the Claim.
TAKE notice, that on the day of , it is my in-
tention to file in the office of the Mining Registrar, if in the
meantime no valid objection thereto be lodged with me, a
certificate that the Claim mentioned and described in the
Schedule hereunder is abandoned.
Schedule.
Registered number of Claim
Name of Claim
Area
Date of registration
Situation
Name of registered owner
Dated this day of , 187 Mining Inspector.

SCHEDULE D.
Notice of Neglect, Absence, or Omission.
To Mr. A.B., owner or part owner, or having an interest in
the Claim or Licensed Holding, situated at
I HEREBY give you notice that your hired servant, C.D., work-
ing in the above Claim or Licensed Holding, has been guilty of
[Here state the particulars of neglect, absence, or omission],
contrary to the provisions of "The Gold Mining Districts Act,
| 1873," and unless you rectify the same without undue delay, I
shall proceed against you for forfeiture of your interest.
Dated this day of , 187
E.F.,
Mining Inspector.

[Indorsement at back of copy.]
A copy of this notice was served on A.B., personally, or by
posting the same on the day , 187 Claim, at
Χ.Υ., on the
(The person who served or posted the same.)

SCHEDULE E.
Notice of Amalgamation, to be signed in duplicate, and one
copy returned signed by the Registrar.
To the Mining Registrar at , 187
We hereby give notice that we desire to have our Claims
amalgamated, situated at , the particulars of which
Claims are given below.

| Locality. | Registered No.
and Name of
the respective
Claims to be
amalgamated. | Class
of
Claims. | Names of
Owners of
the Claims
to be
amalgamated. | Share of
each Owner
of the
Amalgamated
Claim. | Signature of
each Owner
in
Amalgamated
Claim. |
|---|---|---|---|---|---|
| | | | | | |

Registered.
(Date.) Registrar.

SCHEDULE F.
Application for Permission to Tunnel on occupied or
unoccupied ground.
To the Warden at , 187
I HEREBY give notice that I desire to obtain permission to
tunnel [or to use a certain adit, drive, or tunnel, situated as
described hereunder] on ground adjoining my Claim
at , The length of the proposed tunnel is
feet
feet, and I desire to obtain permission to occupy
square for stacking quartz and other substances at the mouth
of the tunnel.
(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.
Warden.

SCHEDULE G.
Certificate for Permission to Tunnel on occupied or unoccupied
Ground.
No.
I HEREBY certify that has received permission to cut [or
to use] a tunnel , and to occupy feet in length, adjoining his claim at
feet square for stacking quartz
or other substances at the mouth of such tunnel. [State con-
ditions, if any.]
Dated at day of 187
Warden.

SCHEDULE H.
Application for Authority to discharge Débris on, or to convey
the same over, occupied or unoccupied Ground.
To the Warden at 187
I HEREBY give notice that I desire to obtain authority to dis-
charge débris upon [or to convey débris over] an adjacent claim
as hereunder specified [or unoccupied ground adjoining my
claim], at , and I desire to obtain permission to
occupy thereon sufficient space for the discharge of such débris.
Name of adjacent claim
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 I.
Certificate of Authority to convey or discharge Débris on, to,
or over Ground.
No.
I HEREBY certify that has received authority to discharge
débris upon [or to convey débris over] the claim Registered No.
[or Licensed Holding No. or on unoccupied ground
adjoining his claim at ], and to occupy thereon sufficient
space for the discharge of such débris. [State conditions, if any.]
Dated at this day of 187
Warden.