78
THE NEW ZEALAND GAZETTE.
[No. 7

Application to share in the distribution must be made in
the form of a statutory declaration by the Chairman, or
Secretary, or Treasurer of the institution on behalf of which it
is made; and such declaration shall be in the following form:—

DECLARATION.

I, [Name], of [Place of abode], [Occupation], do solemnly
and sincerely declare that I am Chairman [or Secretary, or
Treasurer] of the [Name of institution]; that during the year
ending the day of , 1883, the income of the
aforesaid institution for the purposes of a library only was as
follows: From rates levied by a local governing body under
“The Public Libraries Act, 1869,” pounds
shillings and pence; and from the subscriptions of
members, pounds shillings and
pence; and from voluntary contributions other than mem-
bers’ subscriptions, pounds shillings and
pence; and that the attached statement is a true
copy of the audited statement of the accounts of the insti-
tution for the year herein specified; and that by the rules of
the institution admission to the reading-room is open to the
public free of charge.

And I make this solemn declaration conscientiously be-
lieving the same to be true, and by virtue of an Act of the
General Assembly of New Zealand intituled “The Justices
of the Peace Act, 1882.”

Signature:
[Here affix and
Declared at , this
cancel a stamp
day of , 188 , before
at 2s. 6d.]
me—
Justice of the Peace [or Solicitor, or Notary Public].

[NOTE.—The words relating to free admission may be
struck out if the library is not in a borough. The words in
brackets are not part of the form, but indicate matter to be
inserted or substituted.]

Copies of the form of statutory declaration may be
obtained on application to the Secretary for Education,
Wellington, or to the Secretary of any Education Board.

THOMAS DICK.

Quarterly Returns under Section 19 of “The Sheep Act,
1878.”—Notice No. 151.

Colonial Secretary’s Office,
Wellington, 17th January, 1884.

THE following quarterly returns of runs or farms on which
there were infected sheep on the 31st December, 1883,
are published in accordance with section 19 of “The Sheep
Act, 1878.”

G. S. COOPER,
Under Secretary.

AUCKLAND SHEEP DISTRICT.

Auckland Subdivision.
Wilson, W., Dairy Flat, Wade .. | Mixed | 281
Wright, Henry, Hunua .. | " | 546

F. C. LEWIS.

WELLINGTON SHEEP DISTRICT.

Wanganui Subdivision.
Dempsey, J., Larchhill .. | Mixed | 400
Fleetwood, J., Mataongaonga .. | " | 850
Jacob, H., Monhone, Wanganui .. | " | 750
McLeod, Gregor, Dunvagan .. | " | 375
Neilson, R., Mary Hill .. | " | 180
Paterson, W. B., Gordon Park .. | " | 380
Shields, R. T., Okoia .. | " | 236
Strachan, A., Lornty .. | " | 700
Sommerville, J. R., Fairview .. | " | 400
Smith, V., Crescent Falls .. | " | 1,320
Bayly, G. T., Mokoia .. | " | 6,000

T. G. RICHARDSON.

North Wairarapa Subdivision.
Andrew, J. C., Ica .. | Mixed | 21,743
Cross, John, Glenside .. | " | 1,800
Belliss, H., Woodhurst .. | " | 1,500
Johnston and Co., Mataikuna .. | " | 14,300
Johnston, Hon. W. W., Castlepoint .. | " | 16,086
Handyside, Roberts, and Co.,
Marinanga .. | " | 53,456
Meredith, E., jun., Riversdale .. | " | 19,452
Moore, George, Eparaima .. | Crossbred | 3,400
Elder and Co., Langdale .. | Mixed | 24,100
Liverton, William, Pakowai .. | " | 4,815
Meredith, E., sen., Kohiwai .. | " | 7,500
Taylor, W. W., Manawa.. | Crossbred | 4,761
Williams and Beetham, Anniedale .. | Merino | 30

JOHN DRUMMOND.

NELSON SHEEP DISTRICT.

Nelson and Motueka Subdivisions.
Riley, R., West Wanganui .. | Mixed | 380
Stanley and Grooby, Ramsvalley .. | " | 600
Kerr, John, Lake Run .. | " | 3,500
Baigent, E., Wakefield .. | Crossbred | 1,110
Baigent, J., Wakefield .. | " | 50
Ellis Brothers, Gordon Downs .. | Merino | 3,800
Kerr, D., Mohipiko .. | Mixed | 3,000
Bromwell, T. A., Motueka Valley .. | Crossbred | 280

Grey and Buller Subdivision.
O’Rourke, Thomas, Longford .. | Mixed | 120

E. G. PRICE.

MARLBOROUGH SHEEP DISTRICT.

Blenheim Subdivision.
N.Z.L. and M.A.C., Mount Patriarch .. | Merino | 2,600
Fowler, W. L., Tophouse .. | " | 4,500

Awatere Subdivision.
Fuhrman and Willis, Molesworth .. | Merino | 16,000
Busby, J. D., Upton Downs .. | " | 23,789
Teschemaker, C. de V., Glen Lee.. | " | 3,472
McKae, P. R., Weld’s Hill .. | " | 20,000
Richmond, F. H., Richmond Brook .. | " | 15,554

Kaikoura Subdivision.
Collins, A. S., Mount Fyffe .. | Merino | 2,900
Tinline, J., Waipapa .. | " | 12,000
Ingles, A. and H., Kincaid .. | " | 9,300
Gibson, W., Warden and Tytler .. | " | 40,000
Harnett, J., Kaikoura .. | " | 140
Symonds and Co., Ottely Fells .. | " | 50,000
Kirby, J., Kaikoura .. | " | 150
Peoples, J., Kaikoura .. | " | 300
Parsons, G. E., Swinley .. | " | 1,400

Amuri Subdivision.
Dalgety and Co., Hopefield .. | Merino | 3,000
Adams, W. A. B., Tarndale .. | " | 20,000

B. P. BAYLY.

Branch of Specially-authorized Society registered.

Registrar-General’s Office,
Wellington, 11th January, 1884.

THE Sea Shell Lodge, No. 105, situated at Lyttelton, is
registered as a branch of the Grand Lodge of New
Zealand of the Independent Order of Good Templars, under
“The Friendly Societies Act, 1882,” this 11th day of
January, 1884.

Wm. R. E. BROWN,
Registrar of Friendly Societies.

Working-Men’s Club registered.

Registrar-General’s Office,
Wellington, 11th January, 1884.

THE Sydenham and Addington Working-Men’s Club and
Mutual School of Arts, situated at Sydenham, is
registered as a Working-Men’s Club, under “The Friendly
Societies Act, 1882,” this 11th day of January, 1884.

Wm. R. E. BROWN,
Registrar of Friendly Societies.

Application for a Patent.

Patent Office,
Wellington, 11th January, 1884.

PATENT for Straining or Tightening Wires on Fences,
to be called and known as “Edwards’s Self-locking
Strainer.

WILLIAM EDWARDS, of Christchurch, New Zealand, has
deposited at this office a specification of the said invention.;
and I have appointed Thursday, the 22nd day of May next,
at 11 o’clock in the forenoon, at this office, to hear the said
application and all objections thereto; and I require all
persons having an interest in opposing the grant of such
Letters Patent to leave, on or before the 7th day of May
next, at this office, particulars in writing of their objections
to the said application, otherwise they will be precluded from
urging the same.

C. J. A. HASELDEN,
Patent Officer.

No. 992.