JAN. 27.] THE NEW ZEALAND GAZETTE. 127

January, April, July, and October in each year, transmit to the Minister of Mines at Wellington a statement, in the form numbered 4 in the Schedule hereto, or to that effect, of all royalties, penalties, and other moneys received by him under the said Act during the previous three months.

SCHEDULE.

Form 1.—Application for License.

To the Warden at
[Full name and address of applicant] hereby makes application for a license, under the provisions of “The Cyanide Process Gold-extraction Act, 1897,” for the use and employment of the therein-mentioned patent rights in the Mine [or Battery], situate at , for the extraction of gold and silver from quartz or other ores.
[Signature of Applicant.]

Dated at , this day of , 189 .

Form 2.—License.

Pursuant to the provisions of “The Cyanide Process Gold-extraction Act, 1897,” and the regulations thereunder, and to the application in this behalf dated the day of , 18 , [Full name and address of licensee] is hereby licensed to use and employ in the applicant’s mine situate in [Mining district, if any, and locality], and known as [Name of mine], the patent rights referred to in the said Act; subject nevertheless to the payment of the royalty and the observance of the terms and conditions prescribed by the said Act and the regulations from time to time in force thereunder.

As witness my hand, this day of , 18 .
, Warden, Mining District.

I certify that this license is recorded in the Warden’s Court at , Mining Registrar.

Form 3.—Return to be furnished to Receiver of Gold Revenue by Licensees.

I, A.B., [Full name, occupation, and address of declarant] do solemnly and sincerely declare as follows:—

1. That I am the holder of a license under “The Cyanide Process Gold-extraction Act, 1897,” in respect of [Name and locality of mine to which the license relates] [or the mine-manager (or as the case may be) of (Name and locality of mine), in respect whereof (Full name and address of employer) is the holder of a license under “The Cyanide Process Gold-extraction Act, 1897”].
2. That the following statement contains a full, true, and accurate return of all quartz or other ores treated in the said mine during the period [or respective periods] therein mentioned whilst using or employing the patent rights referred to in the said Act, the number of ounces of gold and silver respectively produced thereby, the values thereof, and the amount of royalty payable in respect thereof, as prescribed by the regulations under the said Act:—

Return.

And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of “The Justices of the Peace Act, 1882.”

A.B.
[Signature of declarant.]

Declared at , by the said A.B., [Full name of declarant] this day of , 18 , before me—
C.D.,
J.P. [or Solicitor, or Authorised Postmaster.]

Form 4.—Quarterly Statement to be furnished to the Minister of Mines by Receivers of Gold Revenue.

Office of Receiver of Gold Revenue, , 189 .

STATEMENT of Royalties, Fees, Penalties, and any other Amounts received in Pursuance of the Provisions of “The Cyanide Process Gold-extraction Act, 1897.”

, Receiver of Gold Revenue.

As witness the hand of His Excellency the Governor, this twenty-sixth day of January, one thousand eight hundred and ninety-eight.

W. C. WALKER,
For Minister of Mines.

Registrar of Marriages, &c., appointed.

Colonial Secretary’s Office,
Wellington, 18th January, 1898.

HIS Excellency the Governor has been pleased to appoint

CONYERS PEACH

to be Registrar of Marriages and of Births and Deaths, and also to be Vaccination Inspector, for the District of Mount Grey, vice Rev. William McGregor, resigned, on and from the 24th January, 1898.

J. CARROLL.

Registrar of Marriages, &c., appointed.

Colonial Secretary’s Office,
Wellington, 19th January, 1898.

HIS Excellency the Governor has been pleased to appoint

WILLIAM JAMES HAWLEY

to be Registrar of Marriages and of Births and Deaths, and also to be Vaccination Inspector, for the District of Wairau, vice Alfred Carter, transferred, on and from the 24th January, 1898.

W. C. WALKER.

Inspectors of Weights and Measures, Counties of Lake, Akaroa, Tauranga, Rotorua, Stratford, Hawera, Tuapeka, Bruce, and Clutha, and Boroughs of Queenstown, Akaroa, Tauranga, Hawera, Roxburgh, Lawrence, Tapanui, Milton, Balclutha, Kaitangata, and Arrowtown, appointed.

Colonial Secretary’s Office,
Wellington, 19th January, 1898.

HIS Excellency the Governor has been pleased to appoint the under-mentioned persons to be Inspectors of Weights and Measures, under “The Weights and Measures Act, 1868,” and the Acts amending the same, for the districts set respectively opposite their names, viz.:—

W. C. WALKER.