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THE NEW ZEALAND GAZETTE.
[No. 8

THE SCHEDULE ABOVE REFERRED TO.

All that piece of land held as a [Here state nature of privilege, e.g., ordinary alluvial claim, or as the case may be], containing by admeasurement [Here state area], situate [Here state approximately situation, locality, boundaries, and measurements, but with sufficient particularity to admit of easy identification], as the same is approximately delineated in the rough sketch-plan drawn hereon.

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Form 26 (Reg. 68).

Under “The Mining Act, 1898.”

CERTIFICATE OF REGISTRATION OF MINING PRIVILEGE HELD OTHERWISE THAN UNDER LICENSE.

Pursuant to application in that behalf made by A.B. [Name in full] of [Residence and Occupation], the lawful holder of the mining privilege described in the Schedule hereto, I, Mining Registrar of the Mining District, at , do hereby certify that I have this day registered such mining privilege as No. .

In witness whereof I have hereunto signed my name and affixed the seal of the Warden’s Court of the Mining District, this day of , 1 .

THE SCHEDULE ABOVE REFERRED TO.

All that piece of land held as a [Here state nature of privilege, e.g., ordinary claim], containing by admeasurement [Here state area], situate [Here state approximately situation, locality, boundaries, and measurements, but with sufficient particularity to admit of easy identification]: as the same is approximately delineated in the rough sketch plan drawn hereon.

, Mining Registrar.

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Form 27 (Reg. 69).

Under “The Mining Act, 1898.”

APPLICATION TO REGISTER LIEN.

I, A.B. [Full name, occupation, and address], hereby make application to register a lien against the mining privileges specified in the First Schedule hereto, for £ , in respect of moneys due to me as wages-man, [or sub-contractor, or contractor, or partner, as the case may be], particulars whereof are specified in the Second Schedule hereto.

The address for service is,

ated this day of , 1 .

FIRST SCHEDULE.

[Describe the name, situation, and registered number of each mining privilege, and the name of the holder.]

SECOND SCHEDULE.

[Set out briefly but clearly the particulars of the debt, giving in the case of wages the name of the employer, the period, place, and nature of the employment, and the rate and amount of the wages, and in any other case the corresponding particulars as to names, dates, amounts, &c.]

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Form 28 (Reg. 69).

Under “The Mining Act, 1898.

NOTICE BY CLERK TO OWNER OF MINING PRIVILEGE AGAINST WHICH A LIEN HAS BEEN REGISTERED.

To A.B. [Name in full], of [Residence and occupation], the holder of the mining privileges set out in the Schedule hereto.

TAKE notice that C.D. [Name in full], of [Residence and occupation], has this day registered a lien against the before-mentioned mining privileges for the sum of £ due to him as wages-man [sub-contractor, contractor, or partner, as the case may be].

THE SCHEDULE ABOVE REFERRED TO.

Dated at , this day of , 1 .

, Clerk of Warden’s Court.

Form 29 (Reg. 78).

NUMERICAL INDEX OF REGISTRATIONS AT THE MINING DISTRICT.

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Form 30 (Reg. 79).

WATER-RIGHTS INDEX-BOOK OF WATER GRANTS REGISTERED AT , IN THE MINING DISTRICT.

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Form 31 (Reg. 87).

Under “The Mining Act, 1898.”

MACHINE LICENSE.

No. A.B., of , is hereby licensed as the owner of a registered [Here describe machine or machines, 12-stamp crushing machine, a berdan, amalgamator, retort, melting furnace, refining process, or otherwise] at [Place where machine situate] until the 31st day of December next.

Fee, 1s., paid.

Dated , 1

, Mining Registrar.