Jan 17.] THE NEW ZEALAND GAZETTE. 255

57

I, __, manager of the __ Bank at __ [or a licensed gold-dealer, whose registered address for business is at __], do hereby certify that the foregoing is a true and correct statement of all the transactions of my bank [or of all my transactions] in gold during the month ending __, 190__.

Signature of licensee:
Address and description: __.
Date: __.

To the Under-Secretary for Mines, Wellington.

Form 113 (Reg. 183).

*DECLARATION AS TO GOLD SENT BY POST OR OTHERWISE.**

I, __, of __, do solemnly and sincerely declare as follows:—

1. I did on the __ day of __, 190, forward to the ____ Bank at __ by post, or by __, a parcel containing [Here set out nature of contents and approximate quantity or weight thereof].

2. The said __ is my property [or the property of __, of __], and was acquired by me [or him] [Here set out whether it was acquired by purchase or is the product of some mining lease, and in the former case the name and address of the seller, and in the latter case the name and situation of the lease and the holder thereof].

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

Declared at __, this __ day of __ one thousand nine hundred and __, before me—
Warden, Mining Registrar, Magistrate, Justice of the Peace, Postmaster, or Constable.

• “Gold” includes gold, gold bullion, retorted gold, gold-ores, gold-amalgam, gold-alloys, precipitates containing gold, slag, concentrates, tailings, and residues, but does not include coin or things manufactured of gold.

[To be forwarded to the Bank.]

Form 114 (Reg. 184).

APPLICATION FOR A TEMPORARY GOLD-DEALER’S LICENSE.

To the Warden of the __ Mining District at __.

I, __, of __, do hereby make application, in accordance with the provisions of section 57 of “The Mining Act Amendment Act, 1905,” for a temporary license to deal in gold. My present address for carrying on business is at __, in the said mining district. I have [not] previously held a license for such purpose.

Dated this __ day of __, 190__.

Signature of applicant: __.

Received this application at __ o’clock .m. on the day of __, 190; with a fee of five shillings.
____, Warden.

Form 115 (Reg. 185).

TEMPORARY GOLD-DEALER’S LICENSE.

I, __, being the Warden of the __ Mining District, do, by virtue of the powers vested in me under section 57 of “The Mining Act Amendment Act, 1905,” grant to __ a temporary gold-dealer’s license to deal in gold at __, in the said mining district, and at no other place, for a period of __ month from the day of the date hereof, and no longer.

Given under my hand, at __, this __ day of __, one thousand nine hundred and __.
__, Warden.

TENTH SCHEDULE.

Reg. 167.

SCALE OF COSTS AND CHARGES WHICH MAY BE ALLOWED TO REGISTERED MINING AGENTS.

(A.) In respect of Applications to the Warden.

Nature of Proceeding. Costs or Charges. £ s. d
In respect of every unopposed application, including preparation and filing of application, and appearance before the Warden .. 0 10 6
In respect of every opposed application, including preparation and filing of application [or notice of objection, as the case may be], as well as appearance before the Warden .. £1 1s. to 3 3 0

(B.) In respect of Proceedings before the Warden’s Court.

Where the hearing of a defended suit extends over one day of six hours, the Warden may allow an additional fee not exceeding £1 1s. for each additional day of six hours or part thereof.

(C.) Interlocutory or other Proceedings.

In respect of any interlocutory or other proceedings the Warden may, in his discretion, allow an additional fee of not less than 5s. nor more than £2 2s.

As witness the hand of His Excellency the Governor, this twenty-eighth day of December, one thousand nine hundred and seven.

JAMES McGOWAN,
Minister of Mines.

By Authority: JOHN MACKAY, Government Printer, Wellington.

H