3432
THE NEW ZEALAND GAZETTE.
[No. 115

TWENTIETH SCHEDULE.
Form No. 1. (Reg. 79.)
Owner’s Declaration to accompany Australian Wool to New Zealand.

I, [Give name and status], of the [Give name of works where wool treated, or address of grower, if he makes the declaration], at , in the State of , do hereby solemnly and sincerely declare that the wool more particularly described below, to be shipped from to , in the Dominion of New Zealand, per , is from animals free from disease, and which were alive [or, and which had been slaughtered for human consumption or for boiling-down] when the wool was obtained from them, and that the said wool is wholly the produce of the State of .

Particulars of Wool.

And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of an Act .

Signed :

Declared at , in the State of . , before me, , a , this day of , 19 .

.Form No. 2.
Government Veterinarian’s or Inspector’s Certificate to accompany Australian Wool to New Zealand.

I, [Insert name], a duly qualified veterinarian [or an Inspector of Stock] in the employ of the State of , hereby certify that I have no reason to doubt the correctness of the above declaration in any particular.

Dated at , this day of , 19 .

Signed :

TWENTY-FIRST SCHEDULE.
(Reg. 87.)
Application for License to manufacture or prepare Animal Manure for Export to New Zealand.

To the Inspector of Manure-sterilizing acting for New Zealand at .

I, [We,] , hereby apply for a license to manufacture or prepare animal manure for export to New Zealand at the works herein described, viz. :—

Name of the works :
Location of the works :
Kind of animal manure proposed to be manufactured or prepared :
Particulars (including capacity) of plant available for crushing bones :
Particulars (including capacity) of plant available for sterilizing animal manure :
Size of building to be set apart solely for the grinding, conveying, screening, storage, &c., of animal manure after sterilization :
Particulars (including capacity) of plant in the said building :
Name of shipping port :
Distance of works from shipping port :
Means of conveying animal manure from works to port :
Signature of owner or person in charge of the works :
Address :
Date : , 19 .

TWENTY-SECOND SCHEDULE.
(Reg. 88.)
License to manufacture or prepare Animal Manure for Export to New Zealand.

PURSUANT to the application of [Licensee’s name], of , dated the day of , 19 , this license to manufacture or prepare animal manure for export to New Zealand is hereby granted and issued to the said in respect of the works described in the said application, situated at , and the registered number is hereby allotted to the said works.

This license is issued subject to the provisions of the Stock Act, 1908, and the regulations from time to time in force thereunder restricting the importation of animal manure into New Zealand, and is in force until the 31st March, 19 , unless previously cancelled by me.

Dated at , this day of , 19 .

Signed :
Inspector of Manure-sterilizing acting for New Zealand.

TWENTY-THIRD SCHEDULE.
(Reg. 90.)
Application for Renewal of License to manufacture or prepare Animal Manure for Export to New Zealand.

I, [We,] , of , hereby apply for a renewal of the license, dated , to manufacture or prepare animal manure for export to New Zealand at [Insert name of works and location], the registered number of which is .

I return herewith the license of which a renewal is desired.

Signature of owner or person in charge of the works :

Dated at , this day of , 19 .

TWENTY-FOURTH SCHEDULE.
(Reg. 95.)
Manufacturer’s Declaration to accompany Animal Manure exported to New Zealand.

I, , do solemnly and sincerely declare as follows :—
(1.) That the undermentioned consignment of animal manure has been duly treated as required by the Stock Act, 1908 (New Zealand), and the regulations thereunder, at the works at , of which I am the owner [or manager].
(2.) That the requirements specified in paragraphs (a) to (i) of Regulation 95 of the regulations under the above-mentioned Act, dated the day of , 19 , have been faithfully complied with.

Particulars of Consignment.

And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of an Act .

Signed :

Declared at , this day of , 19 , before me, , a .

The foregoing declaration is countersigned by me at , this day of , 19 .

Signed :
New Zealand Inspector of Manure-sterilizing [or Inspector’s authorized officer].

TWENTY-FIFTH SCHEDULE.
(Reg. 98.)
Notice of Intention to introduce Animal Manure into New Zealand from India or Australia.

To the Inspector of Stock at .

TAKE notice that it is my intention to introduce into New Zealand from the Port of , per the vessel (expected to arrive at on the day of ), the undermentioned animal manure, which has been treated as required by the regulations under the Stock Act, 1908 :—

Kind of animal manure :
Country of origin :
Quantity :
Particulars of brands, marks, or numbers :

Signature of importer :
Address :
Date :

TWENTY-SIXTH SCHEDULE.
(Reg. 100.)
Declaration by Master of Vessel respecting Animal Manure to be imported into New Zealand.

I, , master of the vessel , which is now lying at the Port of , do solemnly and sincerely declare