[Dec. 22.] THE NEW ZEALAND GAZETTE. 3021

2. (a.) That every article mentioned in the said invoice has been wholly produced or manufactured in [Insert “United Kingdom” or name of other part of British Dominions].

3. (b.) That every article mentioned in the said invoice has been either wholly or partially produced or manufactured in [Insert “United Kingdom” or name of other part of British Dominions].

4. As regards those articles only partially produced or manufactured in [Insert “United Kingdom,” or name of other part of British Dominions],—

(a.) That the final process or processes of manufacture have been performed in that part of the British Dominions ;

(b.) That the expenditure in material produced in [Insert “United Kingdom” or name of other part of British Dominions], and/or labour performed in [Insert “United Kingdom” or name of other part of British Dominions], calculated subject to qualifications here-under, in each and every article is not less than one-fourth of the factory or works cost of such article in its finished state.

4. That in the calculation of such proportion of produce or labour of the [Insert “United Kingdom” or name of other part of British Dominions] none of the following items has been included or considered :—

Manufacturer's profit, or remuneration of any trader, agent, broker, or other person dealing in the articles in their finished condition; royalties; cost of outside packages or any cost of packing the goods thereinto; any cost of conveying, insuring, or shipping the goods subsequent to their manufacture.

Dated at this day of , 19 .

Witness: .

Signature : .

Form No. 2.

FORM OF INVOICE.

[Here insert usual particulars, including place and date, name and address of supplier, &c.]

| | @ | Amount. | Selling-price to |
| | | | Purchaser. |
| | | | @ |
| | | | Amount. |

Enumerate the following charges, and state whether each amount has been included in or excluded from the above current domestic value :—

(1.) Cartage to rail and/or to docks...

(2.) Inland freight (rail or canal) and other charges to the dock area, including inland insurance

(3.) Labour in packing the goods into outside packages...

(4.) Value of outside packages...

(5.) If the goods are subject to any charge by way of royalties

State full particulars of royalties below :—

Form No. 3.

CERTIFICATE OF VALUE TO BE WRITTEN OR PRINTED ON INVOICES OF GOODS FOR EXPORTATION TO NEW ZEALAND.

I, [Here insert manager, chief clerk, or as the case may be], of [Here insert name of firm or company], of [Here insert name of city or country], manufacturer/supplier of the goods enumerated in this invoice amounting to , hereby declare that I [(These words should be omitted where the manufacturer or supplier himself signs the certificate) have the authority to make and sign this certificate on behalf of the aforesaid manufacturer/supplier, and that I] have the means of knowing and do hereby certify as follows :—

1. That this invoice is in all respects correct, and contains a true and full statement of the price actually paid or to be paid for the said goods, and the actual quantity thereof.

2. That no different invoice of the goods mentioned in the said invoice has been or will be furnished to anyone; and that no arrangement or understanding affecting the purchase-price of the