SEPT. 4.]

THE NEW ZEALAND GAZETTE.

2373

(2) Form M.V.I.–2 is attached hereto and must be completed signed and verified as indicated therein and delivered with the vehicle to the officer in charge of the vehicle-collecting centre.

(3) Payment for the property will be made forthwith after a valuation has been made and notified to you and accepted, or (failing acceptance or agreement) after the amount has been fixed by arbitration.

(4) Your attention is drawn to the instructions printed on the back of this warrant.

(5) Failure to comply with the requirements of this warrant renders you liable to fine or imprisonment.

[REVERSE.]

Instructions to Driver.

(a) In the event of a breakdown, report to the nearest civilian garage for repairs. Cost of repairs will be paid by Chief Impressment Officer, Wellington. On arrival at the vehicle-collecting centre report the circumstances and supply a statement of the nature and cost of repairs carried out at the garage.

(b) If the repair is beyond the capacity of the nearest civilian garage, report the breakdown by telephone to the Impressment Officer who issued the warrant of impressment. He will arrange for towage and repair of vehicle, and instruct you as to returning home or waiting with the vehicle.

(c) If any additional petrol, lubricants, or spare parts are required to enable you to reach the vehicle-collecting centre, present this warrant to a garage proprietor and he will supply your requirements. You should give him a receipt for supplies delivered to you and obtain an account from him and hand it to the officer in charge, vehicle-collecting centre.

Directions to Garage-proprietors and Traders.

These instructions are authority for assistance to the driver of the vehicle described in this warrant in the repair of the vehicle and/or supply of petrol, lubricants, or spare parts to enable him to take the vehicle to its destination. Obtain receipt from driver for goods supplied and give separate account to him. Payment for services and goods will be made by the Chief Impressment Officer, Wellington.

[M.V.I . 2.

PARTICULARS OF IMPRESSED MOTOR-VEHICLE (OR EQUIPMENT).
The Motor-vehicles Impressment Emergency Regulations 19..

To the Officer in Charge,

Vehicle-collecting Centre, [Place shown in warrant form M.V.I.–1].

In accordance with the demand made in the warrant of impressment for the undermentioned motor-vehicle (equipment) I hereby set out particulars of the motor-vehicle (equipment) referred to therein:

(1) Type of vehicle (truck, tractor, &c.):

(2) Make of vehicle:

(3) Registration No.

(4) Engine No.

(5) Chassis No.

(6) Carrying-capacity:

(7) Model:

(8) Wheel-base:

(9) H.P.:

(10) Number of axles:

(11) Fixed or tip body:

(12) Tire-sizes:

(13) Whether twin or single wheels fitted at rear:

(14) Kind of fuel used to propel vehicle (motor-spirits, Diesel oil, &c).:

(15) State whether vehicle has side and/or tail boards:

(16) Year of manufacture:

(17) Date of purchase:

(18) Whether purchased new or second-hand:

(19) Price of chassis when new:

(20) Price of body when new:

(21) Price paid for complete vehicle:

(22) State cost and particulars of extra structural alterations:

(23) Total mileage run at date of impressment:

(24) My estimate of present value of vehicle or equipment: £...s....d.