Appendix A. 295 



FoKM No. 4. Regulation 7. 



Xotire of Lovat'ion of flaiiii. 



BkITISH GtTIAXA. 



The jNIining Regulations, 1905. 



To the Commissioner of Tjands and Mines 

 (In behalf of 

 I (lid on the day of , li) , in the presence of 



and of 

 locate a Claim in No. District under Licence No. 



The situation and description of the claim located are as follows: — 



DESCRIPTION. 



Name of Creek, Mill or Flat. 



Na)i(c of Hirer of uhich Creek is tributary 



Lengtli f^'t, width feet. 



Bixtance to Hirer or Creek landlvg 



Name of some other Claim holder \ 



in iniDiediate vicinitij ) 



Nearest Claim holder 



Dated this day of , 19 . 



(Signed) 



FoKM No. 5. Kegulation' 



Applieatiou for Licence. 

 British Guiana. 



The Mining Regulations, 1905. 



To the Commissioner of Lauds and Mines [or the Warden, No. 

 District]. 



I ['/■;• we] [insert Jitimes or names of holder or holders of prospcetim/ 

 lieeiiee) hereby make application for a Licence to mine for (toM [and or 

 Precious Stones] on a Claim located in District No. under Prospecting 

 r;icence No. 



The situation aud description of the CLiim are contained in tlie Notice 

 of Location attacbeil hereto. 



Dated this day of , 19 



(Signed) 

 Holder of Lieenee '[_or authorised Agent of Holder of Lice/iee^. 



FoKM No. (i. Regulations. 



lieeeipt In/ Warden of Notiee of I.oeation and Application for Lieenee. 

 Britisu (tIIANA. 



The Mining Regulations, 19Uo. 



This is to certify that 1 have this day received from 

 on behalf of a Notice of Location by him of 



Claim in District No. under Prospecting Licence No. and an 

 .application for Licence thtuvfor, and for tiling which the sum of $ 



has been paid. 



Dated this day of , 19 



(Signed) 



Warden. 

 No. District. 



