298 Appendix A. 



Regulation 109. Fokm No. 12. 



Certificate to ivoric in a .Vi)ihi(f Bisfricf. 

 British Guiana. 



The Mining Reguliitions, 190.5. 

 No. 



This is to certify that of 



♦Georgetown or of whom a description is given below, has this dav been registered in* 

 District No. to „,ork in the District ' for A. B. 



for a period uf from this date. 



Dated this dav of , 1'.) . (Signed) 



Regulation lU. P'oKM No. 13. 



Certificate of cuiiipletiuti uf Contract. 



The ^Mining Regiilations, 190.5. 



This is to certify that A. B. who holds a Certificate of Registration 

 No. of the day of has comiileted liis service 



under the Contract therein referred to. 



(Signed) 



Evijjloijer. 

 Dated this dav of , 19 . 



Regulations 26, FouM No. 14. 



131 and 137. Permit to convey Gold \_or Precious Stoj/e.s'jfroin a Claim to Gcorgetoivn. 



British Guiana. 



The Mining Regulations, 1905. 

 Permit No. District No. 



Permission is liereby granted to convey the undermentioned Gold or 

 Precious Stones to Georgetown. 



Ozs. Dwts. Grs. 



Quantity of Gold 



Precious Stones No. Carats 

 Description of Receptacle 

 Name of Person in charge 

 Name of holder of Licence or Concession 

 Number of Licence or Concession 



(Signed) 



IVnrden. 

 Dated this dav of ,19 



Regulations 40, Form No. 15. 



1,41 and 146. Authority from Claim Holder or his agent to sell Gold or Precious Stones. 



British Guiana. 



The Mining Regulations, 1905. 



District No. 



is hereby authorised by me to sell the 

 undermentioned Gold [or Precious Stones] obtained from a Claim held under 

 Licence or Concession No. 



Ozs. Dwts. Grs. 



Quantity of Gold 



Precious Stones No. Carats 

 Name of holder of Licence or Concession 

 Date 



(Signed) 

 for and on belialf of 

 ' (.'Idini Holder, 



