Appendix A. 1^9 'J 



FoKM No. 16. Regulation 146. 



Hccelpl for Gold or FrccloKs Stones sold fa a Trader in a Muiiiiy District. 



British Guiana. 



The Mining Regulations, 1905. 

 No. 



No. 

 Reeeived from 

 the undermentioned (iold (or Precious stones) sold to me under the said 

 Regulations : — 



Ozs. Dvvts. Grs. 



Quantity of Gold 



Precious Stones Number Carats. 



No. of Mining Privilege 

 Date of Mining Privilege 

 Name of Claim Holder on whose Claim the "i 

 Gold or Precious Stones was obtained ) 



No. of Licence 



Signed 



Solder of Licence to trade in Gold 

 or Precious Stones. 



Dated this day of , 19 . 



FoKM No. 17. Regulation 146. 



Permit to convcij Gold [_or Precious Stones'] sold to Georgetown. 



BlUTISH GriANA. 



The Mining Regulations, 190o. 



Permit No. District No. 



Permission is hereby granted to the Trader (1) (l) or agent of 



whom the imdermentioncd (4old For Precious Stonesl has been sold to ^}}'^ trader, as 



,1 •! /. 11 r 11 • i^^A n i /-< i the cane may be. 



convey the said Gold [or Precious StonesJ 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] 



(vSigned) 



Warden. 

 No. District. 



Dated this dav of . 19 



