SECOND SCHEDULE. 



" DROVING ACT, 1804." 

 Del n't- ry Xofe. 



This is to certify that I have this day delivered into the charge of 



, as my drover, the (sidle number in icon Is) (dcseriplioti of stock) 

 mentioned in the schedule below, for the purpose of their being 

 by him to at 



Signed at this 



Before me, 



( Witness) 



day of 

 (Signature) 



Proprietor or Manager. 



SCHEDULE REFERRED TO AHOVE. 



(Signature) 



Proprietor or Manager. 



THIRD SCHEDULE, 



" DROVING ACT, 1894," 



Interim Way Bill (or Delivery Note). 



18 



It having been represented to me that , the drover of the (state 



number in words) (description of stock) belonging to 



mentioned in the schedule below, has accidentally lost his way bill \_or delivery note] 

 while travelling from to , this interim way bill 



[or delivery note] is hereby granted to such drover for such stock. 



(Signature) 



Inspector or Officer. 



SCHEDULE ABOVE REFERRED TO. 



(Signature) 



Inspector or Officer. 



