178 COMMISSION OF CONSERVATION 



I hereby declare that the foregoing pedigree is, to the best of my knowledge 

 and belief, true, that I have taken all available means to satisfy myself that it is 

 correct, that I have omitted no fact known to me relative to the pedigree of 

 the above-named fox, and that I make this Solemn Declaration conscientiously 

 believing it to be true, and knowing that it is of the same force and effect as if 

 made under oath and by virtue of The Canada Evidence Act. 



Sign here 



Owner of dam when fox was whelped. 

 (In case of death legal representa- 

 tives must sign.) 



Declared before me at 



this 



day of 19. 



/ 



A Commissioner, Notary Public, or J.P. 



In consideration of the certificate to be issued and delivered to me in pur- 

 suance of this application, I hereby agree that I will deliver the same up to the 

 Registrar of the Silver Black Fox Breeders' Association upon demand, and will, 

 in case of sale of the above-named fox, execute a transfer of sale to the pur- 

 chaser in the form prescribed by the said Association, and thereupon deliver the 

 said Certificate with said transfer so executed to the Registrar, or to the pur- 

 chaser, as the case may require. It is further agreed that the certificate shall 

 always be the property of the Association and subject to its control and direction 

 at any time. 



Signed .Applicant 



I certify that I have examined the above described fox, that the description 

 is correct, that the age is apparently correct, and that I have placed the following 

 identification on the left ear, viz : 



Signed Registrar 



