174 COMMISSION OF CONSERVATION 



2. The names and addresses of all the owners and part owners of each 

 fox or pair of foxes (exclusive of the offspriag born during this present 

 year) in my ranch or in my custody or possession so far as the same 

 are known to me are as set out in schedule "A" hereto. 



3. Of the above foxes pairs are owned by an 

 incorporated company by the name of of which 

 the name and address of the President is of 



and of the Secretary is of 



and of the manager is of 



The authorized capital of said company is $ and 



its paid up capital is $ 



4. The number of the offspring born during this present year 

 of each pair of foxes in my ranch or in my possession or custody is as 

 set out in Schedule "B" hereto. 



5. The number of the offspring mentioned in the last preceding 

 paragraph which have been sold or agreed to be sold or upon which 

 options for the purchase thereof have been given, is as set out in Schedule 

 "C" hereto. 



6. The number of the offspring mentioned in Schedule "B" of 

 this affidavit remainiag unsold or on which no options have been given 

 is , which are of the value of $ 



Sworn to before me 

 at in the County 

 of this day 

 of A.D., 19 



Form D 



SCHEDULE A 



Being a detailed list of foxes, exclusive of this year's offspring, 

 with names and addresses of owners. 



(a) Pair number one the owners of which are C. D. of , 

 E. F. of &c. 



(b) Pair number two, the owners of which &c. (enumerate each 

 pair, stating names and addresses of owners of each) 



(c) A male fox of which the owner or owners are (state names 

 and addresses) (Specify any other animals, giving names and addresses 

 of owners) . 



