Form No. 2. 
Application for Inspection of Plants to be Exported. 
The undersigned, desiring to export plants of the following descriptions, 
hereby requests your authorities to inspect the same. 
Address wo... debisee cisacersmeenees seaienihe 
° Occupation ...,..scceresvceeee 
Dated veccccitesaiis cvs (Signature of the applicant, Seal.) 
To x _ or 
The Imperial Plant Quarantine _—‘ The............Sub-Station, the Imperial 
Station, Plant Quarantine Station. 
Registered count: of vessel carrying the 
+ articles; kinds of vessel; name of vessel. 
Date of the vessel’s leaving the port. 
Date and number of permit for importation 
by U. 8. government. 
Name and address of the shipper: 
Name and address of the consignee. 
Number of cases or packages. 
ee is Name and 
Kinds of Plants. Quantity, Value. Nativity of the plants. address of 
the grower.| 
vi 
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NOTE :— 
Under Kinds of plants, there should be described the name of each kind of 
plant, such as, “Camellia” or “Cedar,?.and-should be mentioned its distinction, 
whether nursery stock, scions or grafts, or seeds. 
Value should be expressed by the original cost of plants at the time of 
exportation. 
At the time of making the application, if the applicant does not possess 
permit from the government of the United States for the importation to that 
country, it is not necessary to state the number and date of such a permit. 
