. — 10 — 
Form No, |. 
Application for Inspection of Plants to be Imported (to be Trans- 
ported). 
The undersigned, desiring to import (to transport) plants of the following 
description, hereby requests your authorities to inspect the same. ' 
POALESS oc oinscitevsesauevarsacenaiessnrsveesevense 
ete Occupation .....scceceereeeneres 
Dated.....cecseseeceeees : (Signature of the applicant, Seal.) 
ae or - 
To The.... ..Sub-Station,. the Imperial Plant 
. Quarantine ‘Station. 
The Imperial Plant JThe,............ | Depot of the... Sub-Station, 
Quarantine Station} the Imperial Plant Quarantine Station. 
Dee esos Agency of the Plant Inspection 
Officials. 
Registered country of vessel carrying the 
articles: kinds of vessel ; name of vessel. 
Date of the vessel's entry to port. 
Port whence plants are imported or trans- 
- ported. 
Name and address of the shipper. 
Name and address of the consignee. 
|. Number of cases or packages. - | 
Kinds of Plants. Quantity. | Value. Nativity of Plants, Remarks. 
a 
; | 
CA 
4 
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o eae 
NOTE :— se oe 7 
l. Kinds of plants must be described according to the kinds of (a) Fruit 
trees and shrubs, (b) Ornamental plants, (c) Forest plants, including their nursery 
-stocks; (@) Grafts, scions or cuttings; (e) Seeds; (f) Underground stems or 
- roots; (g) Citrus fruits ; (%) Potatoes ; (¢) Any other particular kind or description. 
2. Value should be expressed by the amount including the original cost 
of plants and all expenses required in the importation or the transportation 
of the same. 
a 
