ae eer ae 
XVI. QUEENSLAND AGRICULTURAL JOURNAL. [1 Dec., 1899. 
I have examined the stock referred to, and have no reason to doubt the correctness of this 
declaration in any particular ;* and I do hereby certify that the part of the vessel on which they 
-are to be penned has been specially cleansed as required by me. 
, Inspector of Stock. 
Date : 
I have examined the stock referred to, and do hereby solemnly and sincerely declare that 
mone of the said stock are infected with any infectious or contagious disease. 
, Veterinary Surgeon. 
Date: 
* This is only necessary in connection with sheep. 
+ Inspection by veterinary surgeon is only required in the case of cattle, swine, goats, deer, and other 
ruminants. 
Form B. 
‘To the Inspector of Stock. : 
Take notice that it is my intention to introduce into this colony, from » per 
od ” (expected to arrive at on the day o: , ), the 
undermentioned animal manures, which have been treated as required by Regulation 1 (f). 
, Owner [or Agent]. 
Form C. : 
In the matter of a consignment of , Shipped from __, in the Colony of ° 
to , in the Colony of New Zealand, per “ Hl 
I, [name, address, and occupation] of , in the colony of , do hereby 
solemnly and sincerely declare,— . : i 4 
1. That the undermentioned have been subjected to the treatment prescribed in 
New Zealand with respect to landed or intended to be landed in such colony from an 
Australasian Colony. 
2. That such are wholly the produce of the colony of , being the colony 
from which they are now being shipped to New Zealand. 
Particulars. 
| | 
| Brands | Name and Address of) y Consignee’s 
| and Owner and Person in | VEE eda UR Name and 
| Marks. Charge, ifany. | " Address. 
| 
| 
| 
| 
| 
} 
| 
} 
| | | 
. And I make this solemn declaration conscientiously believing the same to be true, and by 
virtue of the provisions of an Act of the Imperial Parliament of Great Britain and Ireland entitled 
“<The Statutory Declarations Act, 1835.” 
' (Signed.) 
Declared before me at in the Colony of this ay 
fo > 189 
I have no reason to doubt the correctness of the above declaration in any particular. 
: Inspector of Stock 
[or Veterinary Surgeon]. 
Date: 
Form D. v 
To the Landing-waiter at 
Please allow , belonging to , which ha arrived by the “ #7 
from , to be landed. 
» Inspector of Stock. 
ALEX. WILLIS, 
( Clerk of the Executive Council: 
nL 
By Authority : Epmunp Grecory, Government Printer, William street, Brisbane, 
