UPON THE PUBLIC ACCOUNTS.

11

D —No. as,

I do solemnly and sincerely declare that the above is a correct copy of my Cash Book for the period above named, and is a true and complete account of all moneys received by me as and of all moneys paid by me into the Public Account during the same period. And I make this solemn declaration conscientiously believing the same to be true. This declaration was made and signed in my presence ] (Signed) at on this dayof ,186 .) (Office) Name of Witness Description Fourth Form—Receiver's Cash Book.] [Clauses 11 and 12 of Regulations.

FIFTH SCHEDULE.

Copy of Deposit Cash Book of (name of Officer) at (locality) for the Month ending tho dayof 186 . Dr. _^___ Particulars No of. mil Particulars" No. of ___ Date. of Bank Amounts. _>__ Date. of Deposit Amounts. _____ Deposits Received. Receipt. Deposits Withdrawn. Receipt. £ s. d. £ s. d. £ s. d. £ s. d. Totals Totals Balance in Bank on Balance in Bank on Ist Totals ToTALS

I do solemnly and sincerely declare that the above is a correct copy of my Deposit Cash Book for the period above named, and is a true and complete account of all deposits received by me as paid into the Deposit Account, and refunded to depositors, during the same period. And I make this solemn declaration, conscientiously believing the same to be true. This declaration was made and signed in my presence j (Signed) at onthe dayof ,186 .) (Office) Name of Witness Description I hereby certify that the sum standing to the credit of the Deposit Account in tho name of 3f r in the Bank of New Zealand, at at the close of business on tho day of 186 , was pounds shillings and pence. (For the Bank of New Zealand.) £ : : (Signed) Fifth Form—Deposit Cash Book.] [Clauses 13 and 14 of Regulations. SIXTH SCHEDULE. Voucher No , New Zealand. Absteact and Acquittance of Salae of Department, from the to the 186 , inclusive. . ■ — — ~~~ Si _. S • * '§ P3 3 Amount § the undersigned, do hereby _ g Period "> o _, in J§ acknowledge to have received S _2 3 p f-> ° Sterling o from the Paymaster-General the g § «„ £ Situation. Names. *8 -3 __* *S ™ m °PP osite , „ respective o | ° ° ° £ -3 „ Name being in full of g _ 53 Jj jj, m J_ salar respectively, for the ° 0 "a"! „ 3 "3 £' ,S period specified in this Abstract. -2 -g S § From To J 3 3 £ s. d. a l y * - *L: ■ — To be charged upon Vote No Total ... £ I certify that the individual named in tho above Abstract actually employed in the situation and during the period specified opposite name of each respectively. (Signature of Bead of the Department.) Sixth Form—Abstract of Salaries.] [Clause 17 of Regulations.