29

I.—4a,

Form 31 (Beg. 87). Under "The Mining Act, 1898." Machine License. No. A.8., of , is hereby licensed as the owner of a registered [Here describe machine, or machines, 12-stamp crushing-machine, a berdan, amalgamator, retort, melting-furnace, refining process, or otherwise] at [Place where machine situate] until the 31st day of December next. Fee, Is., paid. Dated , 1 , Mining Eegistrar.

Form 32 (Beg. 87). Under "The Mining Act, 1898." Machine Ebgistek-Book. License No.

Form 33 (Eeg. 87). Under " The Mining Act, 1898."

Monthly Return by Licensee, Machine Registered No., of Work done by his Machines during the Month of

A true return. A.8., Dated , 1 . Licensee. Note.—On lines & and 5 are to be entered only suoh amalgam or gold and silver as is not the produce of what is included under lines 1, 2, and 3 in the above return.

Form 34 (Eeg. 102). Under "The Mining Act, 1898." Yearly Eeturn as to Gold, to be made by Claim-holder. To the Inspector of Mines for the Mining District. Nature of claim [State whether alluvial, sluicing, elevating, dredging, or quartz] : Name of claim : Area of claim: Name of holder: Name of mine-manager or dredge-master : Name and address of legal manager or secretary : Locality of mining operations : Number of men employed : Description of wash or cement: In the case of a quartz claim, quantity of material operated on during the year : Mode of treatment: Yield of gold for the year : oz. dwt. gr. Total value of gold : £ Value of gold per ounce : £ Amount in the case of a company paid in dividends for the year : £ A true return for the year ending the last day of March [or September]. Signature of owner or manager : Date:

Form 35 (Eeg. 103). Under "The Mining Act, 1898."

Bank's or other Gold-buyer's Yearly Return of Gold purchased.

A true return. Dated at , this day of , 1 [Signature of bank officer or gold-buyer.]

Form 42 (Eeg. 107). Under "The Mining Act, 1898." Mineral License. Pursuant to "The Mining Act, 1898," I, the undersigned, , Warden of the Mining District, do hereby grant to A.B. [Name of applicant], of [Besidence and occupation] , this mineral license, authorising the licensee to occupy the parcel of Crown land described in the First Schedule hereto for the purpose of mining for [Here specify the metal or mineral, ivhich must be other than gold], subject to the payment of the rental and royalty as specified in the Second Schedule hereto, and subject also to the reservations, terms, conditions, and provisions set out in the said Act and in the regulations thereunder, and to the additional terms,

Quantity treated. "(8 s igM h 2 o C5 iB CD B o ±* CD M 2 o O IB CD a EG ID a © o id CD P V! CD H Tons lb. oz. Oz. Oz. Oz. Oz. Oz. 1. Quartz or ore treated 2. Tailings treated 3. Specimens treated .. 4. Amalgam retorted, &o. 5. Retorted gold or silver melted or refined 6. Other metals

Yeaely re bank or oti ending on ber], 1 ;urn ot gold ier gold-buyt the last de purchased by [A \r\ at foi ,y of March [o; ' anting the : the year ' SeptemQuantity of Gold purchased. Total Value of Gold purchased. Average Value of Gold purchased per Ounce. Iiemarks.

ft o Nami Add i and •ess. How Lted a cd © Quantity. >p« ip< :rs >n. Product. -3 «- o 4= c3 O a> P CO a © a o o ce oj giO _ CD cd a af CD CD 8 J 55 IB o © © o .9 ® 2 CD a 3 © O 02 O o © O © O if .t—f . ex a c o o CD © > O 8 2 C3 ■S 2 CD cd aS oh 3 o o 5 a o 3: a o © do a - a =a PQ ■B CD o O 3 2^' PQ