Page 4 Advertisements Column 3

Pahiatua Star and Eketahuna Advertiser, Volume 1, Issue 12, 20 July 1886, Page 4

. _ „ =•• r «’ S' “REGISTRATION OF ELECTORS ACT, 1879.” =.fTl § * - - 5 ■ ~ i 2 & Claim for Enrolment. £ tL s 5 s ~ - - - - _ jl 2. 3- r? S'jr - 7’» ihf lUgi'tnir of the Elecirdl DinUiet of I A), ' ' * 3 v| - 1 r - £ 2 s- e‘ =’ r -- —, s T r* —, I HEREBY claim to have my name inserted on the Electoral Roll ol ill) • 2 ? 2. ~ And I declare that my name, place of aUwtd, and occupation [or addition are correctly staled at the toot hereof ; •* g : £ and that I* have resided within the Colony of New Zealand for twelve months, and within the said district for the sis •< j% £,> months immediately preceding the date thereof. 2 ;» J? 3 * I* © ~ s §i § j ~~ 2 X z == -2 Hated the ...(Name.) .(Address.) 2 » 2 " * o r 2 S (Occupation.) day of ’ : IHH . j Signed and declared hy the claimant this | day of , in the your lN8<» before n:e— ) Not*.— When tlie claim is ui reapeet of a qualification other than residence, state particulars of same, and omit reference to residence. S - a ? %■ 3i Z, ? 3 ; S ’ XI <-*V »■■■» le A. t- ■* ~ ■M-* > X I •s —• *T £ w H »**V

W E LLINGTON-M AST Ell TON

IT AILWAY TIME TABLE. t

NORTH. Miles. Station. Week Days. 5 Middleton dep. o ClareviUe dep.

MAP OF WOODVILLE /~IOPIES of the above by Mr A. V_y Jarman, can be obtained at the Examj.'Cb Book Shop, WoodviUe.