Page 4 Advertisements Column 3

Pahiatua Star and Eketahuna Advertiser, Volume 1, Issue 27, 7 September 1886, Page 4

REGISTRATION OF ELECTORS ACT, 1879.'* Claim fob E n a e t u f. n t. To the fteijistrtrr of the Etectrol District of (A) ..- , ET-a S z. 2 E. £. 5- a = jr S-g- ? I-p = p- pe-l a I HEREBY claim to have my name inserted on the Electoral Roll ot (B) And I declare that my name, place of al>oad, and occupation [or addition] are correctly staled at the toot hereof; and that I ! have resided within the Colony of New Zealand for twelve months, and within the said district for the six months immediately preceding the date thereof. Dated the £3 (Name.) (Address.) ....(Occupation.) a -I* e. _ * 2. v;g C x s.; a. If S o S s ? 'C. 3 S ; 3 s. > 8 p h “ = C. 1 ■ < §■* * r K <c C > day of f b; : i Sifjaed afld declared hyrtbe claimant this j .. day of , in The year 1880 before me— T , or ■hittuenf the I'mire, c Noti - When the claim is in respect of a qu ilitii utiou other than residence, state particulars <»f same, and oinit js'fersnci' to residence,* ' 55 a ' r2. . ih - r x £* » * r s e e e I 3 X p-2 r J K K C > y ~ C 3

MAP OF WOOPVILLE. CIOPIBS of the above by Mr A. / Jarman, can be obtaiued at the | Liuuai_a book Shoo. Woodvilk.