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“ Electoral Act, 1893.”] CLAIM FOR ENROLMENT. (FIRST SCHEDULE.) To the Registrar of the Electoral District of I HEREBY claim to have my name inserted on the Electoral Roll of I do hereby declare as follows: My name, place of abode, and occupation or addition are correctly stfited at the foot hereof, and the signature there appearing is my own proper signature. My age is not under twenty-one years. lam a British subject by birth or by virtue of naturalisation in New Zealand ;for if a Maori or half-casteJ, I am a Maori or half-caste aboriginal native of New Zealand. I claim in respect of residence, as 1 have resided within the Colony of New Zealand for twelve months, and within the taid district for three months immediately preceding the date hereof.* I am not, -within my knowledge, registered in respect of any qualification for any other district in the colony, nor for the district for which I now claim to be registered. {Name in full.) {Address.) { Occupation.) Signed and declared by the Claimant this before me—day of , in the year 189 . Registrar, or Deputy Registrar, or Justice of the Peace, or Postmaster, or an Elector of the District . •Note. If the claim is in respect of a Qualification other than residence, state particulars of same, and omit reference to residence.

for LASSITUDE, TORPIDITY, SOUR STOMACH, INDIGESTION, HEADACHE, BACKACHE, Taka a couple of Fletcher’s Pills every second night ; they are a promt and sure cure and give certain relief. FLETCHER’S PILLS are a quick, sure and reliable remedy for all complaints arising from torpid liver, indigestion, weak stomach, and impurities of the blood. They are prepared on rational and sensible lines and do not contain a particle of calomel, gamboge, or any drastic purgative, but operate by perfectly natural means, by stimulating the liver and increasing the flow of bile and thus producing easy evacuations and natural •atharses without the annoyance and pain of griping and purging. Beware of the many harmful substitutes •n sale in many shops. None are genuine unless they bear the signature of F. Moore Clements on the outside wrapper. CLEMENTS TONIC an I FLETCHER’S PILLS have become such househould words that imitations are frequently offered. We contend that this imitation is the sincerest proof of their virtues, so see that you always get the genuine, bearing the name and address of F. M. Clements, Newtown, Sydney.

Permanent link to this item

https://paperspast.natlib.govt.nz/newspapers/WAIBE18930929.2.24.1

Bibliographic details

Wairoa Bell, Volume V, Issue 217, 29 September 1893, Page 9

Word Count
400

Page 9 Advertisements Column 1 Wairoa Bell, Volume V, Issue 217, 29 September 1893, Page 9

Page 9 Advertisements Column 1 Wairoa Bell, Volume V, Issue 217, 29 September 1893, Page 9

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