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FOURTH SCHEDULE.

Form of Declaration to the Gencinb>e3B of the sronatpres to petitions. T, A 8.. do toinmnly declaro th»t the signature afflxcl to thd itbo>B petition. Initialled by me [or n hloh I hay« marked (detcrihing the mark)], ore Ul go ■ »ino fUrnitures o{ tho persona whow they purport to he, »wl that «ucli porsons are county electors <» thelnaminff the connly 01 ruling, 01 part of the eotmqrj to whlcn the |>ctiti>>n ralntosfw aro r»top»> org of tn» road district to w luch tho petition relates.] A.B. [The sth, Oth, 7th, Bth wul 0 h tchedulos ira form! for electoral rolW, &.0 , fco ]

Priii 1 cd and Published by Thomas Chaws Hammokb, of Ohau <o Kond, II uni ton, f »r tho Proprietor, at hi* offico VlcUrin street Uimilton, Waikato, provinco of Auckiuul New Z:tliiul. Satuudav, 2Jin day ok Novkmbbr 1876.

Permanent link to this item
Hononga pūmau ki tēnei tūemi

https://paperspast.natlib.govt.nz/newspapers/WT18761125.2.16

Bibliographic details
Ngā taipitopito pukapuka

Waikato Times, Volume X, Issue 694, 25 November 1876, Page 8 (Supplement)

Word count
Tapeke kupu
142

FOURTH SCHEDULE. Waikato Times, Volume X, Issue 694, 25 November 1876, Page 8 (Supplement)

FOURTH SCHEDULE. Waikato Times, Volume X, Issue 694, 25 November 1876, Page 8 (Supplement)

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