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
142FOURTH SCHEDULE. Waikato Times, Volume X, Issue 694, 25 November 1876, Page 8 (Supplement)
Using this item
Te whakamahi i tēnei tūemi
No known copyright (New Zealand)
To the best of the National Library of New Zealand’s knowledge, under New Zealand law, there is no copyright in this item in New Zealand.
You can copy this item, share it, and post it on a blog or website. It can be modified, remixed and built upon. It can be used commercially. If reproducing this item, it is helpful to include the source.
For further information please refer to the Copyright guide.