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"A" (To be sent out to soldier settlers under section 2.) LANDS AND SURVEY DEPARTMENT. STATEMENT OF POSITION of (Name in full.) (Address.) Property. —Section : Block: ■ District. Area: ■ - Tenure: ; ■■ _ £ b. d. -Price paid for freehold .... .... .... .... £ Price paid for leasehold (goodwill and improvements) £ Sheep on Hand. Number. Value per Head. £ s. d. Ewes .... .... Wethers .... .... J Hoggets .... .... _ _ __ Rams .... .... Cattle. Dairy cows .... .... Breeding-cows .... Bullocks .... .... Heifers .... .... Bulls ' Horses. Draught .... .... Hacks .... .... Pigs .... .... .... , Implements and Working Plant. Estimated to be worth Total .... .... .. £ _____ 6,500/8/22 -12421J —_-_■■ _. '- v.

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