Page 4 Advertisements Column 3

Patea Mail, Volume XII, Issue 13, 17 May 1886, Page 4

‘‘REGISTRATION OF ELECTORS ACT, 1879.’ Claim for Enrolment. To the Registrar of the Electoral Distinct of (A) I HEREBY claim to have my name inserted on the Electoral Roll of (B) And I declare that my name, place of abode, and occupation [or addition] are correct y staled at the foot hereof - that 1* have resided within th'e : Colony oi New Zealand for twelve months, and within the said district for the six me immediately preceding the date thereof. ' ~ and months ......^Name, Dated the day of/ ... .(Address.) 1886. f ] (Occupation.) Signed and declared by the claimant this day of , in the year 1886, before me-— .’ ................Am Elector of the District , or Registration Officer, or -Justice. of the Peace. *Note. —When the claim is in respect of a qualification other than residence, state particulars of same, and omit reference to residence. ‘ jgj p' -co to J- 1 T. O = 5P 2 3 =r 3 2 o 3 rr f-3 OS S3 =r re o ft* e? "* J9 C. I 5 » 2. ' re CP3 a>. > ~ £ S' T a ' o ■ c ** 2* ’z. re a*' ao re re c- . js q- 3 2 o 3 ry* © re T „ p at » on 3. a. _ 3 c, 5 ® £ »* O ft *"* = =- 3 3 td o w a - 3'.. 3 ' J3 » o ft - 3g - « . o-~ S. 3 5 § re ■■re O „ J-5 : o 3 • <; | js, „ a. 3.g £ - ft * a -3 ,Kj Oq 3 & a*. 2 O a* O .a 2 2. o % re 3 3 0 § 5": =■ 3 ■ re ►o g! S v* re o re • re «v o »: re 3 • 3 re 9 0 ® 1 3 S-.-o a- =s: o . re, 09 C— • re * fcj HP H « H w © Ift w tet--00 H d m ,d B % ■% ~'h d H-( B o w d H 3 m ocn -B , S B 03 g I; O H O ■>3 B . •B. O c B 03 W: -O d. B d H BE PREPARED FOR THE ELECTION

PATEA MAIL NEWSPAPER Terms for Advertising WANTEDS : Advertisements of 16 words ; ... 1 0 Advertisements of 24 words ... 16 Advertisements of 32 words ... 2 0 Advertisements space ... ,3s per inch , Subscription - ? ' ‘ £ s. d. Quarterly, in advance 6 0 Booked ... ... . ••• • - 6 6 Annually in advance 10

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