FORM D

Order for the witlidrawal of flint-look ^niis witta onrifled barrels and trade po^wder firom a public warehouse. .

The Fire-arms Proclamation, 4902.

Permission is hereby granted to (name and address of grantee) to withdraw from the public warehouse at the

fbllowing flint-lock guns and trade powder :

Flinvlock guns Trade powder

(number), (quantity),

to be kept until sold at (name of town or place) within one store (describe store by name, situation and particulars of identity) and which may be sold in (districts or régions).

Dated this... dayof... 190 .

High Commissioner.

This order is subject to any ruies made by the High Commissioner under the « Firearms Proclamation, 1902 ».