THE CYPRUS GAZETTE, 1925.

THE CYPRUS GAZETTE, 2nd JANUARY, 1926.
SCHEDULE A.
CONSIGNOR'S DECLARATIOI
Address
I, the undersigned
member of the firm of
consignor of cases, each contai^ung
net weight of potatoes, for seed/purposes and
marked to be shipped per s^amer
from to / d o herel)y
declare that the potatoes hereby referred to were
all grown at in the District of
in and that theyyw^ere not grown in
land infected with
Declared at
before me.
this
Signature.
yflay of 192
Name and title of officer
administering oath.
Sci
OFFICIAL
JJJLE B.
CERTIFICATE.
The undersigned, ipider authority of the Department
of Agricultur/ of hereby certify
that / have not, so far as is known
to the Department of Agriculture, been known to
exist within five miles of in the District
of
^ignature.
Title.
Address.
Date and