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Directions for filling
up this Certificate.
Insert—
1. "Manufactory"
or "piemises" or
both, as the circumstances
require.
2. "Manufacture
of "or" business of a
wholesale dealer in,"
or both, as the circumstances
require.
3. "Margarine" or
"Margarine cheese,''
or both, as the circumstances
require.
4. Name of the
owner or occupier.
5. "Owner" or
"occupier."
6. The name of
the Local Authority
within whose district
the manufactory or
premises is or are
situate.
7. "MargarineAct,
1887," or "Sale of
Food and Drugs Act,
1899," or both, as
the circumstances
require.
8. Name of applicant.
Directions for filling
up this Certificate.
Insert—
1. "Owner" or
"occupier."
2. "Manufacture
of "or" businessof a
wholesale dealer in,"
or both, as the circumstances
require.
3. "Margarine " or
Margarine-cheese,''
or both, as the circumstances
require.
4. "Manufactory"
or "premises," or
both, as the circumstances
require.
S. B. Provis,
Secretary.
SCHEDULE.
Form A.
Certificate under the Margarine Act, 1887,
50 & 51 Vict. c. 29,
[or] [and]
[the Sale of Food and Drugs Act, 1899, 62 & 63 Vict, c 51.]
This is to certify that the known as
situate at at which the2 3
is [or are] at present carried on by4 the5
thereof, has [or have] been duly registered by6
in accordance with the provisions of the7 in
that behalf, on the application of8
Dated this day of in the
year One thousand nine hundred.
Signed
Clerk to the [here insert name of Local Authority].
Form B.
Endorsement on Certificate in case of change in
persons carrying on the manufacture or business
This is to certify that has been
duly registered as the1 carrying on
the2 3in the within-named4
in the place of
Dated this day of , in the
year One thousand nine hundred.
Signed
Clerk to the [here insert name of Local Authority].
Given under the Seal of Office of the Local Government
Board, this Twenty-sixth day of February, in the
year One thousand nine hundred.
HENliY CHAPLIN,
President.