Indorsements on Summons.

I the undersigned, one of the Judges of the Native Land Court, do hereby direct that service of this summons may be effected by [State mode of service].

Dated the day of,189., Judge.

I, the undersigned, do hereby certify that I served this summons on, at [State mode of service], on the day of, at the hour of in the noon and that I paid [or tendered] to him [her] the sum of £ for expenses.