Schedule A.

Province of Canterbury.

License to Occupy Town Lands.

Whereas______of______hath been duly declared the purchaser for the sum of______pounds______shillings and______pence, of the section of the Waste Lands of the Crown hereinafter described, and hath this day paid to______the Treasurer of the Waste Lands Board of the Province of Canterbury, the said sum of______pounds______shillings and______pence, the receipt whereof is hereby acknowledged:

Now know all men and these presents witness, that We, in pursuance of the powers vested in us as Commissioners of the Waste Lands Board, do hereby authorise and empower the said______his heirs or assigns, at any time after the date hereof, to enter upon all that section of land situated in______street, in the Town of______marked No.______in the authenticated map of the said Town in the Crown Lands Office, and containing______acres, or thereabouts, being the section of land so purchased as aforesaid, and to hold and enjoy the same for his and their absolute use and benefit.

Given under our hands at the Sitting______if the Waste Lands Board, held at on the______day of______18