Schedule Referred To

Form of License for a Common or Public Carriage to be Used for Conveying Passengers.

Whereas A. A. [for A. B. and C. D. naming the proprietor or proprietors] have a certain carriage being [here insert in general terms the description of carriage whether a coach waggon van or cart and the number of wheels] having applied to the Superintendent of the Province of Otago to grant to him [or them as the case may be] a License to authorise him [or them] to keep use and employ the said carriage, *and the said carriage having been exhibited and examined and the Superintendent being satisfied that the said carriage is calculated safely and conveniently page 47 to carry the number of passengers hereinafter mentioned I do hereby in pursuance of the authority in me vested by the "Licensed Carriages Ordinance 1862" authorise and license the said A. B. [or A. B. and C. D.] to carry and convey in and by the said carriage that is to say the number of passengers____in the inside and____passengers on the outside thereof and luggage parcels and

packages in (here specify the part or parts of the carriage where such may be carried and if on the top to what height or other extent)* subject to the several regulations and provisions of the said recited Ordinances. This License to cease and determine on the thirtieth day of September, one thousand eight hundred and

Given under my hand this____day of____186