Schedule D.

Form of a Wholesale License.

Whereas A. B. of ________________ hath deposited in this office a certificate dated the ___________ day of ____________ authorising the issue to the said A. B. of a "Wholesale License" to sell fermented and Spirituous Liquors: And whereas the said A. B. hath paid into my office the sum of ten pounds sterling, as the fee on such License, pursuant to the provision of the "Licensing Ordinance 1865": Now I, the Provincial Treasurer, by virtue of the powers vested in me by the above recited Ordinance, do hereby License the said A. B. to sell any Fermented and Spirituous Liquors in any quanty, not being less than two gallons of any one liquor: Provided that the quantity sold at any one time shall not be less than two gallons.

And this License shall commence on the__________day of__________and shall continue in force until the thirty first day of December next, both days inclusive.

Given under my hand at______________this__________day of_______one thousand eight hundred and _____________