Schedule D.

(Form of Receipt for deposit with Warden.)

In the matter of the application of____for a lease under the Mining Lease Regulations, and of objections thereto lodged by A. B., C. D., &c.

Received from____the sum of ten (£10) pounds pursuant to the Regulations for leases of Crown Lands for Gold Mining.

Dated, &c.

(Signed)____Warden.

J K. Names of applicants and addresses.

L M. Names of applicants and addresses.