Schedule E.

Know all men by these presents, that I, A. B., (or we A. B. and C. D.,) do hereby make, nominate, constitute and appoint, and in my (or our) place and stead put E. F. of (residence and addition) to be my (or our) true and lawful attorney for me (or us), and in my name (or our names) to accept the lease of auriferous Crown Land for mining purposes for which I (or we) on the____day of____18 applied, and the deed of which was on the____day of____18 executed by His Excellency the Governor, and for me (or us) and in my name, (or our names) and as my (or our) act and deed to sign, seal, and deliver such deed of lease, and for me (or us) and in my name (or our names) to enter into all such covenants and agreements as I (or we) shall be required to enter into in and by said deed or otherwise, in the matter of said lease, and generally for me (or us) and in my name (or our names) to do, execute, and perform all such other acts, deeds, and things as may be necessary, or may be required to be done, executed, or performed in and about the acceptance and execution respectively for me (or us) and in my name (or our names) of such lease and deed of lease respectively, and I (or we) do hereby ratify and confirm and covenant that I (or we) will ratify and confirm all and whatsoever the said E. F. shall lawfully do, or cause to be done, in or about the premises by virtue of this power.

In witness whereof, &c.

N.B.—Printed copies of the forms in these schedules will be issued at the Warden's Office free of expense.