Schedule L.

Form of Notice of Application for Packet License.

To the Worshipful the Justices of the Peace (or Resident Magistrate as the case may be) acting in and for____________in the Province of Otago.

I, A. B., being master (or commander) of the Steam Packet (or other vessel as the case may be) conveying passengers between (name the place) and (name the place)being places within the said Province of Otago, do hereby give notice that it is my intention to apply to the Justices of the Peace (or R.M. as the case may be) at upon the____________day of____________for a license for the sale of Fermented and Spirituous Liquors to the passengers on board such vessel, pursuant to the Licensing Ordinance 1865," in that case made and provided.

Given under my hand this____________day of____________one thousand eight hundred and ____________

A. B.