Schedule M.

Form of Certificate by Justices or Resident Magistrate to authorise granting of a Packet License.

I, A. B, Resident Magistrate for we, C. D. and E. F., two of Her Majesty's Justices of the Peace, as the case may be) pursuant to the "Licensing Ordinance 1865," do, by virtue of the power vested in us, authorise the Provincial Treasurer or other proper officer to issue to ____________ of ____________ the License in the said Ordinance called a "Packet License" for the sale of Fermented and Spirituous Liquors on board (here state the name of the vessel and other particulars).

Dated this____________day of____________186____________.