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19 a poli of the was taken pursuant to the

above-mentioned Act, and that on taking such poll the determination arrived at was

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3. That the Licensing Bench may, in their discretion, increase the number of licences,

(as the case may require).]

Sec. 198.

Sec. 209.

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Pursuant to the provisions of "The Licensing Act, 1908," I hereby give you notice that, on the 19 a poll of the electors of the Local Option District of was taken, and that the following resolution was adopted on the taking of such poll, namely [set out resolution adopted]: And I further give you notice that the licence issued in respect of the premises situated [describe situation or locality], and known as [give name or otherwise describe], will not be renewed.

Dated this

day of

19

C.D., Clerk of the Licensing Bench for the Licensing District of

SCHEDULE Z.

FORM OF ORDER FOR PAYMENT OF MONEY BY LICENSING BENCH.
"The Licensing Act, 1908."
day of

Be it remembered that on this
our Lord one thousand nine hundred and

the sum of

, in the year of of

is ordered by the Licensing Bench for the Licensing District of under The Licensing Act, 1908," to pay to

for his costs of

[or as the case may be], or to be committed to Adelaide [or as the case may be] Gaol for the space of Chairman of the said Licensing Bench.

Adelaide By authority, C. E. BRISTOW, Government Printer, North Terrace.

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SCHEDULE.

SCHEDULES.

First-Enactments repealed.

Second-Districts, numbers of members, places of

nomination.

Third-Legislative Council roll.

Fourth-House of Assembly roll.

Fifth-Legislative Council electoral claim and declaration.

Sixth-House of Assembly electoral claim.
Seventh-Notice of rejection of claim.

Eighth-Application for transfer, change, alteration, or correction.

Ninth-Receipt for electoral paper.

Tenth-Objection to a person's name being retained on an electoral roll.

Eleventh-Notice of objection to person objected to.
Twelfth Notice of striking name off roll.
Thirteenth-Notice of determination of objection.
Fourteenth-Notice of application to the Local Court.
Fifteenth-Form of writ.

Sixteenth-Legislative Council nomination-paper.
Seventeenth-House of Assembly nomination-paper.
Eighteenth-Absent voter's declaration and ballot-
paper.

Nineteenth-Ballot-paper.

Twentieth-Declaration to be made by a voter before voting at any polling-place other than that for which he is registered or outside his sub-district. Twenty-first-Form of return of electoral expenses. Twenty-second-Fees to be paid to officers.

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