Section L. S. This ______ day of _______ 18 _______. (Signed) C D

L. S. This ______ day of _______ 18 _______. (Signed) C D. * This Declaration must be drawn out before the Rum leaves the Distillery in order that the attestation of the Government Officer may be attached SCHEDULE C. I, E F, Shipper of the Rum or Rum Shrub hereinunder described, solemnly declare, that all the Rum or Rum Shrub hereinunder described, is, to the best of my knowledge and belief, the same Rum or Rum Shrub to which the Certificate now produced by me relates. (Signed) E F. _Description of __________ to which this Declaration relates._ |Quantity<br>in<br>Gallons.|Quality.|Average<br>strength<br>by<br>Sykes's<br>Hydrometer.|Number<br>and<br>denomination<br>of Package|Name of Ship<br>or Vessel.|Name<br>of<br>Master of Ship<br>or Vessel.| |---|---|---|---|---|---| ||||||| |The __________ day of _____________ 18 _____.<br>(Signed)<br>E F.|||||| SCHEDULE D. I, R W, Collector of Customs, ( or being an Officer appointed by the Governor General of India in Council to act in this behalf) for the Port of ______, certify under my hand and seal, that there has been produced to me by E F, the Shipper or the Rum or Rum Shrub hereinunder described, a Certificate under the hand and seal of C D, Collector of Land Revenue, (or Collector of Custom Revenue, or being an Officer appointed by the Governor General of India in Council to act in this behalf) for the District of _____, in the Territories forming part of the Presidency of Fort William or Agra, which Certificate certifies that the said Rum or Rum Shrub is of the produce of the said District, and is declared to be free from any admixture of Spirits manufactured from other substance than the Sugar Cane, Date or Palm-tree, and that the importation of Foreign Sugar and Rum, or Sugar and Rum the growth or produce of any British possession into which Foreign Sugar and Rum can be legally imported, is prohibited in the said District. L. S. (Signed) R W, Collector of Customs. The ________ day of ______ 18 _____. _Description of the ________ to which the Certificate relates._ |Quantity<br>in<br>Gallons.|Quality.|Average<br>Strength<br>by<br>Sykes's<br>Hydrometer.|Number<br>and<br>denomination<br>of Packages.|Name of Ship<br>or Vessel.|Name<br>of<br>Master of Ship<br>or Vessel.| |---|---|---|---|---|---| ||||||| (Signed) R W, Collector of Customs. ________