other · 1871

A form for claiming drawback on goods subject to ad valorem duty, detailing claimant, exporter, consignee, and payment.

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Her Majesty's Government, Dr. to (Signature of Claimant.) To drawback of duty upon the goods specified in Export …

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Recorded in this notice

OfficialLanding Surveyor

OfficialCollector of Customs

LocationCustom House

LocationCustom House

NSW Government Gazette, No. 85, 29 December 1871.

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