.c..

List No.....

Office

Stamp.

States, Dispatched this

arrival at San Francisco,

A List of money-orders issued in New Zealand and payable in the United
188

day of

Date of

Stamp of San Francisco Office.

D.

Account of the exchange of Money-Orders between the Colony of New Zealand and the United States, during the quarter ended

188..

E.

Table showing the particulars of such orders as have been repaid to the remitters in the country of issue.