The bearer having paid to me the sum of twenty-one shillings on account
of the territorial revenue, I hereby license him to dig, search for, and
remove gold on and from any such crown land within the --- of --- as I
shall assign to him for that purpose during the month of ---, 185--.
This licence must be produced whenever demanded by me or any other
person acting under the authority of the Government. A.B.,
Commissioner.