I,

holding a valid

1

class certificate from the Council of Public Instruction of the North-West Territories do solemnly declare that I have taught and conducted the department of the school in School District No. of the North-West Territories in accordance with the requirements of The School Ordinance and the regulations thereunder made by the Council of Public Instruction for the period of legally authorised teaching days during the school term ending ; that only the text books authorised by the Council of Public Instruction have been used in the said department; that the register has been faithfully and impartially kept; that to the best of my knowledge and belief all the statements in this return are correct; that my agreement with the trustees is in accordance with the Ordinance and regulations in that behalf, and there is no collusive understanding by which any portion of the said agreement is to be made of no effect; that all my salary has been paid up to and including the last day of the said term except the amount of * which was due on that date; and I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath and by virtue of The Canada Evidence Act 1893. Declared before me at

this

day of

1

E. F..

Teacher.

DECLARATION OF SECRETARY. I, secretary to the board of trustees of School District No. do solemnly declare that the department of the above school respecting which the treasurer and teacher have declared to specific statements in this return has been supported and controlled by the trustees in accordance with the provisions of The School Ordinance and the regulations thereunder made by the Council of Public Instruction; that to the best of my knowledge and belief this return is correct in every respect; and I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath and by virtue of The Canada Eridence Act 1893.

Declared before me at

this

day of

1

G. H.
Secretary of trustees.

FORM J.

(Section 91.)

ANNUAL FINANCIAL STATEMENT.

School District No.

The following statement of cash received and expended by me on account of the above school district for the year ended December 31st, 1 together with the other information furnished by me (E. and O. E.) is correct and true in every particular.

I hereby certify that I have compared Amount paid for school site..! the above statement with the books kept by the district and find the same correct.

buildings "furniture,&c.

Treasurer.

FORM K.

(Section 142.)

To the Board of Trustees of

School District No.

Gentlemen,-The petition of the undersigned resident rateschool district No. sheweth:

payers of

1. That the undersigned are resident ratepayers of the above named school district and are qualified ratepayers within the meaning of The School Ordinance;

2. That it is desirable that the system of assessment provided for in section 142 of The School Ordinance be adopted (or discontinued as the case may be) in the said school district;

3. That the total number of resident ratepayers in the district is

Therefore your petitioners pray that you may adopt (or discontinue as the case may be) such system of assessment.

That I was personally present and did see the within (or annexed) petition duly signed by C. D. and others the petitioners who are personally known to me.

And I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath and by virtue of The Canada Evidence Act 1893.

1. That I am a resident ratepayer in (insert name of school district) and one of the subscribing petitioners to the within petition;

2. That the several statements in the said petition contained are true to the best of my knowledge and belief;

3. That the subscribing petitioners to the said petition comprise three-fourths of the resident ratepayers of the said school district.

And I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath and by virtue of The Canada Evidence Act 1893.

Declared before me at

in the North-West Territories this

C.D.

day of

A.D. 1

I

of

FORM L.

(Section 186.)

TRANSFER OF LAND ON SALE FOR TAXES.

of

School District No.

being treasurer of the North-West Territories by virtue of authority to sell lands for arrears of taxes vested in me by warrant under the hand of the chairman of the board of trustees of the said school district and the seal of the said board and by The School Ordinance do hereby in consideration of the sum of

paid to me by

of

dollars

being

the price for which the said land was sold at a sale by me on the day of for arrears of taxes due on said land to the said school district, transfer to the said all that piece of land being In witness whereof I have hereunto

set my hand and the seal of the said board of trustees this

day of

Signed by the above)

1

1. I was personally present and did see

named in the within instrument who is personally known to me to be the person named therein he being the treasurer of School District No. of the NorthWest Territories duly sign and execute the within instrument for the purposes named therein :

2. That the said instrument was executed at

in the said Territories and that I am the subscribing witness thereto :

3. That I personally know the said

and he is in my belief of the full age of twenty-one years. Sworn before me at

in the North-West Territories

A bylaw relating to the issue of debentures of the (give full corporate name of school district).

Whereas it is necessary and desirable that the sum of

dollars should be borrowed on the security of the (give full name of school district) for the purpose of repayable to the bearer with interest at per centum per equal consecutive annual instalments; Now therefore the board of trustees of the said school district enact as follows:

annum in

1. That the necessary notices be given and proceedings had under The School Ordinance for receiving the sanction of the ratepayers of the said school district to the loan and the issue of debentures therefor and that the voting thereon shall take place at

on

of

Ordinance;

1

the day pursuant to the provisions of the said

2. That if the said sanction be obtained and the Lieutenant Governor in Council shall empower in writing the said board