| (Sections 3 and 4) | 
| Licence Letter............No...... | .................. District, Saint Lucia, | 
 | ......................... 20 ..... . | 
| A. B., ........................................ residing at .................................... is hereby licensed to keep or use | 
| Number (in words) | Animal or Article. | Description | Rate. | Amount paid. | 
 | Horses | Stallions |  |  | $ | ¢ | 
 | Mares |  |  |  |  | 
 | Geldings |  |  |  |  | 
 | Mules |  |  |  |  | 
 | Carriages with 2 wheels |  |  |  |  | 
 | Carriages with 4 wheels |  |  |  |  | 
 | Carts with 2 wheels |  |  |  |  | 
 | Carts with 4 wheels |  |  |  |  | 
|      and to carry, keep or use |  |  |  | 
 |  |  |  |  |  | 
 |  |  |  |  |  | 
| up to and inclusive of the(1) ........................ day of ...................... next ensuing. And I hereby certify that I have received the total sum of $ ....................... in respect of the above. | 
| ............................................................ | 
| Director of Finance and Planning or Revenue Officer. | 
| (1) 30 June or 31 December (as the case may be). |