3

3. The brewer, upon purchase of stamps, shall be furnished with a receipt for the amount paid in the following form:—

<table cellspacing="0" cellpadding="0" style="width:99.94%; margin-bottom:0pt; border-collapse:collapse"><tbody><tr style="height:32.5pt"><td colspan="5" style="border-right:0.75pt dashed #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:2pt; vertical-align:middle"><p style="margin:36pt 5.75pt 0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Book No.</span><span style="width:214.56pt; display:inline-block"> </span><span style="font-family:'Times New Roman', serif">Receipt No</span></p><p style="margin-right:5.75pt; margin-left:36pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Butt of Receipt for Beer Duty Stamps sold.</span></p><p style="margin-left:259.2pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Place</span></p><p style="margin-left:259.2pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Date</span></p><p style="margin-right:5.75pt; margin-left:36pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Received from</span></p><p style="margin-right:5.65pt; margin-left:5.65pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">the sum of </span><span style="width:109.83pt; display:inline-block"></span><span style="font-family:'Times New Roman', serif">pounds</span></p><p style="margin-right:5.65pt; margin-left:5.65pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">shillings and</span><span style="width:103.72pt; display:inline-block"> </span><span style="font-family:'Times New Roman', serif">pence for the undermentioned stamps sold.</span></p></td><td colspan="5" style="border-left:0.75pt dashed #000000; padding-right:2pt; padding-left:1.62pt; vertical-align:middle"><p style="margin-bottom:6pt; text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif; font-variant:small-caps">Commonwealth of Australia</span><span style="font-family:'Times New Roman', serif">.</span></p><p style="margin-left:28.8pt; margin-bottom:0pt; text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif; font-style:italic">E.</span><span style="width:46.29pt; display:inline-block"> </span><img src="image.001.jpeg" width="36" height="20" alt="Commonwealth Coat of Arms"><span style="width:13.5pt; display:inline-block"> </span><span style="font-family:'Times New Roman', serif; font-style:italic">R.</span></p><p style="margin-right:5.65pt; margin-left:5.65pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Book No.</span><span style="width:214.66pt; display:inline-block"> </span><span style="font-family:'Times New Roman', serif">Receipt No.</span></p><p style="margin-right:5.75pt; margin-left:36pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Receipt for Beer Duty Stamps sold.</span></p><p style="margin-left:259.2pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Place</span></p><p style="margin-left:259.2pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Date</span></p><p style="margin-right:5.75pt; margin-left:36pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Received from</span></p><p style="margin-right:5.65pt; margin-left:5.65pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">the sum of </span><span style="width:109.83pt; display:inline-block"></span><span style="font-family:'Times New Roman', serif">pounds</span></p><p style="margin-right:5.65pt; margin-left:5.65pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">shillings and</span><span style="width:103.72pt; display:inline-block"> </span><span style="font-family:'Times New Roman', serif">pence for the undermentioned stamps sold.</span></p></td></tr><tr style="height:32.5pt"><td rowspan="2" style="width:8.02%; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:2pt; vertical-align:middle"><p style="margin-bottom:0pt; text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">No. of Stamps sold.</span></p></td><td colspan="2" style="border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:middle"><p style="margin-bottom:0pt; text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Denomination.</span></p></td><td rowspan="2" style="width:8.32%; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:middle"><p style="margin-bottom:0pt; text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">The Consecutive Nos. of the Stamps sold.</span></p></td><td rowspan="2" style="width:4.08%; height:32.5pt; margin-left:auto; writing-mode:tb-rl; border-top:0.75pt solid #000000; border-right:0.75pt dashed #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; -moz-transform:rotate(180deg); -ms-transform:rotate(180deg); overflow:hidden; transform:rotate(180deg); -webkit-transform:rotate(180deg)"><div style="height:32.5pt; margin-left:auto; writing-mode:tb-rl; overflow:hidden"><p style="margin-right:14.4pt; margin-left:5.65pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Amount.</span></p></div></td><td rowspan="2" style="width:7.7%; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt dashed #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:middle"><p style="margin-bottom:0pt; text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">No. of Stamps sold.</span></p></td><td colspan="2" style="border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:middle"><p style="margin-bottom:0pt; text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Denomination.</span></p></td><td rowspan="2" style="width:13.22%; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:middle"><p style="margin-bottom:0pt; text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">The Consecutive Nos. of the Stamps sold.</span></p></td><td rowspan="2" style="width:4.4%; height:32.5pt; margin-left:auto; writing-mode:tb-rl; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:2pt; padding-left:1.62pt; vertical-align:top; -moz-transform:rotate(180deg); -ms-transform:rotate(180deg); overflow:hidden; transform:rotate(180deg); -webkit-transform:rotate(180deg)"><div style="height:32.5pt; margin-left:auto; writing-mode:tb-rl; overflow:hidden"><p style="margin-right:5.65pt; margin-left:5.65pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Amount.</span></p></div></td></tr><tr style="height:19.3pt"><td style="width:19.8%; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:middle"><p style="margin-bottom:0pt; text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Barley Malt and Hops exclusively.</span></p></td><td style="width:9.44%; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:middle"><p style="margin-bottom:0pt; text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">N.E.I.</span></p></td><td style="width:14.74%; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:middle"><p style="text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Barley Malt and Hops exclusively.</span></p></td><td style="width:10.28%; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:middle"><p style="text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">N.E.I.</span></p></td></tr><tr style="height:62.65pt"><td style="width:8.02%; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:2pt; vertical-align:top"><p style="margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:19.8%; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:9.44%; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:8.32%; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:4.08%; border-top:0.75pt solid #000000; border-right:0.75pt dashed #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-right:14.4pt; margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:7.7%; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt dashed #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:14.74%; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:10.28%; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:13.22%; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:4.4%; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:1.62pt; vertical-align:top"><p style="margin-bottom:0pt; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr></tbody></table>