(Section 7.)
FORM OF CERTIFICATE
To , the undersigned, do hereby certify that I received on the day of 19 , from a sample labelled for analysis and I have analysed the same, and declare the result of my analysis to be as follows:-
I am of opinion that the same is a sample of genuine
or
I am of opinion that the said sample contained the part as under, or the percentages of foreign ingredients as under:-
Observations.
As witness my hand this day of at .