1505 Barrington Street 9th Fl. North Halifax, NS B3J 2Y3 902- 424-4821 Mailing Address Hunting & Fishing Licence Division PO Box 1529 Halifax, NS B3J 2Y4 2016 HUNTING AND SMALL GAME LICENCE ACCOUNT SALES Total Number Licences Sold Licence Fee Total Vendor Commission (HST Included) Non-Resident Small Game Licence $71.65 1.78 $157.65 Resident Small Game Licence Issued to Senior Citizens No Fee Resident Deer Hunting Licence $32.05 Resident Deer Hunting Licence Issued to Senior Citizens No Fee Resident Small Game Licence $19.85 Wildlife Habitat Stamp $5.15 2.97 Non-Resident Deer Hunting Licence 1.78 1.78 1.78 1.78 No Commission $____________ Totals Less: Commission - $____________ $____________ Net Amount Received For Licences Sold $____________ Less: Actual Postage Paid (receipts required over $5.00) $____________ Less: Actual Cost of Money Order or Cheques (allow $1.00) $____________ $____________ BALANCE DUE TO DEPARTMENT OF NATURAL RESOURCES -----------------------------------------------------------------------------------------------------------------------------------------------------Vendor Name: _______________________________________ Vendor Number: _____________ Phone Number: ______________________________________ Date: _________________, 2016 Credit Card #: ________________________________________ Expiry Date: ________________ If paying by credit card, please provide your information as we are no longer accepting “Call for payment” as an option. Please DO NOT SEND CASH THROUGH THE MAIL. Payment should be by cheque or money order, made payable to the Minister of Finance, and mailed to Service Nova Scotia & Municipal Relations, P.O. Box 1529, Halifax NS, B3J 2Y4. Please make sure you enclose the covers of all sold licences with your remittance, and send your parcels containing returns by Priority Post. Payment Enclosed $ Nova Scotia Government Web Site novascotia.ca □ Credit Card □ Cheque □ Money Order
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