Approved form 2002—5

made under the
Trade Measurement (Administration) Act 1991

Trade Measurement (Administration) Act 1991—Form 3

(see reg 23)

Ticket no.  ................
Date  ..........................
Registered public weighbridge no.  .................
(Here state the name of the holder of the public weighbridge licence)
........................................................................................................................
........................................................................................................................
(Here state the location of the weighbridge)  ................................................
Direct measurement
Goods measured  ...........................................................................................
Marks and brands on goods measured  .........................................................
Place of despatch of goods measured  ..........................................................
Destination of goods measured  ....................................................................
Registered no. or nos. of vehicle measured  .................................................
Name of driver of vehicle  ............................................................................
	Tonnes
(including decimal submultiples of tonnes)	
Gross mass  .....................................		
Tare mass  .......................................		
Net mass  .........................................		
	..............................................................
	(Signature of operator)

Endnotes
1	This form was originally in the Trade Measurement (Weighbridges) Regulations 1991 (the authorising regulations), schedule 3.  Under amendments made by the Legislation (Consequential Amendments) Act 2001, the forms were omitted from the authorising regulations (see amdt 1.4078) and became forms approved under the Trade Measurement (Administration) Act 1991, section 17 (see amdt 1.4085).
2	This republication includes amendments made under the Legislation Act 2001, part 11.3 (Editorial changes).

©  Australian Capital Territory 2002