Showing 115 items
matching blank forms
-
Bendigo Historical Society Inc.
Document - APPLICATION FORMS FOR LOAN - CITY LOAN AND DISCOUNT CO, 188?
Collection (17) of Application Forms for Loan - City Loan and Discount Co. - to the Manager, View Point, Sandhurst. All blank and unused.organization, business, bendigo businesses -
Bendigo Historical Society Inc.
Document - BUSH COLLECTION: FORM - STATUTORY DECLARATION
Blank (unused) Notary Public's Statutory Declaration form (Printed with 'I, George Harold Bush, ….' Solicitor and Notary Public, Bendigoperson, individual, bush collection - personal -
Bendigo Historical Society Inc.
Document - CURNOW COLLECTION: FORM DEED OF COVENANT, 1920 -130's?
Blank (unused) fold-out legal form; 'Deed of Covenant and Extension of Term of Mortgage'. Tatchell, Dunlop, Smalley & Balmer; solicitors, Bendigo.person, individual, curnow collection -
Bendigo Historical Society Inc.
Document - CURNOW COLLECTION: FORM NOTICE OF INTENTION TO DEFEND, 193?
Blank (unused) from perforated into two parts: Top section to be sent to Complainant; bottom section to Clerk of Petty Sessions. Complainant's Solicitors: Mr. M.T. L. McCarthy, 48 Bull St.person, individual, curnow collection -
Churchill Island Heritage Farm
Document - Greeting card, 1902
Card was sent by Harry Jenkins, owner of Churchill Island 1936-1963, to his aunt Ada Annie Trott in 1902 while he was serving in the Boer War. It shows prison camp in Cape Town.Communication from Harry Jenkins, a previous owner of Churchill Island and serving Australian soldier to his family in Boer War. This forms part of an eclectic collection of documents from Harry Jenkins.Folded card with printed front cover, blank back page. The front cover has a thin black border with printed drawing of leaves and vines concealing a black footed cat with 'Everlasting Silver Leaves From Table Mountain Cape Town South Africa' inside. Inside left is sepia photo stuck on showing "prisoners' camp cycle track Cape Town". Inside right page has three everlasting silver leaves. Centre leaf has hand painted three ostriches and a tree. Left leaf has handwritten " Loving greetings". Right leaf " To my dear Aunt". Red white and blue striped ribbon glued to base of centre leaf.Front: EVERLASTING / Silver Leaves / from Harry J [handwritten in ink]] / FROM / JAN 25 1902 [ink stamp] / TABLE / MOUNTAIN, / Cape Town / SOUTH / AFRICA. Inside: Prisoners Camp, Cycle Track, Cape Town Loving/Greetings [handwritten on leaves in ink]/To my/Dear/Auntharry jenkins, jenkins, boer war, churchill island, ada, annie, trott, boer, card, communication, australian, soldier -
Stratford and District Historical Society
Illuminated Address
Fanny Swan (formerly Wood, nee Poole) came to Gippsland in the 1840s with her first husband, William Wood, where they became proprietors of the Shakespeare Hotel at Stratford. William Wood died in 1855, and in 1856 she married Samuel Swan. Together they acquired considerable property in and around Stratford. Samuel Swan died in 1880 at Stratford, and Fanny Swan died at Stratford in 1895.This illuminated address which documents the final payment for the Wesleyan Church building in 1892 has historic significance for Stratford Historical Society as it is located in the actual building. It also has social significance for the township as Mrs Fanny Swan was one of the earliest and best known business leaders in the area running the iconic Shakespeare hotel/boarding house for many years. It has aesthetic significance as an example of a illuminated address produced on a printing press with gold ink, rather than the usual handwritten form. White wooden frame containing an illuminated address to Mrs S. Swan from the Wesleyan Church at Stratford 2 January 1892. It is press-printed in gold ink on what appears to be a blank, pre-printed poster. It reads: Stratford, 2 January 1892 Mrs S. Swan, Stratford Dear Madam, We, the Minister and Trustees of the Stratford Wesleyan Methodist Church desire to tender you our most sincere thanks for your very generous donation of Fifty Pounds handed to us to-day by Mr George Poole in aid of clearing off the debt on our church. Thanks to your kindness the Ladies of our congregation have been induced to help, and they have raised a considerable sum by means of a Cake and Apron Sale, so that after our Annual Tea meeting to be held at Easter next at our Church. Debt will then be a "Thing of the Past". We trust God will keep you in health and strength, long to live amongst us. We are Yours Very Tuly Rev. H.E. MERRIMAN, Minister Trustees S.CAVANAGH W.LITTLE S.CHINN G.LITTLE Fred J. LITTLE, Secretaryswan, women, methodist church -
Southern Sherbrooke Historical Society Inc.
Souvenir Mug, 1994
A mug made for the staff/community party to mark the end of the Shire of Sherbrooke municipality after amalgamation with Lilydale, Healesvill and Upper Yarra councils to form the Shire of Yarra Ranges in 1995.Souvenir mug to celebrate the Shire of Sherbrooke after amalgamation.On one side says "Sherbrooke Farewell" on other side "Shire of Sherbrooke 1964-1994" with the Shire of Sherbrooke Lyrebird logo within a circle. Underneath "CS Hose Glassware Pty Ltd Glass and Ceramic Decorators Est 1945 ph 03-7811966. Blank made in China designed and decorated in Australia."sherbrooke, souvenirs -
Melbourne Legacy
Postcard, Gallipoli, troops landing at Gaba Tepe, 1915
A postcard with a black and white image of small boats being towed on a rope through water. Each boat is carrying several soldiers, and other ships and boats can be seen in the background. From the title it is a landing party going ashore near Gaba Tepe, on the Gallipoli peninsula. The back of the post card is blank so it was kept more as a souvenir than sent as a letter. There are other similar postcards in the collection.Images of Gallipoli were captured on postcards as mementoes. Postcards were a very common form of communication in the first World War. Postcards as souvenirs or as correspondence would have been familiar to the first Legatees as they had served in World War 1.Black and white postcard with an image of small boats being towed on a rope through water. Each boat is carrying several soldiers, and other ships and boats can be seen in the background. Front of postcard: "TOWED IN UNDER PROTECTION OF THE FLEETS FIRE : A LANDING PARTY GOING TO REINFORCE THE AUSTRALIANS NEAR GABA TEPE."world war one, gallipoli, souvenir -
Ballarat Tramway Museum
Ephemera - Ticket/s, State Electricity Commission of Victoria (SECV), $2.10 - Scholar's Monthly Ticket, c1966
Yields information and demonstrates the tickets used to for Scholar's or students to travel on the trams in Ballarat during the mid 1960's.Set of 6 Yellow cloth backed paper tickets with white front, printed in black ink with fare value of $2.10. Blank or Unused Scholar's monthly ticket for use by under 15 years students. Has form number "TYE 3-570" in top left hand corner. Space for an expiry date to be stamped on the ticket and name, address and school of the student. The 1966 Schedule of Fares and Charges shows these tickets. See Reg Item 8455 for samples of issued tickets. Ticket Nos. A008695, 96, 97, 98, 99, A008700trams, tramways, secv, bendigo, schools tickets -
Ballarat Tramway Museum
Ephemera - Ticket/s, State Electricity Commission of Victoria (SECV), $2.50 - Scholar's Monthly Ticket, 1969
Yellow cloth backed paper ticket with white front, printed in black ink with fare value of $2.50. Blank or Unused Scholar's monthly ticket for use by under 15 years students, number No. 7386. Has form number "TYE 3-570" in top left hand corner. Space for an expiry date to be stamped on the ticket and name, address and school of the student. The 1969 Schedule of Fares and Charges shows these tickets. 1728.1 - ditto, ticket No. A7423. Added 16/10/04 - after being on display in cabinet in 39 since 1992. 1728.2 - ditto, ticket No. A7382. Added 19/05/06 - from filing cabinet. 1728.3 - ditto ticket Nos. A004773, 75, 89,91, 91 and 4956 added 30/6/2016 from Donation of Bendigo Tramways. See 1969 Schedule of Fares and Charges for the Ballarat Tramways - Reg. Item No. 704.trams, tramways, secv, ballarat, schools tickets -
Ballarat Tramway Museum
Ephemera - Ticket/s, State Electricity Commission of Victoria (SECV), $2.50 - Scholar's Monthly Ticket, 1969
Yields information about the style and printing of tickets used in Ballarat and Bendigo tramways and how they were presented.Yellow cloth backed paper ticket with white front, printed in black ink with fare value of $3.50. Blank or Unused Scholar's monthly ticket for use by under 18 years students, number No. 003111. Has form number "TYE 3-580" in top left hand corner. Space for an expiry date to be stamped on the ticket and name, address and school of the student. The 1969 Schedule of Fares and Charges shows these tickets. 1969 Schedule of Fares and Charges for the Ballarat Tramways - Reg. Item No. 704.trams, tramways, secv, ballarat, schools tickets -
Ballarat Tramway Museum
Ephemera - Ticket/s, State Electricity Commission of Victoria (SECV), 4/- Scholar's Monthly Ticket, 1950's
Scarlet cloth lined paper ticket with white front, printed in black ink with fare value of 4/-. Blank or Unused Scholar's monthly ticket for use by under 15 years students, numbered A01831, 33 and 34. Has form number "TYE 2-13" in top left hand corner. Space for an expiry date to be stamped on the ticket and name, address and school of the student. Each ticket has been stamped "CANCELLED" in purple ink.trams, tramways, secv, ballarat, schools tickets -
Tennis Australia
Racquet & cover, Application Form, Circa 1995
Three part object. (1) A Wilson 'Hammer 6.2 Stretch' racquet with handle signed by Lindsay Davenport; and (2) full length cover with zipper. (3) In small pocket of cover is a blank warranty application card. Materials: Graphite, Plastic, Nylon, Adhesive tape, Leather, Paper, Ink, Synthetic materialtennis -
Young Christian Workers (YCW Australia) Archive and Research Centre
Bush Fire Working Party Registration Form (Blank), 1962
... Bush Fire Working Party Registration Form (Blank)... printed on pink paper Bush Fire Working Party Registration Form ...In 1962, bushfires in the Dandenong Ranges (Melbourne, Victoria) took the lives of 32 people and saw the destruction of many homes. St Andrews was one of the places affected, and the Melbourne YCW (Boys) contributed to the re-building effort by providing skilled trades on a voluntary basis. In the days before online communication, this proforma was distributed to YCW members either by post or through the channel of the branch meeting to garner volunteers to the bushfire recovery effort. The document reveals the coordinating role of the diocesan team based at headquarters, and how the YCW (Boys) in Melbourne understood it's role as a service organisation. This document is part of a broader set of documents exploring this effort, including a subsequent report evaluating the effort and letters of thanks. Document printed on pink paperycw boys, ycw melbourne, bushfire recovery, st andrews bushfires, volunteering -
Vision Australia
Certificate - Text, Royal Blind Society certificate blank
Certificates used by staff at the Royal Blind Society of New South Wales to honour people who had made donations to the organisation. A cream A4 sheet with the words 'Royal Blind Society gratefully acknowledges the generous support of (blank) on this (blank) day of (blank) 19 (blank) (signature) Jon Isaacs, General Manager' , and 'ROYAL BLIND SOCIETY A VISION TO SHARE' around the RBS logo as a background in the middle of the page. Around the edge are multiple lines which form a border, and a smaller version of the logo in the middle at the base.1 x A4 certificate blank with RBS logoroyal blind society of new south wales, office equipment -
Melbourne Legacy
Document, With Compliments Card, 1960s
A copy of blank Compliments notepaper and cards that were used in the 1960s. They were compiled in a folio of proforma stationery. A similar set of proformas are at 00338. The Melbourne Legacy address was 293 Swanston Street and the phone number at the time was FB 3564.A record of forms and items used in Legacy's business practices in the 1960s.White notepaper x 3 with Melbourne Legacy letterhead in blue print used as with compliments notes, and a white card pasted on brown paper from a folio of forms and brochures from the 1960s.Notepaper say: 'With the Compliments of The President and Members', 'With The President's Compliments', With the Executive Officer's Compliments'. The white note card says 'With the Compliments of The President and Members of Melbourne Legacy'.proformas, stationery, forms -
Melbourne Legacy
Document, Donor index card and reply paid envelope, 1960s
A copy of a blank index card that was used to record donor information in the 1960s. There is space to record size and date of donations. Also a copy of the reply paid envelope that was used at the time. They were compiled in a folio of proforma stationery. A similar set of proformas are at 00338.A record of forms and items used in Legacy's business practices in the 1960s.White index card to record donor information and a reply paid envelope, pasted on brown paper from a folio of forms and brochures from the 1960s.proformas, stationery, forms -
Melbourne Legacy
Document, Melbourne Legacy Letterhead, 1960s
A blank example of Melbourne Legacy letterhead from the 1960s. The phone number was changed to 32 3564 from it's earlier format of FB 3564. Was part of a folio of proforma stationery from the 1960s. A similar set of proformas are at 00338.A record of forms and items used in Legacy's business practices in the 1960s.White Melbourne Legacy letterhead with black Torch logo and type, pasted on brown paper from a folio of forms and brochures from the 1960s.proformas, stationery, forms -
Melbourne Legacy
Document, Melbourne Legacy Letterhead, 1970
A blank example of Melbourne Legacy letterhead from 1970. The phone number was changed to 663 3564 from 32 3564 and from it's earlier format of FB 3564. Was part of a folio of proforma stationery from the 1960s. A similar set of proformas are at 00338.A record of forms and items used in Legacy's business practices in the 1960s and 1970s.White Melbourne Legacy letterhead with black and white photos and the Torch on orange background, pasted on brown paper from a folio of forms and brochures from the 1960s.proformas, stationery, forms -
Wodonga & District Historical Society Inc
Work on paper - Haeusler Collection Handmade Child's Notebook c.1920s-1930s
The Wodonga Historical Society Haeusler Collection provides invaluable insight into life in late nineteenth and early twentieth century north east Victoria. The collection comprises manuscripts, personal artefacts used by the Haeusler family on their farm in Wodonga, and a set of glass negatives which offer a unique visual snapshot of the domestic and social lives of the Haeusler family and local Wodonga community. The Haeusler family migrated from Prussia (Germany) to South Australia in the 1840s and 1850s, before purchasing 100 acres of Crown Land made available under the Victorian Lands Act 1862 (also known as ‘Duffy’s Land Act’) in 1866 in what is now Wodonga West. The Haeusler family were one of several German families to migrate from South Australia to Wodonga in the 1860s. This handmade notebook was made by Alfred Haeusler (b.1922) during his childhood in Wodonga in the 1920s-1930s. The notebook is one of several objects in the Haeusler Collection concerning early childhood that provide insight into family and home life in early twentieth century Wodonga. The item is handmade and unique, with well documented provenance. It forms part of a significant and representative historical collection which reflects the local history of Wodonga. It contributes to our understanding of domestic and family life in early twentieth century Wodonga, as well as providing interpretative capacity for themes including local history, social history, and women’s history. A handmade child's notebook with small white pencil attached by a piece of string. A hand drawn purple flower is on the front cover of the notebook, and the pages are blank. "NOTES/A.HEAUSLER"child, children, school, notebook, flower, flowers, pencil, stationary, haeusler collection -
Melbourne Tram Museum
Manual, Public Transport Corporation (PTC), "Ticket Checkers' Manual - Met Ticket System", c1993
1074.1 - Book or Manual, 20 pages + 6 "PTC Customer Services Revenue Maximisation" form + green card covers bound with a black plastic comb binder - titled "Ticket Checker's Manual - Met Ticket System". or ticketing manual. Has PTC and railway photo on front cover. Gives procedures, concession fares, Met Fare zones, colour coding of tickets, samples of tickets, including a used scratch card ticket (2 hour zone 2 concession) and a number of other tickets which have been stamped cancelled. Would appear that used tickets have been recycled for the publication, also has reproductions of concession cards. On page 19 gives information on free travel for police in uniform and conditions for bicycles, surfboards, prams etc, seeing eye dogs, pets and V/Line tickets. 1074.2 - 21 pages + 9 "PTC Customer Services Revenue Maximisation" form, yellow card covers bound with a black plastic comb binder - titled "Ticket Checker's Manual - Section 1 General Information", Section II, The Met, Section III Concession Cards - has a number of blank pages. Very similar to .1 with sample tickets glued in. 1074.3 - 30 pages, 10 duplicate sheets - "Ticket Checkers' Manual" - Met Ticket system, similar to other issues, has tickets stamped 1993, includes scratch tickets, and concession cards..1 - has "11271 Rev Max Number" written in ink on the top of the first page.trams, tramways, the met, scratch tickets, tickets, manual, concession fares -
Melbourne Tram Museum
Administrative record - form - invoice blank, Melbourne & Metropolitan Tramways Board (MMTB), 12/1967
... form - invoice blank... record form - invoice blank Melbourne & Metropolitan Tramways ...Form used issues invoices for payment to various parties by the MMTB. Has spaces for name of the receiver, dates, references, particulars and invoice Number. Demonstrates a MMTB form used to send out invoices to people or organisations that services were provided to by the Board.Form - printed on blue paper, No. 3/5, Dec. 1967tramways, mmtb, forms, accounting, invoices -
Bendigo Historical Society Inc.
Book - HISTORIC BUILDINGS COUNCIL - VICTORIA, 1990s (?)
12 page booklet about the Historic Buildings Council of Victoria. Includes background and aims of the council, membership, building registers, heritage planning and education and sketches of various buildings. Blank inserts. 2 copies of pink form 'Application to add building to Register' and 2 copies of white form 'Application for Financial Assistance'Historic Buildings Council of Victoriacottage, miners -
Melbourne Tram Museum
Ephemera - The Met - photocard form, The Met, 1993
... cancelled. Valid until 12/1993 Demonstrates a blank form for use ...Sample form - used to place a person's photograph to validate the use of a 12-monthly commuter pass. Has been stamped cancelled. Valid until 12/1993Demonstrates a blank form for use as a photo IDForm - white paper, printed in green ink.tickets, the met, passes, travel passes, photo id -
Eltham District Historical Society Inc
Document, Blank form of acknowledgement for receipt of funds as a loan for use by the Eltham Public Hall Committee, 1941, 1941
... Blank form of acknowledgement for receipt of funds as a... page Blank form of acknowledgement for receipt of funds ...In September 1937, a group of ladies met to form a Ladies’ Committee to assist the General Committee in raising funds for a Public Hall. Those present were Mrs Allen, Mrs Bowman, Mrs Hickey, Mrs Rains, Mrs Boake and Mrs Lyon. As there were only six present, they elected to remain in the interim as a Social Committee to arrange catering, etc., for the two dances that had been arranged for September 29th and October 30th of that year. Both those dances proved a great success. Mrs McAdie joined the committee in October. The Ladies’ Committee was officially formed at a combined meeting of the General and Ladies’ committees held on April 6th, 1938. Mrs Boake agreed to be President, Mrs Lyon as Secretary and Mrs Rains as Assistant Secretary. Other members included Mrs Browne, Mrs Forde, Mrs Jarrold, Mrs Bradbury and Mrs Taylor. By 1941 their numbers had grown to include Matron Wilson, and Mesdames Andrew, Brinkkotter, Cloney, Walker, Parsons, Crick, Ballenger, Travena, Hurst, Shields and Le Brocq . A number of these ladies eventually became part of the Women’s Auxiliary of the Eltham War Memorial Trust. Councillor A. Brinkkotter, secretary of the Hall Committee, noted that Eltham had succeeded, after many long years of fighting, in erecting a new hall and civic centre which had been badly needed. “It took a long time to convince the Council of the necessity for a new hall and civic centre in Eltham.” “The councillors, in looking after the interests of all sections of the rate payers, could not see that such a move was necessary. But finally the Hall Committee proved that such a move was not only advisable, but would prove a financial asset to the Shire.” “This committee had to put down £1,500 in cash before the work on the hall began, and to enable the committee to do this, residents loaned them money free of interest for 12 months. In addition the committee has guaranteed to pay the Council £100 a year for the next ten years.” “The borrowed money has to be repaid to the lenders, and I hope that the public will realise this and support the functions which have been and will be arranged by the Hall Committee to enable them to return the money as soon, as possible.” At the opening gala for the Public Hall, Mr. G. L. Chandler, M.L.C. said “It speaks volumes for those people who have worked for many years for the hall. I know of no other place where the residents have handed over £1,500 for the erection of a hall and guaranteed the balance of the cost. You will always find the few who say ‘Time is not opportune.’ In these days you have to make your opportunities.” “Before any town can advance, a civic spirit must exist in the residents, and I hope the people will support the Hall Committee which has the interests of this district at heart.”Background workings for the funding of a Public Hall at Eltham. The funding was provided by public subscription and the money loaned to Council to build the hall. The hall was part of the new Eltham Shire offices located at the corner of Main Road and Arthur Street. A similar funding approach was used a few years later to provide for the Eltham War Memorial located on the opposite side of Main Road.Single pagearthur street, eltham public hall, fundraising, main road