FORM OF RECEIPT FOR THE SEIZED INSECTICIDES
Receipt for stock of insecticides seized under section 21(1)(d)
of the Insecticides Act, 1968
The stock of the insecticide detailed below has this day been seized by me under the provisions of section 21(1)(d) of the Insecticides Act, 1968, from the premises of _________________ situated at _________________.
Details of the insecticide seized are:
Date.________________ Insecticide Inspector