To: [Name of person against whom the claim is being made]

being the owner of________________

[description of measuring instrument]

In accordance with regulation 10(2) of the National and Trade Measurement Regulations 1989, I hereby claim from you the following expenses being expenses incurred in respect of the inspection of your measuring instrument described above on date(2) of inspection by name of inspector(s)—

1.

2.

Under the said regulation 10(2) settlement of this claim shall be made within 28 days of the date hereof.

Inspector of Trade Measurement

[Date]