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insanity, and is maintained at the expense of the parish of

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said county [or at

under my hand, this

asylum, at
day of

in the said county.]

Given 2nd ed. p. 411.

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(43 Eliz.

22. Complaint for an Order of Maintenance upon a Relation.
c. 2, s. 7; 59 Geo. 3, c. 12, s. 26; 4 & 5 Will. 4, c. 76, s. 78. See also
11 &12 Vict. c. 110, s. 8.)

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The complaint of C. D., one of the overseers of the poor of the to wit. parish of, in the said county, on behalf of himself and the other churchwardens and overseers of the poor of the same parish, made to me [or us] the undersigned, one [or two] of her Majesty's justices of the peace for the said county of this day of in the year of our Lord in the same county, in petty sessions, who saith, that one A. B. is now poor and unable to work, so as to maintain or support himself, and is now chargeable to the said parish, and that one C. B., dwelling at the parish of —, in the said county of ——, is the [son] of the said A. B., and is of sufficient ability to relieve and maintain the said A. B. his [father]: The said churchwardens and overseers therefore pray that the said C. B. may be summoned to show cause why an order should not be made requiring him to relieve and maintain the said A. B. his [father.] C. D.

Exhibited before us, J. L., J. S.

23. Summons thereon.]—This may be in the General Form No. 8 (A), ante, p. 26.

Whereas on the day of

24. Order thereon. (Adapted from 3 Arch. J. P. 203, 4th ed.) last complaint was made to wit. by C. D., one of the overseers of the poor of the parish of in the said county, on behalf of himself and the other church wardens and overseers of the poor of the same parish, to I. S., Esquire, one, &c., that one A. B. [&c., recile complaint in past tense]: and now, at this day, to wit, on at , the parties aforesaid appear before us the undersigned, two of her Majesty's justices of the peace in and for the said county of, in petty sessions assembled in and for the division of in the same county:

[or the said C. D., the said overseer, appears before us, &c., but the said C. B., although duly called, doth not appear by himself, his counsel or attorney; and it is now satisfactorily proved to us on oath, that the said C. B. hath been duly served with the summons in this behalf, which required him to be and appear here at this day, before such justices of the peace for the said county as should now be here, to answer the said complaint, and to show cause why an order should not be made requiring him to relieve and maintain the said A. B. his [father]: And now, having heard the matter of the said complaint, and we, the said justices, having duly considered what has been alleged and proved before us in this behalf, do adjudge and determine that the said A. B. is poor, and unable to work, so as to maintain or support himself, and that he is actually chargeable to the said parish of and that the said C. B. is the [son] of the said A. B., and is of sufficient ability to relieve and maintain the said A. B. his [father]; and it being proved to us that the said C. B. now dwells within our jurisdiction, to wit, at the said parish of -, we do therefore order that the said C. B. shall, upon notice of this our order, pay or cause to be paid to the churchwardens and overseers of the poor of the said parish of for the time being, or to some or one

I I

Oke's Synop. 2nd ed. p. 411.

of them, weekly and every week, from this present time, the sum of --
for and towards the relief and maintenance of the said A. B. for and
during so long a time as the said A. B. shall be chargeable to the said
parish of ——, or until the said C. B. shall be lawfully ordered to the
contrary. Given under our hands and seals, this day of -
- —, in
the year of our Lord ——, at ——, in the county aforesaid, and at the
petty sessions aforesaid.
[Justices' signatures and seals.]

on

25. Statement of Offence for the Conviction (No. 39 (I. 1), ante, p. 38),
in making Default in paying the Money under the last Order.]—That by a
certain order of J. S., and J. L., Esquires, two of her Majesty's justices
of the peace for the said county of made at a petty sessions holden
at, for the division of — in the same county, reciting
that [here set out the reciting part of the order in the past tense, and third
person], it was therefore ordered that &c.; that after the making of the
said order, to wit, on &c. at &c., a true copy of the same was personally
served upon and delivered unto the said C. B., and the original thereof at
the same time shown to him, yet that the said C. B. nevertheless hath not
paid unto the churchwardens and overseers of the said parish of — for ·
the time being, the said weekly sum of — for the weeks respectively
ending on the — and ———, amounting in all to, but therein
wholly has failed and made default, although the same have often been
demanded of him the said C. B., contrary, &c.

N.B. This conviction is enforced by the general forms of Distress
Warrant &c. No. 53 (N. 1) —58, p. 50-52.

26. Order of Two Justices to seize Property of Persons running away. and leaving Family chargeable. (5 Geo. 1, c. 8, s. 1.) See form in 3 Arch. J. P. 4th ed. p. 207.

27. Notice to quit a Parish Cottage. (59 Geo. 3, c. 12, s. 24.)
To A. B., of the parish of, in the county of, labourer.

1 Under and by virtue of the provisions of an act passed in the to wit. fifty-ninth year of King George the Third, intituled “An Act to amend the Laws for the Relief of the Poor," we hereby give you notice to quit the parish [or town] house, [or tenement, or dwelling, or as the case may be, belonging to [or provided by, or at the charge of] the parish of, in the county of, for the habitation of the poor thereof, which you have been permitted to occupy in the said parish [or as the case may be, as: into which you have unlawfully intruded yourself), situated at, in the said parish, and deliver up the possession thereof to us, the churchwardens and overseers of the poor of the said parish of ——, or to some or one of us within one month after this notice and demand in writing for that purpose, pursuant to the statute in that case made and provided.

Dated this day of, in the year of our Lord —————.
[Churchwardens' signatures.]
[Overseers' signatures.]

28. Information for refusing to quit Parish Cottage. (Id.)

The information and complaint of C. D., one of the overseers to wit. of the poor of the parish of —, in the said county, made on oath before the undersigned, two of her Majesty's justices of the peace in and for the said county of, the day of, in the year of our Lord, at in the same county, who saith that A. B., a poor

person residing in the parish of, in the said county, having been Oke's Synop.
permitted to occupy [or having unlawfully intruded himself into] a parish 2nd ed. p. 411.
[or town] house, [or tenement, or dwelling, or as the case may be], be-
longing to [or provided by, or at the charge of] the said parish of

situate at in the said parish, has refused [or neglected] to quit the
same, and deliver up the possession thereof to the churchwardens and
overseers of the poor of the said parish of ——, within one month after
notice and demand in writing for that purpose, contrary to the statute in
such case made and provided; and further, that notice and demand in
writing for that purpose, signed by the [or major part of the] said
churchwardens and overseers of the poor, was, on the
day of

last, delivered to him personally [or, in his absence, affixed on the
door, or on, a notorious part of the said premises]: The said com-
plainant therefore prays such redress in the premises as to law does
appertain.
C. D. Overseer of the poor.

Before us

J. S.
J. L.

29. Summons thereon.]—This may be in the General Form No. 8 (A), ante, p. 26.

30. Warrant to give Possession. (Id.)

To the constables of the parish of

in the county of

at

Whereas C. D., one of the overseers of the poor of the parish to wit.of- in the said county of- ——, did on the day oflast make information and complaint on oath before the undersigned, two of her Majesty's justices of the peace in and for the said county of that A. B. &c. [recite complaint in past tense]: And whereas we, the said justices, did on the said day of issue our summons to the said A. B. to appear before us at in the said county of on this day of in the year of our Lordo'clock in the noon of the same day,* and the said A. B. hath this day appeared in pursuance of the said summons, and is now present before us the said justices: [or if defendant does not appear, say from the asterisk*: and the said A. B. not having appeared in pursuance of the said summons, due proof upon oath is now made before us the said justices, by J. N., of the said parish of - —, constable, that such summons was, seven days at the least before the time appointed for hearing the said complaint, to wit, on the day of delivered by the said J. N. to the said A. B. [or affixed on the said premises in his absence, as the case may be] ]: And we, J. S., and J. L., the justices aforesaid, present at the the have proceeded to hear upon oath and determine the matter of the said complaint [in the presence of the said A. B.], and do find and adjudge the same to be true: We do therefore charge and command you, or some or one of you, that you forthwith cause possession of the premises in question [or such land, s. 25] to be delivered to the churchwardens and overseers of the poor of the said parish of

day of

some of them.

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on

or

in the year of

[Justices' signatures and seals.]

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31. Justices' Order excusing a poor Person from Payment of a Poor's Rate. (54 Geo. 3, c. 170, s. 11.)

County of)

Whereas application hath been this day made unto us the undersigned, two of her Majesty's justices of the peace in and to wit. for the said county, acting for the division of, in which the parish hereinafter mentioned is situated, assembled in petty sessions in and for the said division, by C. D., of the parish of I., in the said division and county, a person rated to the rates or cesses within the said parish, to be discharged therefrom, and due proof having been given of his inability through poverty to pay the sum of - -, at which he is rated and charged by a certain rate or cess made for the relief of the poor of the said parish, bearing date the day of, one thousand eight hundred and fifty: Now we the said justices, upon such application and due proof as aforesaid, and with the consent of the churchwardens and overseers of the poor of the said parish, now here present before us, [or of a person, or persons competent to act under the authority of a certain act, or acts of parliament in such case made and provided, for the ordering, management, control or direction of the poor of the said parish] and by authority of the statute enabling us in this behalf, do hereby order and direct that the said C. D. be excused from the payment of the said sum of, at which he is so rated and charged by the rate or cess for the relief of the poor aforesaid, bearing date as aforesaid, and have accordingly struck out his name therefrom.

Given under our hands and seals, this

day of, one thousand

eight hundred and fifty, at —————, in the county aforesaid.

32. Order for Excusal of several Persons from different Rates at the same Time. (Id)

County of We, two of her Majesty's justices of the peace for the said county, and acting for the division of - therein, on the to wit. Sapplication of the persons whose names are mentioned and set out in the schedule hereunder written, being persons duly rated and charged to the relief of the poor of the parish of in the said division, in and by the rates in the said schedule mentioned, and upon proof by them respectively of their respective inability, through poverty, to pay the said rates, amounting to the sums set down opposite their respective names in the said schedule, do, with the consent of the churchwardens and overseers of the poor of the said parish, order and direct that the said several persons shall be excused from the payment of the said rates, and we have accordingly struck out their names from the said rates.

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County of

33. Allowance of Rate.

We, two of her Majesty's justices of the peace in and for the said county of, do admit and allow of the foregoing

to wit. assessment. Witness our hands, this

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34. Recovery of Rates.]-The Forms in this will be found, post, tit. "Rates."

35. Appointment by one Justice of Select Vestry. (59 Geo. 3, c. 12, s. 1.]-See Form in 3 Arch. J. P. 4th ed. p. 224.

Oke's Synop.

2nd ed. p. 411.

POST HORSES.

Recovery of Duties.]—The necessary Forms are given in the act 2 & Oke's Synop. 3 Will. 4, c. 120.

2nd ed. p. 414.

POST OFFICE.

Recovery of Postage. (1 Vict. c. 36, and 10 & 11 Vict. c. 85.)]— Id. The necessary Forms are given in the act 1 Vict. c. 36.

PRIZE FIGHTS.

1. Complaint to ground Warrant for Apprehension of intended Com- Id. p. 415. batants.]-Proceed as in the General Form, No. 1, ante, pp. 23, 24, to the asterisk, and then :-that he the said C. D. hath good ground aud foundation for suspecting and believing, and doth suspect and believe, that A. B. of, &c. and E. F. of, &c. have this day unlawfully and against the peace of our lady the Queen agreed to fight a prize fight [or boxing match] this evening [or on- next] at the in the said county of

2. Warrant.]-This will be in the General Form, No. 11 (C), ante, p. 27, " to apprehend the said A. B. and E. F., and them bring before me the said justice, to find sureties of the peace.'

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3, 4. The Recognizance or Commitment in Default may be as those Forms given in tit. "Sureties," post.

RAILWAYS.

1. Officers not accounting or refusing to deliver up Books.]-The Forms under tit. "Highways," ante, pp. 123, 124, Nos. 2 and 5, also p. 441, No. 14-18, may be easily adapted.

2. Certificate of two Justices that whole of Capital has been subscribed. Id. (8 Vict. c. 18, ss. 16, 17.)]-We, J. S. and J. L., Esquires, two of her Majesty's justices of the peace for the county of assembled and

acting together in petty sessions at -, in and for the division of
in the said county, on the application of the railway company, incor-

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