Director’s receipt when a prisoner is delivered into his
custody
I hereby certify that I have received from W. T., constable of
the district of ........, the body of A. B., together with a
warrant under the hand of J. S., Esquire, justice of the peace
for the district of ........., and that A. B. was (describe here
the prisoner’s state and condition) at the time he was
delivered into my custody.
(Date) ............
(Signature)
Director of the house
of detention of the
district of .......