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26
(Section 68)
Certificate of Non-appearance to be endorsed on the Defendant’s
Recognizance
I hereby certify that the said A. B. has not appeared at the
time and place in this recognizance mentioned, but therein has
made default, by reason whereof the amount of the said
recognizance is forfeited.
Date at ..........................., this ............... day
of ....................., in the year one thousand nine hundred
and ........................
(Signature)
Justice of the Peace (or as the case may be)
for the district of ........
Recognizance
I hereby certify that the said A. B. has not appeared at the
time and place in this recognizance mentioned, but therein has
made default, by reason whereof the amount of the said
recognizance is forfeited.
Date at ..........................., this ............... day
of ....................., in the year one thousand nine hundred
and ........................
(Signature)
Justice of the Peace (or as the case may be)
for the district of ........
