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3
(Section 13)
Information and Complaint for an Offence
Canada,
Province of Québec,
District of
The information and complaint of C. D. of ...................
..............................................................
(yeoman), taken this ............. day of ................., in
the year one thousand nine hundred and .......................,
before the undersigned, who saith that (etc., stating the
offence).
Sworn before me, the day and year first above mentioned, at
..............................................................
(Signature)
Justice of the Peace (or as the case may be)
for the district of ................
Canada,
Province of Québec,
District of
The information and complaint of C. D. of ...................
..............................................................
(yeoman), taken this ............. day of ................., in
the year one thousand nine hundred and .......................,
before the undersigned, who saith that (etc., stating the
offence).
Sworn before me, the day and year first above mentioned, at
..............................................................
(Signature)
Justice of the Peace (or as the case may be)
for the district of ................
