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(19.) General No. 2.

Forms. Notice of Claim to be given to the Overseers.

Counties. I hereby give you notice, that I claim to be inserted in the list of voters for the county of (or for the

riding," "parts," or " division of the county of

as the case may be), and that the particulars of my place of abode and qualification are stated below. Dated the day of in the year

(Signed) John Adams, Plece of abode, Cheapside, London. Nature of qualification : freehold house, Cor warehouse, stable, land, field,

ensuity, rent-charge, fe., as the case may be, giving such a description of the property as may serve to identify it). Where situate in this parish (or township), King street. (If the property be not situate in any street, Jane, or other like place, then say, Name of the property, Highfield Farm," or "Name of the occupying tenant, John Edwards."]

No.3. County of to wit, [or "

The List of Persons entitled to vote in riding," "parts," or * division of the the election of a knight (or “knights"] aunty of ," as the case may be.] ) of the shire for the county of (ar for the riding," "parts," or " division of the county of ," as the case may be], in respect of property situate within the parish of (or terenskip, as the case may be).

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NOTICE of OBJECTION to be given to the OVERSEERS.
To the Orerseers of the parish of (or “ township," as the case may be.]

I hereby give you notice, that I object to the name of William Ball being retained in the list of voters for the county of

(or “ for the riding," " parts," or " division of the county of "]. Dated the dey of

(Signed) A. B. of (place of sbode).

in the year

(19.) General

Forms.

Counties.

No, 5.

NOTICE of OBJECTION to Parties inserted in thc List.

To Mr. William Ball, I hereby give you notice, that I object to your name being retained in the list of voters for the county of

[or" for the

riding, parts," or division of the county of "], and that you will be required to prove your qualification at the time of the revising of the said list. Dated the day of

(Signed) A. B. of [place of abode).

in the year

No. 6.

LIST of Persons objected to, to be published by the OVERSEERS.

The following Persons have been objected to as not being entitled to have their names retained in the list of voters for the county of

(or “for the riding,parts,or division of the county of "].

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(19.) General SCHEDULE (1.)

Forms. FORMS OF LISTS and NOTICES applicable to CITIES and

Cities.

Boroughs. BOROUGHS.

No. 1.

The List of Persons entitled to vote in the election of a member for "members") for

the city (or “ borough''] of in respect of properly occupied within the parish (or " township'] of

by virtue of an act passed in the second gear of the reign of King William the Fourth, intituled " An Act to amend the Representation of the People in England and Wales."

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No. 2.
The List of all Persons (not being freemen) entitled to vote in the election of a

member (or“ members") for the city (or “ borough''] of in respect of
any rights other than those conferred by an act passed in the second year of the
Teign of King William the Fourth, intituled An Act to amend the Repre-
&ntation of the People in England and Wales.

Christian Name and Surname of each Voter

at full Length.

Nature of Qualification.

Street, Lane, or other

Place in this Parish
where the Property

is situate.
If the Right of voting

does not depend on
Property, then state
the Place of Abode.

(Signed)

A. B.) Overseers of the parish of
C. D.

[or " township ") within the
E. F.) said city (or “ borough'').

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Cilies. Boroughs.

The LIST of the Freemen of the City (or “ Borough"] of

[or“ of ," being a Place sharing in the Election with the City (or “Borough''] of

"] entitled to vote in the Election of a Member (or " Members"') for the said City (or “ Borough''].

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To the Overseers of the Parish (or Township"] of (or “ to the
Town Clerk of the City" (or “ Borough"] of

or otherwise, as
the case may be).
I hereby give you notice, that I claim to have my name inserted in the list
made by you of persons entitled to vote in the election of a member (or “ members "']
for the city (or “ borough"] of

and that my quolification consists of a house in Duke-street in your parish, (or otherwise, as the case may be] ; (and in the case of a freeman say, and that my qualification is as a freeman of and that I reside in Lord-street in this city or borough). Dated the day of

one thousand eight hundred and thirty

(Signed) John Allen of [place of abodo).

No. 5.

NOTICE of OBJECTION.

To the Overseers of the Parish (or “ Township"] of

Town Clerk of the City” (or “ Borough "] of
the case may be].

[or" to the or otherwise, as

I hereby give you notice, that I object to the name of Thomas Bates being retained in the list of persons entitled to vote in the election of a member (or "members "] for the city (or “borough"] of

and that I shall bring forward such objection at the time of the revising of such list. Dated the day of

(Signed) A. B. of (place of abode).

in the year

No. 6.

(19.) General

Forms, LIST of CLAIMANTS, to be published by the OVERSEEKS. The folloreing persons claim to hare their names inserted in the list of persons Cities. entitled to role in the election of a member (or " members "] for the cily for Boroughs. * Lorough"] of

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No. 7.
LIST of Persons objected to, to be published by the OVERSEERS.
The following persons have been objected to as not being entitled to have their

names retained in the list of persons qualified to vote in the election of a
member for " members"] for the city (or “ borough") of

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No. 8.
LIST of CLAIMANTS, to be published by the Town Clerks.
The following persons claim to have their names inserted in the list of the free.

men of the city (or borough''] of (or “of ," being a place sharing
in the election with the city (or “ borough"] of

], entitled to vote in the election of a member (or “ members "] for the said city (or “ borough].

| Christian Name and Surname of each

Claimant at full Length.

Place of his Abode.

(Signed)

A.B.

Town Clerk of the said city

for borough or pluce).

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