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FORM 42.

(ARTICLE 40.)

LIST OF PERSONS RELIEVED OUT OF THE WORKHOUSE of the Union during the Half-year ended the......day of (To be prepared by the Relieving Officer and printed copies to be posted by him in public places throughout his Relief District and to be further published as the Guardians may direct.)

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I hereby certify the above to be a true and correct List of all persons who were afforded Out-Door Relief in my District during the

Dated this.........day of.......

.19..

above-mentioned Half-year.

Published by order of the Guardians this......day of................

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FORM 43.

(ARTICLE 40.)

ORDER CHECK BOOK FOR OUT-DOOR RELIEF IN KIND. (To be used by the Relieving Officer.)

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We, the undersigned, being three Members of the........

....Local Committee present at a meeting of the Committee held this day, hereby certify that the foregoing amounts are properly payable on behalf of this Committee to the several persons named above, and we authorise the Board of Guardians of the............... .Union to pay the said amounts accordingly.

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FORM 45 (A).

(ARTICLE 25.)

ABSTRACT OF GUARDIANS ACCOUNTS

of the...............Union, for the half-year endel......day of................................... ..19......

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TABLE (b) STATEMENT EXPLANATORY OF REVENUE ACCOUNT.

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STATEMENT OF BALANCES at the close of the Half year.

TABLE (g).

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યા

£

8. d.

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I hereby certify that the figures shown in the several tables of this Statement are correctly abstracted from the books and accounts of the Board of Guardians.

Dated this......day of..............., 19......
.....Clerk of Union.

I certify the foregoing to be a true Abstract of the Accounts of the Guardians of the...............Union for the Half-year ende 1 the last day of..............., 19......

Dated this......day of......... 19......

......Auditor.

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