Licensing (Ireland) Act, 1860

Schedule A.

Sect. 2.

Form of Certificate.

Quarter Sessions, District of              .

County of             .

A.B., Appellant.

CD., Respondent.

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I certify that on the hearing of the appeal in this case from an order made by the justices of the petty sessions district [or A.B., divisional justice,] on the

day of          last, refusing to grant to the appellant a certificate to entitle him to obtain a renewal of a licence to sell beer, cider, or spirituous liquors, it was ordered by the court that the said order of refusal be reversed, and the said appellant was declared entitled to obtain a renewal of his licence.

Dated this          day of          .

Clerk of the peace.