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Form of Recognizance. Sect. 2.
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A.B., Appellant.
C.D., Respondent.
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Petty Sessions District of County of or Dublin Metropolitan
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Police District of .
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Whereas the justices [or, if in the City of Dublin, A.B., Divisional Justice,] on the day of , 18 , made an order refusing to grant to the appellant a certificate to entitle him [her] to obtain a renewal of a licence to sell beer, cider, or spirituous liquors (as the case may be), upon the grounds that [state grounds mentioned in the order]:
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The undersigned principal party to this recognizance hereby binds himself [herself] to perform the following obligation, that is to say, to prosecute his [her] appeal at the quarter sessions to be held at , and to pay such costs as the assistant barrister (or recorder,) shall order or direct; and the said principal party, together with the undersigned sureties, hereby severally acknowledge themselves bound to forfeit to the Crown the sums following, that is to say, the said principal party five pounds, and the undersigned sureties the sum of fifty shillings each, in case the principal party fails to perform his [her] obligation.
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(Signed) A.B., (Principal party.)
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E.F.,
G.H.,
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(Sureties.)
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Taken before me, this day of , 18 , at .
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(Signed) Y.Z. (Justice or Divisional Justice.)
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