NOTICE TO CLERK OF DISTRICT COURT OF ELECTION OF JUSTICE OF THE PEACE.

State of __________, county of __________, town of __________, ss.

To H.A.B., (address,) clerk of the district court of the county of __________.

You are hereby notified that at the _____ town meeting held in the town of __________, in the county of __________, and state of __________, on the _____ day of March, A.D. 18_____, P.E.C. was duly elected to the office of justice of the peace, for the term of two years. (If elected to fill a vacancy, state who was the last incumbent.) Given under my hand, this _____ day of March, A.D. 18_____.

A.R., Town Clerk.

III. Roads.