OFFICIAL BOND.

Know all men by these presents, that we, R.S., as principal, and B.B.S.
and J.E. as sureties, all of the county of __________, and state of
__________, are held and firmly bound unto J.D.E., E.C., and E.E., as
supervisors of the town of __________, in said county, and their
successors in office, in the sum of (five hundred) dollars, lawful money
of the United States of America, to be paid to them as such supervisors,
their successors or assigns; for which payment well and truly to be made,
we bind ourselves, our heirs, executors and administrators, jointly and
severally, firmly by these presents.  Sealed with our seals dated the _____
day of __________, 18_____.

The condition of the above obligation is such, that whereas, the above
bounded R.S. was, on the _____ day of __________, A.D. 18_____, duly
elected (or appointed) __________ in and for the town of __________, in
said county, for the term of __________, and is about to enter upon the
duties of said office; now, therefore, if the said R.S. shall, will and
does faithfully discharge all his duties as such __________ in and for
said town, then the above obligation to be void, otherwise to remain in
full force and virtue.

R.S. [Seal.] B.B.S. [Seal.] J.E. [Seal.]

Sealed and delivered in presence of

J.B. and G.J.

State of __________, County of __________, ss.

On this _____ day of __________, A.D. 18_____, before me, the subscriber,
a __________ in and for said county, personally appeared __________ to me
known to be the person described in, and who executed the foregoing
instrument, and acknowledged that he executed the same as __________ free
act and deed.

County of __________, ss.  B.B.S. and J.E., being duly sworn, say each for
himself, that he is surety in the within bond; that he is a resident and
freeholder of the state of __________, and that he is worth the sum of
(five hundred) dollars over and above his debts and liabilities, and
exclusive of property exempt from execution.

B.B.S. and J.E.

Subscribed and sworn to before me, this _____ day of __________, 18_____.

W.R.P., Justice of the Peace.

(After folding the instrument the approving officer must indorse on its back the following words:) “I hereby approve the within bond and the sureties therein contained, this _____ day of __________, 18_____.”

(Signed officially by the approving officer.)

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.