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Game Act 1831

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Schedule AForm of Licence

At a Special Session of the Justices of the Peace of the County of ______________ [or Riding, &c. as the Case may be], acting for the Division of [or otherwise, as the Case may be] in the said County, holden at ______________ in the said ______________ on the ______________ Day of ______________ in the Year ______________ We ______________ being ______________ Justices acting for the said ______________ assembled at the said Special Session, do hereby authorize and empower A.B. of ______________ [here insert the Name, Description, and Place of Residence, and, if more than One in Partnership, say, CD. of, &c. and E.F. of, &c. being Partners,] being a Householder [or Householders], [or Keeper (or Keepers) of a Shop or Stall, as the Case may be], to buy Game from any Person authorized to sell Game by virtue of an Act passed in the Second Year of the Reign of King William the Fourth, intituled " An Act " to amend the Laws in England relative to Game and we do also authorize and empower the said A.B. [or CD. and E.F. being Partners] to sell at his [or their] House [Shop or Stall] any Game so bought, provided that the said A.B. [or CD. and E.F. being Partners] shall affix to some Part of the Outside of the Front of his [or their] House [Shop or Stall], and shall there keep, a Board having thereon in clear and legible Characters his Christian Name and Surname, [or their Christian Names and Surnames,] together with the following Words, 'Licensed to deal in Game.' This Licence will expire on____________________________ ______________ (Signed) ______________ Justice of the Peace. ______________ Justice of the Peace.

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