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Pedlars Act, 1871
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SCHEDULE TWO.

Form A.

Sect. 5 .

Form of Application for Pedlar’s Certificate.

1. I, A.B. [Christian and surname of applicant in full] have during the last calendar mouth resided at            in the parish of            in the county of

2. I am by trade and occupation a [here state trade and occupation of applicant, e.g., that he is a hawker, pedlar, &c.]

3. I am                        years of age.

4. I apply for a certificate under the Pedlars Act, 1871, authorizing me to act as a pedlar within the                        police district.

Dated this                        day of                        .

(Signed)            A.B.

[Here insert Christian and surname of applicant.]

Form B.

Form of Pedlar’s Certificate.

In pursuance of the Pedlars Act, 1871, I certify that A.B. [name of applicant] of                                    in the county of                                    aged                         years, is hereby authorized to act as a pedlar within the                         police district for a year from the date of this certificate. [To be altered, if necessary, to correspond to any order of the Secretary of State or Lord Lieutenant of Ireland as to time of expiration of licenses.]

Certified this                        day of            A.D.

(Signed)

[Here insert name and description of the officer signing the certificate.]

The certificate will expire on the                        day of                        , A.D.

[Form C. rep. 46 & 47 Vict. c. 39. (S.L.R.)]