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The Pamphlet Collection of Sir Robert Stout: Volume 85

Schedule. — No. I

Schedule.

No. I.

In pursuance of the provisions of "The Public Libraries Act 1869" the ratepayers of the [city town or district of] are required to signify at the place under mentioned their votes for or against the adoption of the aforesaid Act.

(Signed)

A.B. Mayor

or Chairman. N.B.—The place for voting is [here insert the place appointed for voting].