[or,

The toal number of voters whose votes were recorded at the poll was; and, as the number of votes recorded in favour of the proposal that no licenses be granted in he district [or that licenses be restored, or be not restored, in the dis-page 16trict, as the case may be], is not less than three-fifths of the total number of voters as aforesaid, I hereby declare such proposal to be carried.]

Dated this day of, 18.