Second ScheduleCERTIFICATE OF RECEIPT OF NOTICE

Second Schedule

SCHEDULE II (See sections 24 and 50) CERTIFICATE OF RECEIPT OF NOTICE I, do hereby certify that, on the day of , notice was duly entered in my Marriage Notice Book of the marriage intended between the parties therein named and described, delivered under the hand of one of the parties (that is to say): – District in and that the declaration, or oath required by section 17 or 41 of when one of the parties lives in another district.] Church, | which the chapel or | other party place of | resides, worship in | when the Names. which the | parties marriage is to | dwell in be solemnized. | different districts.

1. the Christian Marriage Act, 1872 has been duly made by the
2. side (James Smith).
3. Date of notice entered The issue of this certificate has
4. not been prohibited by any
5. Date of certificate given person authorized to forbid the
6. issue thereof.
7. Witness my hand, this day of
8. seventy-two.
9. (Signed)
10. This certificate will be void, unless the marriage is
11. solemnized on or before the day of
12. [The italics in the schedule are to be filled up, as the case
13. may be, and the blank division thereof is only to be filled up