District Court Rules
Schedule: C - Forms in civil proceedings Form: 86.5 Notice Of Surrender Of Public Dancing Licence - Public Dance Halls Act 1935
No. 86.5
O.86, r.5
Public Dance Halls Act, 1935
section 7
Notice of surrender of public dancing licence
District Court Area of
District No.
TAKE NOTICE that ............. of ............ hereby surrenders the attached Public Dancing Licence in respect of the place ............ situate at .............. in court area and district aforesaid, pursuant to section 7 of the above Act.
Dated this ... day of ..... 19...
Signed ..................
Licensee or Solicitor for Licensee
To the Clerk of the District Court,
at
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