The Public Health Act, 1875, (38 & 39 Vict., cap. 55) ; The Rivers Pollution Prevention Act, 1876, (39 & 40 Vict., cap. 75) ; The Public Health (Water) Act, 1878, (41 & 42 Vict., cap. 25) ; and the Public Health (Interments) Act, 1879, (42 & 43 Vict., cap. 31) / preceded by a complete index to the same by Frederic Stratton.

  • United Kingdom
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: The Public Health Act, 1875, (38 & 39 Vict., cap. 55) ; The Rivers Pollution Prevention Act, 1876, (39 & 40 Vict., cap. 75) ; The Public Health (Water) Act, 1878, (41 & 42 Vict., cap. 25) ; and the Public Health (Interments) Act, 1879, (42 & 43 Vict., cap. 31) / preceded by a complete index to the same by Frederic Stratton. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

    167/250 (page 163)
    Claim of Proxy. To the chairman of the local board for the district of This day of 18 . I the undersigned having been appointed by of owner [or owners] of the property hereinafter described which is situated in the parish of to vote as his [or their] proxy pursuant to the provisions of the Public Health Act, 1875, claim to have my name inserted in the register of owners and proxies for the district of as such proxy. I herewith transmit to you (a) the writing under the hand [or hands, or in the case of a corporation the seal] of appointing me such proxy. I also state that the interest or estate which has [or have] in such property and the amount of the rent-service which he [or they] receives or pays [or pay] in respect thereof and the names of the persons from whom he [or they] receives [or receive] or to whom he [or they] pays [or pay] such rent-service are set forth in the form hereunder written. Description of property (fi) In respect of which the appointor has an estate or interest of (e) And in respect of which the ap- pointor receives in rent-service the sum of (d) From (c) And in respect of which the appointor pays in rent-service the sum of (/) £ s. d. £ s. d. -Signature of proxy. -Address (h) of proxy. if tne appointment itself is not sent, insert the words an attested copv of (*) Describe the property by its name, situation, or the name of the occupier, or any other desig- nation by which it may be identified. ' 6 Pes,crib.e \he, °f interest, as an estate in fee simple, of freehold, a term of years, ™ ™0,11 1S held by the appointor solely or jointly with others, (rf) If the property is let by the appointor, insert the amount of rent received from each tenant. (e) Insert name of tenant or tenants. (/) If the appointor is a lessee paying rent, insert the amount of all the rent he pays. (g) Insert the name of the lessor. v y (/;) This need not be the proxy's residence, but should be some address within the district Form of Objection. To the chairman of the local board for the district of This day of 18 . I hereby give you notice that I object to the name of the person mentioned and described below being retained on the register of owners and proxies for the dis- Christian and surname of the owner or proxy objected to. Address as described. Nature of Qualification, as described. Description (in case of proxy) of appointor. Signature of objector. Address of objector. M 2