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
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.
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![Form M. Appointment of Proxy. To the chairman of the local board for the district of . This day of 18 . I [or we] the undersigned being the owner [or owners] of the property hereinafter described which is situated in the parish of do hereby appoint to vote as my [or our] proxy in all cases wherein he may lawfully do so, pursuant to the provisions of the Public Health Act, 1875. And I [or we] hereby . state that the description of the said property is as follows; viz. (a) Signature of owner (b), _— Address of owner. : Witness. (a) Describe the property by its name, situation, or the name of the occupier, or any other desig- nation by which it may be identified. (/>) Or of three directors ; or in the case of a corporation say, Given under our common seal, and add the name of the person or persons entitled to affix the seal. Form N. Form of Voting Paper at Elections of Members of Local Boards. Voting Paper. District of No. of Voting Paper. Name and Address of Voter. Number of Votes. As Owner. As Ratepayer. Initials of the Voter against the Names of the Persons for whom he intends to vote. Name of the Persons nominated. Residence of the Persons nominated. Quality or Calling of the Persons nominated. Name of the Nominator or of one of the .Nominators. Address of such Nominator. I vote for the persons in the above list against whose names my initials are placed. (Signed) or the mark of Witness to the mark pr proxy for_](https://iiif.wellcomecollection.org/image/b21459642_0168.jp2/full/800%2C/0/default.jpg)