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SCHEDULE (E.)-SECTION 28.

NOTICE OF ADMISSION.

I hereby give you notice, that A. B. was received into this House as a Patient on the

and I hereby transmit a copy of the Order and Medical Certificates (or Certificate) on which he was received.

day of

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Subjoined is a statement with respect to the mental and bodily condition of the above named Patient.

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I have this day seen and personally examined A. B., the Patient named in the above notice, and hereby certify that, with respect to mental state, he (or she,

and that, with respect to bodily health and condition, he or she)
(Signed,)

Name.
Medical Proprietor (or Superintendent,

or Attendant) of

Dated this and

day of

one thousand eight hundred

SCHEDULE

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Date of Death or Dig

charge.

Date of last Admission.

No. in Register of Pa

tients.

Recovered.

Relieved.

Not Improved

Age at Death.

Removed.

Length.

Death.

M. | F.

Died.

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SCHEDULE

SCHEDULE (G.)—SECTION 30.

FORM OF NOTICE OF DISCHARGE OR DEATH.

I hereby give you notice that

a patient received into this house on the day of was discharged therefrom, recovered (or relieved, or not improved) (or was removed therefrom) by the authority of

(or died therein) on the

day of

(Signed)

Name. Superintendent (or Proprietor)

of house, at

Dated this

day of

one thousand eight hundred and

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In case of death, addand I further certify that A. B. was present at the death of the said

and that the apparent cause of the death of the said (ascertained by post mortem examination, if so) was

248

SCHEDULE

SCHEDULE (H.) SECTION 35. FORM OF MEDICAL JOURNAL, AND WEEKLY REPORT.

Number of Patients.

Names of Patients under restraint, (and by what means,) or in seclusion.

Names of Patients under

Medical Treatment.

Report on state of health

Deaths, injuries and

of Patients,

violences to Patients.

Date of Report.

and condition of House.

Males.

Females.

Males.

Females.

Females.

Males.

SCHEDULE

SCHEDULE (J.)-SECTION 56.

FORM OF SUMMONS.

We, whose names are hereunto set and seals affixed, being two of the Visitors appointed under or by virtue of an Act passed in the Session held in the fourteenth and fifteenth years of the Reign of Her Majesty, Queen Victoria, intituled, An Act for the regulation of private Lunatic Asylums, do hereby summon and require you personally to appear before us at

, in

, on

the day of , at the hour of

in the noon of the same day, and then and there to be examined, and to testify the truth touching certain matters relating to the execution of the said Act.

Given under our Hands and Seals, this Lord one thousand eight hundred and

day of

, in the year of our

CAP. L X X XV.
An Act to exempt Firemen in Cities from the payment of Statute Labour Tax.

[ 30th August, 1851. ] PE it enacted by the Queen's Most Excellent Majesty, by and with the advice and Firemen having serv. D consent of the Legislative Council and of the Legislative Assembly of the ed a certain timo

exempt from serving Province of Canada, constituted and assembled by virtue of and under the authority of as Jurors. an Act passed in the Parliament of the United Kingdom of Great Britain and Ireland, and intituled, An Act to re-unite the Provinces of Upper and Lower Canada, and for the Government of Canada, and it is hereby enacted by the authority of the same, That from and after the passing of this Act, it shall and may be lawful for the Municipal Corporation of any City within this Province, by any By-law, to enact and provide, that when any Member of any Company of Firemen which is or may be regularly enrolled in such City wherein the formation of Companies of Firemen is by law authorized and regulated, has regularly and faithfully served for the space and term of seven years consecutively in the same, the said Member shall be entitled to receive, upon producing due proof of his having served seven years consecutively as aforesaid, a Certificate from the Clerk of the Common Council of the City in which he resides, or the Clerk of the Corporate Body under whose authority the said Company shall have been established, that he has been regularly enrolled and served as a Member of the said Fire Company for the space of seven years, which Certificate shall exempt the individual named therein from the payment of any personal Statute Labour Tax thereafter, and from serving as a Juror on the trial of any cause in any Court of Law within this Province ; any law, custom or usage to the contrary notwithstanding.

CAP. L X X X VI.

mble.

An Act to provide for the incorporation and better Management of Library Associations and Mechanics' Institutes.

[ 30th August, 1851. ] THEREAS it is expedient to encourage the establishment of Library Associations p

and Mechanics' Institutes, and for that purpose to provide for the incorporation of such Institutions, and to grant them certain powers enabling them better to protect their property and manage their affairs: Be it therefore enacted by the Queen's Most Excellent Majesty, by and with the advice and consent of the Legislative Council and of the Legislative Assembly of the Province of Canada, constituted and assembled by virtue of and under the authority of an Act passed in the Parliament of the United 248 *

Kingdom

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