AF00106663 Bankruptcy Solomons Tamworth - Flipbook - Page 61
1
a
St. 16'4
Proof of Debt.
IN THE SUPREME COURT OF
NEW SOUTH WALES.
IN BANKRUPTCY.
A
No. 7Cf/
0.
Be
9nertc(scft,t
Creditor.
day of C9 0 (0-6,..t
189 e,
Ex pane
State name of person
making the Proof.
Where a person
proves as the Agent,
Attorney, or Clerk,
state the fact ; also
authority and means
of knowledge.
Name of Creditor.
Here state the cause
and particulars of
Debt, briefly, but
explicitly. (See
Forms end Directions
in Fold).
ON the
G t9
,(2.40i({-f,
