# Capital Punishment Amendment Act 1868 (repealed), Certificate of Surgeon

Extent: E+W+S+N.I.

I, A.B., the surgeon [or as the case may be] of the [describe prison]. hereby certify that I this day examined the body of C.D., on whom judgment of death was this day executed in the [describe same prison]; and that on that examination I found that the said C.D. was dead.
Dated this day of
(Signed) A.B.

---
Source: https://www.legislation.gov.uk/ukpga/Vict/31-32/24/schedule/crossheading/certificate-of-surgeon (the official version)
Page: https://openlegislation.uk/capital-punishment-amendment-act-1868-repealed/schedule/crossheading-certificate-of-surgeon
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.