# Capital Punishment Amendment Act 1868 (repealed), Declaration of Sheriff and others.

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

We, the undersigned, hereby declare that judgment of death was this day executed on C.D. in the [describe prison] in our presence.
Dated this day of
(Signed) E.F., Sheriff of
L.M., Justice of the Peace for
G.H., Gaoler of
J.K., Chaplain of
&c. &c.

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Page: https://openlegislation.uk/capital-punishment-amendment-act-1868-repealed/schedule/crossheading-declaration-of-sheriff-and-others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