Fourth Schedule

(A)

(Section 22 (1))

To the Sheriff of New South Wales, the Sheriff’s deputy and all officers of the Police Force of the                 said State, and to the keeper of the gaol at                                                             

THESE are to command you, the said Sheriff and all officers as aforesaid, to apprehend A.B. (the offender), and to convey the offender to the said gaol, and to deliver the offender to the said keeper thereof, together with this warrant; and you, the said keeper, are hereby required to receive the offender into your custody in the said gaol, and the offender there safely to keep for the term of                      [or unless the sum of            shall be sooner paid], I, the undersigned                      of the                      (or                ), having now here adjudged the said A.B. [to pay a fine of                , and in default of immediate payment thereof] to be imprisoned for the said term, for that the offender, the said A.B.,                                                             

[Here state the offence to the following effect, as the case may require].

That A.B. having been duly summoned as a witness, and having had his or her expenses paid or tendered, neglected to appear before the Parliamentary Standing Committee on Public Works, (or) that A.B., wilfully insulted the said committee, (or) C.D., one of the members of the said committee, (or) that A.B. interrupted the proceedings of the said committee, (or) that A.B., misbehaved before the said committee, (or) that A.B. having been summoned or being examined as a witness in a certain inquiry or matter pending before the said committee, refused to be sworn or to produce a certain document mentioned in the summons served on the offender, viz.,                     , (or) that A.B. having been so summoned, refused to be sworn or to make a solemn declaration pursuant to the Public Works Act 1912 (or) that A.B. was guilty of prevarication in his or her evidence, or refused to answer a certain lawful question.

Given under my hand this                 day of                .

C.D.,
Chair (or Deputy Chair) of the Parliamentary Standing Committee on Public Works.

(B)

(Section 22 (2))

In the matter of the Public Works Act 1912 and                                                             

To the Sheriff of New South Wales, the Sheriff’s deputy and assistants, and to all officers of the Police Force of the said State.

WHEREAS, pursuant to the provisions of section twenty-two of the said Act, it has this day been proved to me that                     , of                      , has been duly summoned to attend and give evidence before the Parliamentary Standing Committee on Public Works pursuant to the Public Works Act 1912, but has failed to appear.

This is to require you forthwith to apprehend the said                     , and to detain the said                      in custody and bring the said                      before the said committee to give evidence.

Given under my hand and seal at                      aforesaid, this                      day of                      in the year of our Lord one thousand nine hundred and                                                             

A.B.,
Chair (or Deputy Chair) of the said Committee.