City Tattersall’s Club,
City Tattersall’s Club, Sydney.
MEMORIAL to record the name of the Chairman of City Tattersall’s Club in the Supreme Court of New South Wales, pursuant to the City Tattersall’s Club Act of 1912.
The name of the said Chairman is the said was duly elected to the office of Chairman on the day of A.D., 191 .
I, of , make oath and say that I am the Secretary of City Tattersall’s Club, and that I saw the foregoing memorial signed by the abovenamed Chairman, and that he was duly elected Chairman on the day abovementioned.
Sworn this day of one thousand nine hundred and , before me,