Affidavit of service of notice on contributory
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........, solemnly affirm and say as follows:- 1. I did on the ................ day of ................ 19 ........, in the manner hereinafter mentioned serve a true copy of the notice now produced and shown to me and marked 'A' upon each of the respective persons whose names, descriptions and address appear in the second and third columns of the First Schedule to the list of contributories of the ....
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