APRIL 1.] THE NEW ZEALAND GAZETTE. 1061

No. 23.—CLAIM FOR FREIGHT.

THE plaintiff claims £ for freight for the conveyance of goods in a certain steamship
called the [“British Queen”] by the plaintiff for the defendant at his request [or at the request
of A. B., the agent of the defendant], as follows : [Insert the items, with dates and amounts].

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No. 24.—CLAIM FOR WAGES.

THE plaintiff claims £ for wages as the hired servant of the defendant from the
day of , 191 , to the day of , 191 , at the rate of shillings a day
[or week].

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No. 25.—CLAIM FOR WORK DONE BY CONTRACT.

THE plaintiff claims £ for materials furnished and work and labour done by the plaintiff
for the defendant at his request, in [State work done] under a written agreement entered into
by the plaintiff with the defendant on the day of , 191 , as follows : [Insert
items, with dates and amounts].

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No. 26.—CLAIM FOR WRONGFUL DISMISSAL.

THE plaintiff claims £ for that, the plaintiff being the hired servant of the defendant at
the wages of £ per year, payable monthly, the defendant wrongfully dismissed the plain-
tiff on the day of , 191 , during the current year of his service.

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No. 27.—CLAIM FOR MONEY LENT.

THE plaintiff claims £ , the amount of money lent by the plaintiff to the defendant on
the day of , 191 , and which has not been repaid [or, if lent at several times, say
“as follows,” and insert dates and amounts].

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No. 28.—CLAIM FOR MONEY PAID.

THE plaintiff claims £ , the amount of money paid by the plaintiff to A. B. for the de-
fendant at his request on the day of , 191 [or, if paid at several times or to dif-
ferent persons, say “as follows,” and insert dates, names, and amounts].

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No. 29.—ACTION FOR CONTRIBUTION (SECTION 54 OF ACT).

THE plaintiff claims £ as the amount of contribution due in law from the defendant to
the plaintiff by reason of the plaintiff having been sued in the Magistrate’s Court at by
A. B. for the sum of £ , recoverable against the plaintiff and the defendant jointly, and
judgment recovered against the plaintiff, and paid and satisfied by him on the day of
, 191 . The plaintiff claims the same sum as money paid by him to defendant’s use.
The statement of claim plaintiff was sued on is as underwritten [or hereto attached].

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No. 30.—CLAIM FOR MONEY HAD AND RECEIVED.

THE plaintiff claims £ , the amount of money received by the defendant on or about the
day of , 191 , from A. B. for the use of the plaintiff [If received at several times
or from more than one person, say “as follows,” and insert dates, names, and amounts].

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No. 31.—CLAIM ON AN ACCOUNT STATED.

THE plaintiff claims £ on an account stated between the plaintiff and the defendant on
the day of , 191 [when the defendant gave the plaintiff an I.O.U. for that sum].

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No. 32.—CLAIM ON A PROMISSORY NOTE (PAYEE v. MAKER).

THE plaintiff claims £ , the amount of a promissory note dated the day of ,
191 , and made by the defendant and payable to the plaintiff on demand [or months
after date], and which the defendant has not paid, which note was in the words and figures
following [Insert copy of note]; and the plaintiff claims the further sum of £ for interest,
at the rate of per centum per annum, down to the date of judgment.

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No. 33.—CLAIM ON A PROMISSORY NOTE (INDORSEE v. MAKER).

THE plaintiff claims £ as the indorsee of a promissory note for £ , dated the
day of , 191 , made by the defendant, and payable on demand [or months
after date] to A. B. or order, and indorsed to the plaintiff, and which the defendant has not
paid, and which note was in the words and figures following [Insert copy of note]; and the
plaintiff claims the further sum of £ for interest, at the rate of per centum per
annum, down to the date of judgment.

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No. 34.—CLAIM ON A PROMISSORY NOTE (INDORSEE v. INDORSER).

THE plaintiff claims £ as the indorsee of a promissory note for £ , dated the
day of , 191 , made by A. B., and payable on demand [or months after
date] to the defendant or order, who indorsed the same to the plaintiff, and which said note was
dishonoured on presentment, and notice of such dishonour was given to the defendant, and
which said note was in the words and figures following [Insert copy of note]; and the plaintiff
claims the further sum of £ for interest, at the rate of per centum per annum,
down to the date of judgment.

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No. 35.—CLAIM ON A DISHONOURED CHEQUE.

THE plaintiff claims £ , the amount of a cheque drawn by the defendant on the Bank of
at , payable to the plaintiff or bearer, and dishonoured on presentment; and
the plaintiff claims the further sum of £ for interest, at the rate of per centum
per annum, down to the date of judgment.