Page 77 - Main Second Asbo Book1
P. 77

Form MG11
                                           RESTRICTED (when complete)

                                               WITNESS STATEMENT


                               (CJ  Act 1967, s.9;  MC Act 1980, ss.5A(3) (a) and 58; MC Rules  1981, r.70)

                                                                             URN  .____,, _   _._ ___   __.__---l
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              Age if under 18 ....... -... ·----.......... (if over1 8 insert 'over 18')
              This  statement  (consisting  of ....... -~ .... ~ ....... page(s) each signed  by  me)  is  true  to  the  best  of  my  knowledge
              and belief and I make it  knowing that, if it is tendered in evidence, I shall be  liable  to prosecution if I have wilfully
              stated in it anything which I know to be false or do not believe to be true.

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                                                      68
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