In the District Court of

No.                       of 19            .

Between

A. B.,

Plaintiff,

and

C. D.,

Defendant.

To E.F., in charge of hotel                                  (or workshop) at                                  .

This is to call upon you to inform me forthwith in writing whether there is any claim for hotel dues (or for work done) on the following property, namely                                  , which was seized from the hotel (or workshop) in your charge as belonging to C.D. of                                  , under writ of execution dated the                       day of                                  19            .

And take notice that if you fail to inform me on the accompanying form at once, no provision will be made for your claim.

(Signed)                                 

Bailiff.                                 

Delivered on the                       day of                                  19            , at the hour of            in the                       noon.

Note.-This notice to be delivered with Form No. 43 which should, when delivered, bear the title of the action and date and hour of delivery filled in by the Bailiff.