Province of ,
Be it remembered that on the day of A.D. , at A.B., of , (occupation), (date of birth) was tried on the charge that (state fully the offence of which accused was acquitted) and was found not guilty of the said offence.
Dated this day of A.D. , at .
Provincial Court Judge or Clerk of the Court
(Seal, if required)
- R.S., 1985, c. C-46, Form 37
- R.S., 1985, c. 27 (1st Supp.), ss. 184, 203
- Date modified: