(Title)
To,
The Officer in charge of the Jail
at .....................
WHEREAS the plaintiff (or
defendant) in the above-named suit has made application to this Court that
security be taken of the appearance of .................to give evidence (or to
produce a document).on the ............day of ...........19...............; and
whereas the Court has called upon the said to furnish such security, which he has
afield to do; This is to require you to receive the said
...........................into your custody in the civil prison and to produce
him before this Court at .....................on the said day and on such other
day or days as may be hereafter ordered.
GIVEN under my hand and the seal
of the Court, this ................day of .............19. ..............
Judge
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