the bearer of this our writ, the sum of
                        on you taxed and assessed, by
our prerogative court, held at the city of Annapolis,
on the second Tuesday of
last, for him the said C. D. his costs and
charges sustained upon the dismission of
                                            in the said court against
you exhibited, and this you may in no
wise omit, under the pain ensuing.  Witness &c.

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A. B.    A. B. maketh oath, that this deponent
  ag.      did on the                    day of
C. D.            personally serve the said defendant
            C. D. with a subpœna issuing
out of, and under the seal of the prerogative
court, by delivering to the said C. D. the body
of the said subpœna under seal, by which said
subpœna, the said C. D. was required to pay
unto the said plaintiff, or bearer, the sum of
                            as appeared to this deponent
by the contents of the said subpœna; and this
deponent did at the same time demand of the
said C. D. the said sum of
but the said C. D. then refused to pay the same,