SUMMONS ON INFORMATION OF A PROBABLE BREACH OF THE PEACE

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..... credible information that................................ (state the substance of the information), and that you are likely to commit a breach of the peace (or by which act a breach of the peace will probably be occasioned), you are hereby required to attend in person (or by a duly authorised agent) at the office of the Magistrate of..............................................on the ........... .....

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