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(A.)

FORM OF REPORT CONCERNING PERSONS CONVICTED IN COURTS OF RECORD.

REPORT of the sheriff of the county of....to the Secretary of State of the State of New York, respecting the per-
sons convicted of criminal offenses at the Court of...
..day of..
......, 18

held in and for the said county, on the
made pursuant to the 945 section of the Code of Criminal Procedure.

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(B.)

FORM OF REPORT CONCERNING PERSONS CONVICTED AT COURTS OF
SPECIAL SESSIONS.

REPORT of the Sheriff of the county of.... ..to the Secretary of State, respecting the persons convicted of criminal offenses at the Courts of Special Sessions, held in and for the city of ....for the month of...

18 , pursuant to section 945, Code of Criminal Pro

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Assault.

Assault and battery.

Drunk and disorderly

Disorderly conduct.

Breach of the peace

False pretenses.

Gaming houses.

Intoxication.

Misdemeanor.

Nuisance.

Petit larceny.

Riot.

ordinance.

Vagrancy.

Violating city

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Question-What religious instruction have you received, and in what religious denomination have you received it?

Answer

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Question-Have you been before convicted, or not, of any crime; if you have, of what crime and where convicted?

Answer

Justice.

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