“I . . . . . . . . . . . . . ., acknowledge myself indebted to . . . . . . . . . . . . . . in the sum of . . . . . . . . . . . . . . dollars, to be void upon this condition: Whereas, . . . . . . . . . . . . . . obtained a judgment before . . . . . . . . . . . . . ., a justice of the peace of . . . . . . township, in the County of . . . . . ., on the . . . . . . . . . . day of . . . . . . . . . ., 19. . . . . ., against . . . . . . . . . .. Now, if such judgment shall be paid at the expiration of . . . . . . . . . . months from the time it was rendered, this obligation shall be void
Approved: . . . . . . . . . . . . . ., J.P.”