“____ being duly summoned to appear and show cause against the judgment nisi for ten dollars entered against him in favor of ____ , as a defaulting witness in the case of ____ v. ____ No. ____ on the ____ day of ____ A. D. ____ , and having failed to show cause for such default, the said judgment nisi for ten dollars is now made final, as well as judgment for costs in said matter, this the ____ day of ____ A. D. ____ .”
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