“State of Mississippi, ____ County.
“Before me, Andrew Sims, a justice of the peace of said county, Sallie Anderson complains on oath that Junius Brown has threatened to beat her (or to tear down her fence, or whatever may be the threatened offense), and she fears he will do as he has threatened, or some other injury to her person or property, and she prays that he may be required to give security to keep the peace toward her.
“Sallie Anderson.
“Sworn to and subscribed before me, the 30th day of November, 1906.
“Andrew Sims, J.P.”