POLICE 18A 1863024
ORIGINAL
CASH BAIL RECEIPT
(Section 122, C.P.C)
Case File No............................................. ....................................Police Station
RECEIVED from................................................................................................
the sum of shillings...................................................................................the aforesaid
person being accused on a charge of.............................................................................
................................................................ C.F. No..........................................and being
required to appear before the .........................................................at ............................
o’clock in the ............................................noon of ..............................................(date)
to answer to the said charge or in default to forfeit the sum deposited.
Signature .......................................... .............................Police Station
Witness..............................................
Date .................................................. Time............................................
2. Case File No. ..................................................... Date ..............................................
RECEIVED from..................................................................................Police Station
the sum of Shillings ........................................................................................................
....................................................Court Prosecutor.
Date ................................................
3. RECEIVED from Court prosecutor (Estreated) .....................................................
...................................................................................
.........................................................................Court Clerk.
4. Case File No. ..................................................... Date .........................................
RECEIVED from........................................................................................................
the sum of Shillings ........................................................................................................
.......................................signature or thumb-print
of Bailee
................ ............................................................ Witnessed.
GKP (L) 873 -3m Bks. – 06/2021
