§ 6002. Bailpiece—surety in jail bond taken on execution
in the county of ……………….. was bailed by C. D. of ……………….. in the county of ……………………. , to the liberties of the jail yard in ………………………… in the county of ……………………….. , on an execution in favor of E. F. of ……………………………………… in the county of ……………………………………… , the sum of …………….. dollars damages, and ………………………… dollars costs of action, with ……………………. cents for such execution, and officers’ fees thereon to the amount of ………………………… .
G. R., Jailer.