§ Certificate of Appointment or Admission of a sufficient Person to preach and officiate as a Dissenting Minister.
§ To the justices of the peace at the general session of the peace, to be holden for the county, riding, city, or town, [as the case may be], of We, whose names are hereunto subscribed, being respectively substantial and reputable householders and Dissenting Prostestants of the sect or persuasion denominated [here de- 1140 cribe the sect], do certify on our consciences and belief, that A. B. of is a Protestant Dissenting minister of our sect or persuasion, and one of our congregation, and that we have and each of us hath known the said A. B. for the space of at the least, before the date of this our certificate, and that we duly believe in our consciences that the said A. B. is a person of sober life and conversation, and of sufficient ability and fitness to preach or teach, and officiate as a dissenting minister. Given under our hands this day of in the year of our Lord
| Signed and subscribed by the above-named C. D. C. D. E. F., G. H., I. K., E. F. L. M., and N. O., in the G. H. the presence of P. 2. of day above-written. | (Signed.) |
| C. D. | I. K. |
| E. F. | L. M. |
| G. H | N. O. |