xmlns:atom="http://www.w3.org/2005/Atom" xmlns:atom="http://www.w3.org/2005/Atom"
Sect. 30.
The Metropolitan Commons Act, 1866
I, A.B., of , in pursuance of the above-mentioned Act, appoint , of , to be my agent for all the purposes of that Act [or for a specified purpose under the Act.]
Dated this day of , 18 .
(Signed) A.B.
Witness, C.D.