SCHEDULES referred to by the foregoing Act.

Sect. 76.

SCHEDULE (F) E+W+N.I. Form of Proxy.

A.B. , one of the proprietors of “The Company,” doth hereby appoint C.D. of to be the proxy of the said A.B., in his absence to vote in his name upon any matter relating to the undertaking proposed at the meeting of the proprietors of the said company to be held on day of next, in such manner as he the said C.D. doth think proper. In witness whereof the said A.B. hath hereunto set his hand, [or, if a corporation, say the common seal of the corporation, the day of one thousand eight hundred and .