Province of ,
Pursuant to application this day made to me, I hereby authorize the arrest of the accused (or defendant) (or execution of this warrant in the case of a warrant issued pursuant to section 487), within the said (territorial division).
Dated this day of A.D. , at
A Justice of the Peace in and for
- R.S., 1985, c. C-46, Form 28
- R.S., 1985, c. 27 (1st Supp.), s. 184
- Date modified: