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which instructions were as follows,

(Here insert defendants instructions refused.)

The Court refused to give the said
instructions - to which refusal the
defendant then and there excepted -

The Court at the request of the
Counsel for the prosecution gave the
following instructions -

(Here insert all instructions marked
"given" as presented by prosecution)

To the giving of each and every of
said instructions the defendant then
and there excepted -

The Court then upon its own motion
instructed the Jury as follows -

(Here insert Charge and instructions of the
Judge -

To the giving of which and
every part thereof the defendant
then and there excepted -

The offices of the Court were
then sworn and the Jury placed
in their charge and reitred to deliberate
upon their verdict -

After due deliberation the said
Jury returned into Court and submitted
the following as their verdict in
the said cause -

(Here insert verdict -)