/nrm nf a lentiest tn \\it Inti^ttj. 



Every 'person desirous of bequeathing to the Society any Sum 

 of Money f Specimens, Books, Instruments, or other property, is 

 requested to make use of the following form : — 



" / give and bequeath to the Trustees, for the time being, of 

 the Whitby Literary and Philosophical Society the Sum of 



to be paid out of such part of 

 my personal estate, as I may legally charge therewith ( here 

 enumerate the effects or property intended to bequeathed.) And 

 I direct that the receipt of the Treasurer of the said Society, for 

 the time being, shall be an effectual discharge to my Executors 

 for the said legacy. ^^ 



