[Names of Persons agains whom Judgt is rendered] | [Parties Names] | [Date of Judgment] | [Nature of Judgment] | [Amt of Debt] | [Amt of Damages] | [Record & Page] | [Fee Book & Page] | [Amount of Costs] | [Total amt of Costs] | [Disposition of Judgment] | [Date of Satisfaction] | |
[. . .] | ||||||||||||
vs & | Octo 19 1846 | For Costs on Dismissal | D 455 |