MEMORANDUM of the choice and appointment of new trustees of the following property, namely [Description of property], at a meeting of [Description of congregation, society, or body of persons] duly convened and held for that purpose at or in [Name of place], on [Date], and of which [Name of chairman] was chairman. Names and description of all the trustees on the constitution or last appointment of trustees made on the day of : Adam Bell, of .: Charles Dixon, of .: Edward Foster, of . Names and description of all the trustees in whom the said property now becomes legally vested: First: Old continuing trustees— Charles Dixon, of .: Edward Foster, of .: Second: New trustees now chosen and appointed— Benjamin Adams, of .: Jonathon Edmonds, of . Dated this day of 19 . A. B., Chairman of the said Meeting. Signed by the said AB, as chairman of the said meeting in the presence of— C. D. E. F.