(See
section 142 Criminal Procedure Code)To
(name, description and address).WHEREAS
the inquiry into the conditional order issued by me on the day of, 19, is
pending, and it has been made to appear to me that the nuisance mentioned in
the said order is attended with such imminent danger or injury of a serious
kind to the public as to render necessary immediate measures to prevent such
danger or injury, I do hereby, under the provisions of section 142 of the Code
of Criminal Procedure, 1973, direct and enjoin you forthwith to (state plainly
what is required to be done as a temporary safeguard), pending the result of
the inquiry.Dated,
this day of,19.(Seal
of the Court) (Signature)