1901年盜竊罪法令

以下含有兩條罪名的公訴書樣本在被廢除之前曾載錄在《1915年公訴書法令》附表2 （页面存档备份，存于）第26段內。

STATEMENT OF OFFENCE.
罪行的陳述

First Count.
第一項罪名

Fraudulent conversion of property, contrary to section 1(1)(a) of Larceny Act, 1901.
欺詐性侵佔財產，違反《1901年盜竊罪法令》第1(1)(a)條。
（按具體情況填寫）

PARTICULARS OF OFFENCE.
罪行的詳情

A.B., on the   day of  , in the county of  , fraudulently converted to his own use and benefit certain property, that is to say, 100 l. entrusted to him by H.S. in order that he, the said A.B., might retain the same in safe custody.
陳大文於 日在 郡欺詐性地將若干財產轉為己用，即李智能託付予他以便他，即上述陳大文，妥為保管的 。
（按具體情況填寫）

STATEMENT OF OFFENCE.
罪行的陳述

Second Count.
第二項罪名

Fraudulent conversion of property, contrary to section 1(1)(b) of Larceny Act, 1901.
欺詐性侵佔財產，違反《1901年盜竊罪法令》第1(1)(b)條。
（按具體情況填寫）

PARTICULARS OF OFFENCE.
罪行的詳情

A.B., on the   day of  , in the county of  , fraudulently converted to his own use and benefit certain property, that is to say, the sum of 200 l. received by him for and on account of L.M.
陳大文於 日在 郡欺詐性地將若干財產轉為己用，即他為李智能接收到的 。
（按具體情況填寫）