1. That the defendant dishonestly or fraudulently
made or procured the making, signing, sealing
or execution of a false document;
2. That
the
defendant
intended
the
false
document to be believed to have been made,
signed, sealed or executed by or on the
authority of a person he knows not to have so
made, signed, sealed or executed it;
3. That making of the false document was with
the intention to cause damage to the public or
to any person, or to support any claim or title,
or to cause any person to part with property, or
to enter into any express or implied contract, or
to commit fraud.
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