The Double Appoggiatura (Cadential 6 4 Chord)

Like other voice leading devices, it is possible to combine more than

one appoggiatura. The most common example of this is the Cadential 6 4 chord.
This chord is made up of two appoggiaturas to the dominant chord on the 6th and
4th from the bass, (which must be the root of the chord). These descend diatonically
to the 5th and 3rd of the chord to form the normal dominant chord:

The notes of the two appoggiaturas combine with the bass to form a tonic chord in
second inversion. However, it is important to note that this is just a voice leading
elaboration of the underlying dominant chord. This chord is a very common way of
elaborating V - I cadential patterns which is why it is referred to as a cadential 6 4
chord.
This chord can be further elaborated in various ways. The following shows just one
of these, where the chord is preceded by an augmented 6th chord which is created
by two chromatic passing notes in the bass and tenor parts: