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S T~~TE ME NT•
Of Petitioner's Losses, and the NTcans whereby he became Insolvent,
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COUNTY, SS.
'The foregoing petitioner being duly •'-~~ ~ ~- _according to law, doth say, that
all the facts contained in the foregoing Petition, Schedule, List and Statement, are true,
to the best of his knowledge and belief: - f ~ a
r/u>.~.-, . end subscribed)
before me, the ~ i~ ___--- day ~
of . ~yL.~-~- 7820.
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~5'ealed and delivered in~
~la~resence of
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KNUT~ir all Men by these P~°esents, that T ~~h ~~'~i~~r3
the within named petitioncr, do hereby ass~nn, transfer, set over and deliver up,
two of my creditors, r pursuance of the directions of the llct of Assembly, all
my estate, real, personal and mimed, reversions and remamders,~«=hich 1 now have,
possess, claim, or am, in any respect, entitledao;, in any place whatever,'1"n•xrust•
for themselves and my other credrtors. In ~z'rtrress whereof, I ha~•e hereuntxothe
my Hand and 4eal, this fry ~` ~ ~- ~d'`ly .of ~ ~ "~~
year of our Lord one thousand'eiglit hundred ancl. twenty.
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~T'he Hon. the Judges of the Coin°t of ~'nrra7non Pleas of ~~,.,~,,t,~,-~~ County, holding
said Court at ~x ~ cl-c-emu they~,~=~. ~ `{L- ~ ~._rlay of~,~t~.,ts~~-1820.
The Petition o~s~f=~~ ~~ ~~i-u~ respectfully represents:
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a~el wit-el:
' ~ ;that hc`h~ re de within this state for six
months and more immediately preceding the` ~; "that offers to deliver up
to the use of his creditors all his property, real, personal and mixed, to which he is in
any manner entitled; a schedule whereof; together with a list of his creditors and tl,e
•ture of their debts, as far as he can ascertain them, with a statement of his losses
.~d the means whereby he became insolvent, are exhibited with and annexed to this
petition. _
He therefore prays to be allowed the benefit of the several Acts of 9ssembly of the
commonwealth of Pennsylvania, made for the Relief of Insolvent llebtors.
SCHEDULE of Petitioner's Property.
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L I S T
Of Petitioner's Creditors, with the Nature and Amount of their Debts,
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