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Pri~rfrrl bu TISn H. t!+ Jeme.r TTreder:unnd. Carliale•~ ,' •~~
~'he Honorable the Jud;cs of 'the f'ourt of tvo-nmon Yleas of Cumbe~•land L'oun~~, holding
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said Court at CaI lisle, the ! ~ , day of ~ ' ' ' ~~ ~ i8~' ~
~~Q • ~~Q1~~~~4'~C q~ l~ae,«s 'kouy-' ~~ _ -- + respcetfullyrepresents~
That be has resided within this state for six months and more, immediately preceding this Lis
application; that he cfters to deliver up to the use of his creditors, all his property, real, per-
sonal, and mixed, to which he is in any manner entitled; a schedule whereof, together with a
list of his creditors and the nature of their debts, _as far as he can ascertain them, with a state-
ment of his losses and the means whereby he became insolvent, are exhibited with and annex-
ed to this petition. He therefore prays to be allowed the bene$t of the several acts of ,•1s9em-
bly of the Commonivealtlc of Pennsylvania? made for the relief of Insolvent Debtors.
A Schedule o~ Petitioner's Property.
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List of Petitioner's Creditors, with the nature and
AMQUNT Ob` THEIli, DEBT.
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Statement of Petitioner's Losses, and the means
WHEREBY HE BECAME INSOLVENT.
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Th® foregoing Petitioner being dull' )J Lc o, •« ` according to law, loth say, that
all the facts contained in the foregoing Petition, Schedule, List, and Statement, are trae, to
the beat of his knowledge and belief.
); rt r, +~. and snbscrihed~ ~ig~~
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h~fes~-sus, tho ~~4:x ~~ ~ ~ ~ ° ~~~ i
day of ,di~• tt ~ ,t. f ,•.,. ~,~ ~`'"' 18~ o ~
~~4~ ~~~ ~~ ~~' ~~~~~ ~~`~~tr~~~~ That t pr/< ; J r r / ~s~a t[~ / ~-~ ,
the within named Petitioner, do hereby assign, transfer, set over and deliver up, unto
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eve of my creditors, in pursuance of the directions of the Act of Assembly, all my estate,
real, personal, and mixed, reversions and remainders, which I now have, possess, claim,
or am in any respect entitled to, in any place whatever, iu trust, fJJr themselves and my
other creditors. In witness whereof, I have hereunto set my hand and seal, this ~'=bh'Tt~9~~
day of r~'{~>r, f,~._~ in the }ear of our Lord, 18Zo
Sealed and Delivered - yy~e~
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