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a __ Prinfrd Lt/ Fret. R. FI./ir ntPx Uvtdenruaod• G'urli R:^. -
~'he IIonot•ahle the .Tudges of tine Court of l:otnmou Pleas of Cusrtbea•land G`ounty, balding
said Court at Carlisle, the '!< < ,
x F . ~ ~_- day of --~~f'sz.~_.~ ~~ - 18~ /
~~ ~ respectfully represents,
That he has resided within this state for six months and more, immediately preceding this his
application ; that he ufle.rs to deliver up to the use of his creditors, all his property, real, per-
sonal, and mixed, to wuieh 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 ascertaiu 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 benefit of the several acts of nssem.
bly of the L"omanonzoealth of Pennsylzaniar made for the relief of Insolvent Debtors.
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schedule of Petitioner's P~roperty~~°~~
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Statement of Petitioner's Losses, end the means
WHET{E13Y H~; SECA14I1~: I~v~i1LVl;\'1'..
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The foregoing Petitioner being duly .. ~/t'-4 < <•- ___~ aceot•ding to law, cloth say, that
all the facts contained in the foregoing Petition, Schedule,, List, and Statement, are true, to
the best of his kuuwledge and belief.
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~f [~`"'-'`-~ - and subscribed f i/~
before me, the /~ f";' _ I
day of .flt r < < < < !. ; z - 182 O
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~~~~ 3x~~ ~~#`~ ~~ ~~~~t` ~'~4~'~Ye~~, That I ` ae~/•a,,.--.~~ t~ .
the within named /Petitioner, do hereby assign, transfer, set over and deliver up, unto
tr~ao of my creditors, in pursuance of the directions of the Act of Assembly, all my estate,
real, personal, and mixed, re~•crsions and remainders, which I now have, possess, claim,
or am in any respect entitled to, in any place whatever, in trust, for themselves and my
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other creditors. In witness whereof, 1 have hereunto set my hand and seal, this ~'~
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day of -~-'t~.~-~: in the year of our Lord, 48;Z,
Sealed and Delivered ~ ~
in the presence af'
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