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Arintrid by IF-m B. F~ Jnmer Uudermnod, Carlisle. ,_,~glkl
`Fl-e Honorable the dodges of the Gourt of l;ommon Pleas of C~/umberland County, holding
said Court at Carlisle, the ~3 ~~ dray of ~`~-~ 48~!
~ ~~~~~~~~ ~~ ~~~ _,:: ~.r~~-- ~_/.G ~-~a ~~~. respectfully represents
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That he has resided within this state for six months and more, immediately preceding this Lie
application ; that Le offers 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 aid the nature of their debt, 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. h e thereFore prays to be allowed the benefit oc the several acts of assem-
bly of the Commonwealth of Pennsycva,aiar made for the ralief of Insole ut'D(eLtors. ~ , /~/„ „~~
~--` A Sched~zle of Petitioner's Propert~~ ~ --
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. List of Petitier.Pr'C f'~re.~lit~rs, with the nature and
AMOUNT OF 7.'HEIi'r DEBTS.
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'1°he foregoing Petitioner being duly ,~ti, ~ r"~--'- aceot~ding to law, doth say, that
'all the facts contained in the fore.goin~ Petition, Schedule, List, and Statement, are true, to
the best of his knowledge and belief. ~ C. ~;- ~~`/ ~ -
~L„.4.,,,~._ and subscribed)
Uefore me, the• ~ ~
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day of ~/'./L.~.~ r - __ 18~/
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That 1. ~-~`+`~ ~''c.r/~,~- .i ,
the within named Petitioner, do hereby assign, transfer, set over and deliver up, unto
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3d rwtiue of my creditors. io pursuance of the directions of the Act of Assembly, all my estate,
real, personal, and mixed, reversions and remainders, which 1 now have, possess, claim,
or am in any respect entitled to, iu any place whatever, in trust, f:~r tl-emselves and my
other creditors. In witness whereof, 1 have hereunto set my hand and seal, this
~ day of ~,£~~, in the year our Lord, t82 1
Sealed and Delivered Z ~, ((~~ Gv,' ~.~H:_iL,~
an the Presence of 3 ~~
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Statement of pet.itioner's Losses, and the means ~,
tiV1iEREBY H~ BECAME: L'vSOLVEN'.C. ~.
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