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Primed by ~i'm R. fr Jnvnen U~e!ler xunnd, Cnrlirle.
'Fhe lionot•a61e the Tudges of the C'uurt off ~l;ommon Pleas of Cumber°land County, holding
said Court at Carlisle, the /.~-~_ jo C2.~.../y,L~ --day of ~,~~ 1SQ ~
~~~ ' ~~~~ly~q}~ Q~ ~k~~2~~r_r,,~-.- ~~~~~~`~ respectfullyreprese.nts~
That he has resided within this state for six months and more, immediately preceding this his
application; that he offers to deliver up to the use of his creditors, all his prupcrty, real, per-
sonal, and mixed, to which he is in auy manner entitled; a schedule whereof, together with a
list of his creditors and-the nature o£ their debts, as far as he can ascertaiu them, with a state-
ment of his losses and the means whereby be became insolvent, are exhibited with and annex-
ed to this petition. He therefore prays to be allowed the benclit o: the several acts of .tisaem.
bly of the Com~rconxcealth of Yennsyla,+aniar made for the rolief of Insolvent ])ehtors. /~i,,~,,y'~
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~f~T~~ A Schedule of Petitioner's Propert~.~
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List of Petitiener'~ Cre~~itors, with the nature and
AMOUNT Or' THEili. DEB'.CS.
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Statement of Petitioner's Losses, anct the means
VPIiL+'i~,EBY liL++' Bk:CAM1J INSOLVENT„
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The foregoing Petitioner being duly ~~~""~"~` aecoCding 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~
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before me, the ~.l` l.~ I
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say of ~ ~~~ is~/
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the within named Petitioner, do hereby assign, transfer, set over and deliver up, unto
~Lati-*w 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 aoy respect entitled to, iu any place whatever, iu trust, for themselves and my
other creditors. In witness whereof, I have hereunto set my hand and seal, this
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~~ °~'' day of ~~~r.-r/~- in the year of our Lords 1S2 f
Sealed and Delivered ~ ys~e
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