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W. B & .1. Undermnnd-printers. Price-six and a fourth cents,
T/ae Honourable the Jezdges of ahc Court o mnn Pleas of Cumberland Cuunty, holding said
Cuurt at Carlisle, tlce ____ ' day of ~~C~v~,gt-~<.- c~ 132
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.~~~~~~'~~~4~1G Q~ '.~''~l~[.L3~L..z!c2 l~~s.~~~.~=u.«~;::,~,,. Respectfullr~ represents,
That he leas resided within this State for six rnontles and moz ;immediately preceding this, leis
Applicution; that he o~ers to deliver zcp to tlce use of lzis Creditors, all his Property, real, personal,
and mired, to which lze is in any manner entitilcd; a Scizedule zolzerenf, upon
..~ together zuitlz a list of his creditors, and the nature and anznunt of their debts, as far as 1ze can
ascertain them, with a statement of his losses, and tlee means whereby he became insok~ent, are ex-
hibited with, and annexed to this petition: He therefore prays to be allowed the bent of floe several
:acts of Assembly of tlz~ Comnaonwealtk of Pennsylvania, made for the relief of Insolvent Debtors.
Schedule of Petitioner's Property.
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List of Petitioner's Creditors, tivith the Nat
Amount of their Debts.
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Stateme
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Petitioner's Losses, and the Means by
which he became ic~solvent.
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lazy, doth say, that all tlae facts contained in the furegoing Petition, Sclaedule, List, and Statement,
are true, to the best of his knowledge and belief. ~~ e
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~,Lly~,-+ ~- and aubacribed brfore me,~ ~~ _= "
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the ~4~ ~ day of ~'7/n/-_ l{
182! ~a 1~ C/~ •vV~'YJ~ J
Know atl en by these Presents that I ~ --
'~ ~,~, _ the zoithira named Petitioner, do iaere6y assign, transfer, set over', and deliver up, unto
izuo of my Creditors, in pursuance of the directions of tlae llet of AssemBly, all my Estate,
real, persunrzl, and mixed, reversions and remainders, which I note have, possess, claim, or
am in any respect entitled to, in any place zuizatever, in trust, for themselvesa~nd~my-~ot~her credi-
tors. ha zuitrress zohereaf, I have hereto set my laand and seal, this ~u,~Fo
~,~~~,,, ~ in the year of our Lord, one thousand eight iaundred and twenty -~-•
Sealed and Delivered in the -'`~ -, ,~:
presence of ~ ' "_;~t-'
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