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Psin~erl 5p ism B. f<l .Rtmen LPndertuonu, CarliaLt. _ _ •~ ,~ ~•
°I'he Honorable the 3ud~es of the Court of lommou Yleas of Cumberland County, holding
said Court at Carlisle, the ~~- ~ ---.-- day of .~ ~~u-c _~ l8~9~
~~~~~~~~;~¢~, !l~ ~ CGtU respectfully represents,
'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 property, 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 of their debts, as far as he can ascertain them, with aerate- ;
mcnt 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 hssem.
bly of the Commonaeealth of Pennsylvania, made for the relief of Insolvent Debtors.
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~ Schedule of Petitioner's Property.
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~~,ist of petiti~x~~~'a ~'rec~ifors, with the nature and
AMOUNT OF TH.EIli, DEBT.
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Statement of Pefit.i~-nPr's Losses; ua~I`i'[~ tLe'~iie'a'~s %`~- ~"
~'~[I,;itElyY H-. 13I:0AM~ INSOLVENT.
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7`he foregoing Petitioner being duly . r r °° - a - '
all the facts contained in the foregoing petition, Schedule, Listorand Stat menttl,oalre true~to
the best of his knowledge and belief
" ~ and subscribed
before me, the ~ I
day of I
e . ~ ~ .. ,. 18Q ~;;
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~tt4#~ ~~ ~e'~~~t ~?~ ~~¢~t' ~~~~~~~.~, That I ~ ~ - ., ~-3 B`
the within named Petitioner, do hereby assign, transfer, set over and deliver up, ttnta
>~ of my creditors, in pursuance of the directions of the Act of Assembly, all my estate,
real, personal, and mixed, rer-ersions and remainders, which I no1<K have, possess, claim,
or am in any respect entitled to, iu any place whatever, in trust, fur themselves and my
other creditors. In witness whereof, I have hereunto set my hand and seal, this
day of - .~"<
Sealed and Delivered) '~
in the presence of 3
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in the year of our Lord, 182 a~
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