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VV, D & ,1. Vnderwnod-ryrinters. Price-aiz and a fourth cents,
The Flonourable the Judges of tlae Court of Common Pleas of Cumberland ~'unty, {folding said
Court at Carlisle, Lhc __ ., day of _ 182~i
•~~~ • ~~~~~~~~ ~~' ~~ ~~~• --!/Respectfully represents,
That he has resided within dais Strste for six months and more, irnnzediately preceding this, his
Application ; that he o~ers to deliver up to flee use of leis Creditors, all his Property, real, personal,
and mixed, to rvhiclz he is in any manner entitiled ; a Scfiedule rvlaereof, upon
together with a list of his creditors, and the nature and amount of their defits, as far as lee cant
ascertain diem, with a statement of his losses, and the means zohereby he became insolvent, are ex-
hibited with, and annexed to this petition: He tlcerefore prays to be allowed flee benefit of the several
Acts of Assembly of tfie Commonwealth of Pennsylvania, made for tlae relief of Insolvent Debtors.
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Schedule of Petitioner's Property. ~~~ "~~
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List of Petitioner's f reditors, with the Nature afl~.
Amount of their Debts.
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Statement of Petitioner's Losses, and the l~Zeans by
which he became insolvent.
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Tlae foregoing Petitioner being duly 41k,~..~.-~ according to
lazy, doth sai% that all the facts cotztained in the foregoing Fetition, Schedule, List, and Statenzent,
are true, to the best of leis kaozeledge and belief,
?~ and subscribed before me, ~_ /'~ _ ~/fi~/~~L
the a~ day of ~ f7r~•Y~ ff -
182 q ~af~
I~'now all ./~1en by t ese Presents, that I, ~.-~ ~~~
the roithin named Petitioner, do hereby assign, transfer, set over, and deliver up, unto
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~~---~rr~. of my Creditors, in pursuance- of the dirErtians of the Act of dssembly, all my Estate,
real, personal, ¢tzd mired, revez•sions and remainders, zehicli I now Jtave, possess, claim, or
am in any respect entitled to, in any place zvhutever, in trust, ,fort < ~.~~~~d my otJzer credi-
tors. In witness whereof; I have hereto set my hand and seal, this Jo '' - day of
,.~„C~,~-~ -- --- in the year of our Lord, one tiaousand eight /zundred and tze~enty~~
Sealed and Delivered in the
~T!_ ~r•ese>nce of
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