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~~l~c ~~ono,~~~~~c ~I>LC ~-~~~~;es of 1;1~e C~oui~~: o~ Comz~on 1'le~s
ul~ CU.~~i13LlIh.1~ll COUN'I'X, holding said Court at Carlisle, the ~. day of
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Ilrspcetfully represents, that h:: has resided ~ti~ithin this State, for sip months and more, immediately preceding
1h15 l11S SpphcatlOn ;that he o~crs to deliver up to the use: of his Creditors, all his property, real, p;.•rsonal and
mired, to which he is in any manner entitled ; a schedule ~ti~hercof, together «~iill a list of his Creditors, and
the nature of their debts as far as he can ascertain them, n~ith a statement of his losses, and the means where-
by he became insolvent, are exhibited ii•ith and annexed to tl-is petition. Iic therefc;re prays to bc: allowed
the benefit of the several acts of _1s5embly ol• the Camnzonwcalth of 1'~nnsylvania, made :or the relief of Ia.
solvent llebtors.
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~,~st of Petitioner's Credif:ors, ~cvitl~ tine nature end
~,~~ount of #,lieir debts
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~~t~tep~ie~lt ~f I'e~titiorner9s losses, end the ~~ea~~. ~vhereb,~
lie became tiiso~vcn~t-
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The foregoing petitioner being dilly ~~,.,o- # ,~ _ __
all the facts contained in the foregoing Pctiti„n, Sci~edule
kno~t~ledge and belief.
. - - _ according to law•, cloth say, that
1•.isl and Statement, are true to the best of his
~, ,, ~ ~ , ~ _ and subscribe,
before n.e, tlu~ ~ r
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na~u ~t~r ~t~en ~~ t~je~e ~~e~c~zr~, Pl~~«t ~ ~ = - ~ ~,,~.,~,~
the within named Petitioner, do hereby assign, transfer, set over and deliver up, unto
itvo of my Creditors, in pursuance of the directions of the Act of Assembly, all my l;state, Real, Personal
at:d Mixed, reversions acid remainders, ~~~17ich.I note have, possess, claim, or am in anv respect entitled to, in
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:tny place ~; hatever, in trust for mss, and my other Creditors. ---
~tt ~19itn¢~~ whereof, I have hereunto set my hand and seal this to ~ • ----- day of
~~ ~ _ :. ~~-7 - ~ in the }'ear of our Lord, one thotasand eight hundred and ttiventy~ r~a .,_.~,
.Seale eli~ve~•ed sn the presence of
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