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Carlisle-Printed by ,]. Tizzard, and Co,
~~ i~1ic IloYlora~Ie the Jud~;cs of file Court of" Cc-mmon ~'lea~
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ul~Ct?J1hL1tL.~T\ll COliV"1'Y, holdin; said Court at Carlisle, the r - rr r%~ day of
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3~1V ~~CJ41~loil o~ ~~I~llirrrr. ~/~/~~lcr rr ~ ~r:rt (~rr/r.~ ~-
I~espcctfully represents, that h;: has resided within this State, for sis months and more, immediateIt• preceding
this his application ; that he oflcrs to deliver up to the use of his Creditors, all leis property, real, personal and
mixed, to which he is in any manner entitled ; a schedule ~ti•hereof, together ~ti•i2h a list of hip Creditors, and
the nature of their debts as far as he can asccrtaui them, with a Statement of 1}is losses, and the means where.
by 6c became insolsent, are cxhibite•d ttiith and annexed to this petition. He therefore pra}'s to be allo«-ed
tltc benefit of the several acts of assembly of the Commosn;ealth of ~"~nns; l~~ania, made :or, the relief of Ii,.
solt'ent D~b;ors. .>`~ ~lia~ i•! rf~ll~ ! ~`
S~l~edule of Petit~ou,~~"'s Propcrt~~
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•The foregoing petitioner being dultr ~ ~ ' " ` ' "~ - accareiirg t.; l.~a~, cloti~ sa}•, ti:.~:
all the facts cct;tained in the foregoing Petiti,,n, Schedtae, T~iSt and Statement, arc true to the hest of his
l:nott~ledge and fr.licG
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' - ; ~~ _ _ the ~ti ithin named Petitioner, do hereb}' assign, trar5[er, set over and deli~•cr up, unto
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of m}~ Creditors; iu parsuance cf the directions of the ~ c: of AssemLl~•, a[j m}r E~tale, deal, Personal
and 17iscd, rc~•ersions and remainders, which I now have, possess, clauTT, Or an] 11T any' re5peCt elltltled t0, ltl
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an}• place whatever, in trust for t~~a~~ and my other Creditors.
~ri ~li~lt11f~3~ whereof, I have hereunto set my hand and seal this ~-~-~ r' ~ ~ ~ ~~v day' ~
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` ,l ~, ~ ~ C~ in the }-ear of our Lord, one thcnsand eight ht:ntimd and ttvcnty ~ 'i~ ~~ e-"
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Scaled and Deli~cred i~1 the~ireserrce of 1 ~ ` --` t1A~~.
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