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c~F CiJ`~IT3F,RI~.1;\'D COUtiT1'Y, !:ci.?i~r` s~~i~i C~~ert at Carlisle, th'r clay of
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IirspectFully represents, th:;: h: has rrsidccl ~~•i.j:in this State, (a• si}i n:~~u;hs ancf more, immediately preceding
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this his apj~~ication ; that l:e oflcrs to delivrr up to the use of his Creditors, all his property, real, personal and
rnix~d, to «~hich he is iu anv manner entitled ; a scjtedule ~~~hereof, together t~~i~h a list of his Creditors, and
the nature of their dcLts as tar as h~ can ascertain them, Frith a Statemect or his josses, and the means ~rhere•
by he became insolvent, are exhibited ~t ith and anncsed to this petition. IIc thet~eforc prat-s to be allowed
llle benefit crf the scver~il acts vl• _~ssccnbly of• the Caron:omrealth of PennS~~h•ani.~, m,;dc fo;. the relief oE' I~~•
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St~.tex~aent of PetrtioneY~'s losses, and tide 11Zeans, ~vhereb~
~>te 1ue~c~uie in~ol~ex>~t~
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'The i'oregoing p~titioncr being duly - ~ < <'r' ~`' ' ` ~ according to lacy, loth say, that
a]l the facts contained in tlZe fercgoing Pcti:::,n, Schedule, List and Statement, are true to the hest o£ his
I:IlUtZ'led~C and belief.
~l irff i c , . at::l subscriLed ~ • . ~ ~r t•1 <t~1
before me, the a ~ Il •
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day o~ ;~ _.~,,~,~.~- - _ - A. ll. 183 . _I
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tl:e n•ithin named Pet=.tioner, clu licrcl~v , ssi~,n, transfer, set over and clelivcr up, unto
tiro vC my Creditors, in purs~:ancc of the directions oi' tl~e aot of Assemhl~•, all my lstate, Real, Personal '.
and Mixed, reversions and rrmaindcrs, which 1 note have, possess, claim, or aez in any respect entitled to, in
any place whatever, in trust for themselves, and my other Creditors.
`',,~11 ~~1triB~~ whereof, I bare hereunto set my hand aizd seal this _ da)' °r '
~J~ L` ~'~`~~ in the }'car of our Lord, or.~ thousand. cinht h~tndrecl n.n~l t~~.-c~it~. , ~ `l
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~5e~led and Delivered i~r the ,1: ~~crc~•ce of 'l ~ ~ . ~ ` ~ ~'-
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