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Carlisle-Printeu by J. T;zzard, an<i Co,
f~~lC ~IonOrabl~ t~1C ~11(~bCS of 1~1C ~Olll't of" Co1116Y1on 1'le~d~
of CliJ73IJRI..-1Nll COUNTY, ltoldins said C(?t1rC at Carlisle, the ~~-,.-,..- z~=T.~. day of
4 1J?
Tl~e Petition of ~~t. ~ ~, ~t ~<~ _-- -__ - _ -- _
.Respectfully represents, that h~ has resided ~~ i:hin this State, for six months and mor;, immediately preceding
this his application ; that he ofl'~rs to deliver up to the use of his Creditors, all his property, real, pcrsr>nal and
muted, to ~vlaich he is in a~:y mauner emitted ; ~ seltedule ~rhereof, together t~~iS.lt a list of his Crrclitors, and
the nature of their debts as f it as he can ascertain them, with a Statement of his loss~s, and the means wltere-
by he vecame insolvent, are e:thihitrd with and annexed to this petition. He therefore pracs to be allo~ced
the benefit of the se~-cral acts of asserrtbly of• the Commotnti•ealth of Pennsylvania, made fur the relief of In•
~'olrrnt I]cb,ors.
S~l~ecltile of P(;titiol~e~~'s I'l~o~crt~e
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~,ist of i''etitioner's creditors, aa~it~h the nature anc~
amount of tl~eir ~Iebts~
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~>~;~te~e~~t o~ I~etit.~oner~s tosses, ~.nc~ tie 11~e~~ns, ~cvliere~~
tll.e beca-~~e ~i>iisoX~emt,
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~>E~ aalYu e rt 1>i~ ~~ ~ o u >i;, ~,~, ~s , I ~ • ,
~:c ~c;rdiug to la;,, dutG sa3•, ti~a'
'1 he foregoing petitioner being duly ~ ~-•---~-~.
• all the facts contained in the foregoing Pctitit.n, Bch%:dule, List and Statement, ar,~e~,t~rue to the l=est of 1)is
kiu~;;~lcdge and bc~licC. ~/~, ~~ !" ~`7/Gz/~
.~ ~.~- .~-~_ z~:rl subscribed
before tne, the ~~w-~-•~ ~ I:
clat• of ~/yju~ u, ~t' , ~ l1, i~. 1~3 S .
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~~to~v ~~~ ~~~ ~_~i API ~~_ eke ~~c~~i1r~, "1`li~t ~~ 11~~~«z., ` ~,
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1 t~ t J1 L- tl~e ;tiitlti!~ named Petitioner, clo Hereby assign, transfer, set over ;~t,cl clcli;~er up, unto
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ttvo of my Creditors, iti pursuarcc of the.clirec±ions cf the AcF of assembly, all n~}~ Estate, Real, Personal
and Mixed, reversions and remainders, which I now have, possess, claim, or am in any respect entitled to, iu
Inv lance trhatever, in trust for themselves, and my other Creditors. ~~ ~y
~jtt ~f t11C~~ whereof, I Have hereunto set my hand and seal this <~e•-~ Lf l ~ t~ ~tti cla5• of
/ ~/` ~~, v~ in the y:.ar of our Lord, one thousand eight hundred and twenty ~ t t„~
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