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Carlisle-Printed by j. Tizzard, and Ca;
~~I1e ~Ionor~.hle the ~r~d~;es of the Court of Cou1i11on .Teas
~•{•CU~•I!;LIZL.17\`ll COUN"C•It', holding said Court at Carlisle, tl~~ ~sj~hL day of
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'Tlae Petition o~ :~'~~- /s....~ .~ r~~ 1~~.~ ~~.~.. ~.~
respectfully represents, that he has resided within this State, for six months atul more, immediately preceding
this his application ; that he ofl~rs to deliver up to the use of his Creditors, all his property, real, personal and
mi?sed, to ~ri~ioh he is in any manner entitled ; a schedule ~,•hereof, together ~ti ith a list of his Creditors, and
the nature of their debts as faras hr can ascertain thetn, with a Statement of his losses, and the means «•herc-
by lle became insol~`ent, at•c exhibited Frith and annexed to this petition. He therefore prays to be allon•cd
the benefit of the several aots of assembl}• of the Comn~onti ealth of I'enusylvania, made for the relict of In•
~slvent I)rbtors.
Schecl~lc o~ ~'etitio~e~•9a 1'ro~eri~;~s
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~~ist ~f ~etiti~ner's Creditor, ~~vith the ~~t~are a~~
~.~a®unt ~f their debtsb
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~5tatemc~t ~~Petitio~er9s losses, a~c$ the n~eax~s; ~vhereb~
lie beca~ie ir~solvefa,~lt,
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"1'he foregoing petitioner being duiy .,~~'~''~' ac,:or~ling to lair, dutt~ sa}•, t.;:
all the facts cor;tail;ed in the foregoing Pctiti„n, Schedule, List and State r.:.nt, arc true to the best of hiG
knotrledge and b~licf
~t>wr~. _ and subscribed ~ r~
before me the .
day cf ~~ ~+~-• • ~ t1. D 18?~'
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the t~ i;ltin nanlyd Petitioner, du hereby ;1ssi~n, transfer, set ovtr and deliver up, unto
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ttvo of my Creditors, in pursuance of the directions cf the A ct of Assemt~ly, al[ my ~atate, Kcal, Personal
and Mixed, reversions ant rcmaulders, which I now have, possess, claim, or am in any respect entitled to, in
any pace ~; hatever, i;~ trust for themscl~~es, and my other Creditors. /~
~» ~ltlte~~ whereof, I have hereunto set my hand and seal this G/• <~- / ~ ~ » l ~ clay of
1~ ~ ~ !c i `J ~_ in the -car of n;?r l,~r(1 one thol.tSat:d Ci~!'~lt 11!.1[?[~!'^'~ 'lllU. ~'~', t ~~ ~L ('clL--
Sealed acrd Deli~ercd is .tlie f~rc.^e~~e of `'i ~,~•=r'~rr
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