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~, l;is his app'ication ; tlt_it h~: of~I~rs to deliver up to the nsc c,f his Credirors, all his property, real, personal and
r~.i~:e•rl, to which he is i~l an~~ manner entitled ; a schedule n-hereof, to~cther wi~i~ a list of his Creditors, and
'~c natrlre of their debts as Bras he can a~ccrtain them, frith a Statement c,t ilis losses, and the means where-
i;~- Ire became insolvent, arr eshihited with and ;nne:~cd to this petition. Iii therefore prat•s to be allowed
.':~ benefit of the sevcr;il acts o!' .lsscmblr o{' tl.c Commonwealth oi• Prnnst lvania, m;tdc for the rcaief of In.
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(~~i~berlan~~. Con~i;~, ss.
1'he foregoing petitioner being duly :.~-c~c ~r'~`--
all the facts contained in the foregoing Petiti~ln, Scitcdule,
1CIlUt:'ledge acid brlief.
~ ' f~..q-y-z ~- -- at:d sultSCriLccl `l
before me, the 1-~Z L lir
day of ~ ~~~/ - %~.~. >;sj~, ~~.
~notu ~~~~ c~i ~~
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according tolatr, loth say, that
J.ist and Statement, are true to the best of his
~~~e L'~~CaY~~, `~~~la~; ~, , ~ ~~~~~
Petitior,~.~r, clc':~°rc•ht• a~ai~'~~fr;;t:i,fcr, set ot•cr .uul dclit'cr n';, 1i~lto
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~+P* o~my Creditors, i1' '~'P.,,: ;nee cf the directions ci' tl:e ~lct of ~'lssembly, all my IJstate, IZcal, Personal
.. ar,d 11'Iiied, ret•ersions attd remainders, tt•hiclt I note ha~-c, possess, cl:;im, er am in an<< respect entitled to, in
any place t:•hatever, in trust for jam.,, and m}~ other Creditors. ~' i ,~..,~
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~11 ~lrri¢~4 hereof, I h:tvc L~reunto set my hand and seal this -day of
~j~"~~ -- in the tear of our Lord. or.e thou sand ei,~itt ltt~~~rl: eel ,>t;d IR'el]fy ~-e L~-~-~
Scaled mx1 .Dcli2~cred in the prrs~nce of ~ s,4,,,
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