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To the T-IoxoRna~.~ the Judges of the Conn of ('unimon Pleas of Cumherlunrl Counly,
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}~olding said Court at Curlisle, the ~ ~ day of ~~ 1 S ~- b~
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'.L'he Petition of -~~~5:~- ~~ rCSpCCt(lllly I•epresents,
't'hat lie has resided within tlii~ state for six months and mnrc. imrnc~diat~•ly- prccccdin~ this his
application; that he oflcrs to deliver up to tl-e usu of his creditors, all his property, real, per~~~ual
acid mixed, to which he is in any manner entitled ; a schedule ~whereol', tugetlicr with a list of
his creditors and 1.he nature of their debts. as far as he can ascertain them, with a statement of
hi, lo"es and the means whereby he became insolvent, arc cx}-ibited ~i~it.h, and annexed to this
y~cfilion. Hr:, therefore prays to be allowed the benefit of the several acts of ~ssetnbly, of the
~'o~yi3~to~azveulllc ~f P~1~is~lLa7aiu, made fur the relief of Insol~>ent Debtors.
.~~. Scl~ed><tle of I'ctitoner's ProPeri:~~re
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Li,~t of 1~c~iliun~r's CreQ]it~rs, t~~ifh the nature anc~
A~'~:OLTNT OF THEIR DEl;~'SG
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~~~fcnle~lt of~'~~sii~=Tcl''~ T,nsse5. a~~ ~ tie tne~ns
~'~~I ~ ILLY II~ i3LC~~-~I ~' 1~S~LVL.~iTe
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~iUlfRrRLANn CoTJT'TY, ~S.
77ie for~•;;oiii~; Yetilioncr being duly ~;~cLt-t: ~teeorcling to la~v, cloth say, that all the
facts contained in thc• for~~;;uing Petition, Schedule, List, atld Statement, are true, to the besk of
his kiiu~ti•ledge a-iA belief: _
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~,G"ti-~ic.,t~, _ _~an subscribed ~ ~ ~ C
i~efore mc, the /,f `" ~~'`
day of ~~ ~~z ~ • 1 8 ~~
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Know all eri by these 'resents; That I 'I
the ~vithin named PETl7'IUNEIZ, do licreby assign, transfer, set over and deliver up; unto
~~(l / CC- l i.lG mot- z ~ , ~ ~ , ~ ~ ~ G j-cL
of my credit~n•~, in hnrsiance of the dircctir,n of the 11ct of ~lsemhIy, all my ctat2,
~t•eal, pe~;5nnai and mixed, rwci~.ir,n~ and rcmaindt•rs, ~t~l-icli I nosy h1ve, possc5. ~•lai:,~i, or ain
in any re~pr•ct entitled tc~, in a-iy place whatever, in trust for ~t ~ << ~s,e~~a,t.l z.~~~ other
e~reditors. In l~%~ilness whereol; I have hercnnto set my hand and seal, this ~~ ~-
elay of ~cti~~, t<<~ iu the year of our LORD. 1-~ ~
~Sealc~l nn~l delizcs•ecl ~ •~"'r
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