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ulr,r, ~;ir,i,/ar .~r'r, at titr, once nj ,.•. ,~l.ntrican Yolrcnteer, Car(islr.
The HonouraUle the Judges of the Court of Common I,',leas of Cum-
berland county, holdinj said Court at Carlisle, the C-t~~~t~' day of ~ ~ :: ,; .: ,/. ~ i8N d
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:Respectfully represents, that he Las resided witl-iu this State for six months and more, immedi-
ately preceding this, his application; that he otl'ers to deliver up to the use of his Creditors, al!
his property, real, personal, and mixed, to which he is in any manner entitled ; a Schedule
whereof, tu~,ether with a list of his creditors, and the nature of their debts, as far as he can as-
~,ertain them, with a StatCillent Of lll$ losses, and the means whereby he. became insoi~•eut, are
exhibited with, and annexed tu, his Petition : he theret'ure prays to be alknved the benefit of the
several ~~cts of Assembly of the Cuuimouwualth of Pennsylvania, made for the relief of insolvent
debtors,
Schedule o~ Petitioner's Pt~ol~erty.
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I.%st of Petitioner's Creditors, with the nature and amount of his
debts, to wit
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Statement of Petitioner's losses, and the means whereby he became
ins~lvetit.
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Cuitlberlancl County, ss.
'The aforesaid Petitioner beingl dul y ~ ~~ r l ; ~~ ~ccordin to law, Moth say, that all
the facts contained in the fuie~oin~ Petition, Schedule, List, and Statement, are true, to the
best of his l~nuwled~e and LelieF. ~
l' ~ ~ 1 ~ and subscriGed Lefore me, ,fit ~ ~,'~ '~~ ~~~ r.~-
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the ~-r ~'~~ay of ~ -~~~ !8~
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S~t#~4#~ off ~~~~~~ ~~ ~ ~` ~` ` t ~~~-;y~ ~-'--~
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the witl-in named Yeeitiuuer, do hereby assign, transfer, $et over, and deliver up unto
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~ucu of my creditors, in pursuance of the directions of the Act of Assembly, all my [estate, real,
personal, and mixed, reversiun3 and remainders, which I now leave, possess, claim, or am in
any respect entitled to, in any place whatever, in trust, for themselves and my other creditors.
lu )Vitness zc)eer•eof~ I have hereunto set my hand and seal, this ~ '3 ~- day of
e~L~L,r~--~ in the year of our .Lord, one thousand ei ht hundred and twenty ~ ~-c~L~c~.
Sealed ancl.Uelivererl in the presence of •
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