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`1'lie I~onoui•able the Jucl~es oL~ the Court of ~omnion Pleas of Cum-
berland county, holding; said Court at Cnrli~le, the 3 day of ~ a-,,-^ ~'G 18~~
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licspcctfully represents, that he has resided withili this State for six mouths and more, immedi-
ately preceding this, his application ; tllat lie ull'ers to deliver up to file use of 1-is Creditors, all
his property, real, personal, and mixed, to tivhich he is in ally manner entitled ; a Schedule
whereof, together with a list of his creditors, and the nature of their debts, as far as he c:ui as-
~scrtain them, with a statement of his losses, Rlld the IlleRn9 wllereby he• beCanle II1501~'ent, are
exhibited with, and annexed to, his Petition : he therefore pra~•s to be allowed the benefit of the
several Acts of Asseml-ly of the Commonwealth of Pennsylvania, made for the relief of insol~•ent
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Selieclule of Petitioner's Proj~ert3 . ~ ~=' ~ '•~~ " `-
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:~A~.~~~ ~~~ I'~'th~(~~I~ez°`g Cre~c6tc~rs, with tl~e nature and amount of leis
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Statement of Petitioner's losses, and the means whereby lie became
insolvent.
J: 'tom(.. ^ a 1 G. ~ ~ 7 ' ~1 ~i ! . ~ C.~c.. .,S L r i.) ~ i ,~~ ~
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Crrmher•land Count-, ss.
'I'hc aforesaid Petitioner being dul~• ~•- '~~i1•-e~:.~.c ~ accordip~ to law, cloth say, that all
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the facts contained io the foreomg 1'etitiou, Schedule, List, and Statement, are true, to the
best of his lcnotivledge and belief.
,•. ¢t}' ~ 1` z •. ~.-c-~ and stcbscriGed lnfv~•e me, ~ . ~ . ; ~-~' ! :;?:~
the ~ ~ ~~ dad of c_,-¢'7 . ~ ~ G ! 8~ " ~ ~}' ~~.~, ~~ ~...
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~ti##4~ ~l'~ ~~Ct~ ~~~ ~~~~~ ~~'sa~~~t~~ That I, .~,~,,,,~~:~~~ ~
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t,hc.withyi.,n named Petitioner, do hereby assign, transfer, set over, and deliver up unto
f m3- creditors, in pursuance of t'ic directions of the Act of Assembly, all my 1^;state, real,
personal, and mixed, reversions and remainders, which I uow have, possess, claim, or am in
an~~ respect entitled to, in any place w1-atever•, in trust, for themselves and my other creditors.
In l~"fitness 2t~h~renf, 1 have hereunto set my hand and seal, this /- day of
~~ .,L~ in the year of our Lord, oue thousand eight hundred and twenty J~Z.{~y,~,~,
~Sealcd and I~elit•ered in tlae presence of
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