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'ro the Hoxonnn~.~ the dncl~es of the Cot~~fof Common Pleas of Ctcmbcrlceatcl Cozen ~ ~
~~ _.. aay of .~+ ~r~t~. 1s~
holding said Court at Cccrlislc, i.l-c~
' ~ ;! _<<~ res acct ill is resents
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The Petition of ~ ~~~ ''
'T'hat he has resided ~orithin this state for ~x, lnonthlu nC1•mlitorsi all hisaln',3plrty Pl ~a-11 li~•r;~mal
application; that, he ollcrs t.o dcli~~cr i~p t ~
and mixed, to ~sliicli he is in ally uuuuu•r entitled ; a scl-edule «~hcrcol', t{-~t~th~'1 «~ith a list of
his creditors and the nature of t~-cir dehis, nc i~nolvc~nt('arc cshil-it-1-I ~~ i-th, and ~annc xc~d~tc-~this
his los,c and the means ~~~hcr~.h~ he i~ecai
~clil,i~o7a. ~ie• there~t'urc hrlys to be allo«~c-]thc r lief~oL' li-t~rlvci•-t~1)~~l tui of Assembly, of the
~om~~ta122Ueuhja of Pe~a~zs~lculz~c~, made iur f~ ~~ ~~~ ~~~~
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.A. Sc]>~edille of ~'~titioner'~ I'rohcrt.~ .
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fist of Petitioner's Crec~itnrs, tvitli the n~fure a~~
~DIOt1NT OF Z'~IEIR DEBTS.
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Statement of Petifio~er's ~'~osses, ~n~l the mean
WHEREBY HE BECAI~iE Il\SOLVL~Te
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~'r~rTtrRi.ANn C~T~rTS', s4.
The f~~rr•,r~in~ I'r~t if ionc•r bcin~ c1ulY ' ~ ` ' ' - according to law, cloth say, that 111 the
facts c~~niaiur•r! in t~~c• f~,r•~uing Yetitioii, Schedule, List, and Statculeut, are true, to the best Ql'
Ilis knuwleciae acid belief.
-e~rr.~-~-z,, _ and subscribed ! ~ '
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before mc, the~~ ~ `, ~, ~ „ }~
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day of ~~ ~<<~, ' ~ 18 „
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know aI11V9[en by these Presents; That F ~ ~. ~~- i't t. 9 ~,
the tivithin n<i ed P,T-'777'I0117EIi!, do hereby assibn, transfer, set over and deliver up, unto
~-~ my crcditni~s, in pursuance of the directions of the 11ct of Assembly, all my estate,
real. p~~;5c,nal ai-d mixed, reve~:5ions aricl rt•inaiudr~rs, ~vl,iclt I no~v hav ,pusses,. Clalill, r,r am
in arty respect entitl~~cl t~, in any place ~vllati~t~c•1•, in t~•ust for -~
and my otliea•
~1•cditr,rs. In Il~il~icss ~~•hereof, I hay=e hr~reunto set my hand and seal, this /i `~
day of , -~~'• ~-~- in the year of our LORD. 18 ~ c
r5calrr•J a»tl ~lelii•ererl ~ ~• ~,4` •,~.~
ag~a the ~~~•eac~iee of ~' ~~ ~-, ~~~ ~r~. ~~~"
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