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To the Hor~o~1~BLL the JL1dgCS Of the t:Ollrt of Com111or- Pleas of Ctcml,crlartd Cotr~~l~,
holdin~• said Court at Carlisle, the ,~-t G- ~ day of ~ ~~'~~~ 1S ~ O
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The Petition of ~~~ ~~ ' ,<< ~ ~t respcctfnlly reprrscnts, ~c
That he has resided within~iliis state for six months and nrc,r~•, irnrnediatc~ly preeeedin ;this his
al~l-lieatiou; that he ofl~•rs to deliver up to the rise c-f his erecliic-r,. all his prc-per1~•, real, l~ersnnal
and mixed, to ~tilhich he is in any mauncr entitled; a schedt.clc~. «-hercc-f, tnbeti-cr ~~•ith a list of
leis creditors and the nai.ure of their dcl~ts, as 1~2r as he eau a>ccrtai-- them, ~ti~ith a slatc•ment ~f
his loses and the means ~~~hereby he became insolvent, are eshihiLed with, and annexed tc- 1lci~ ,,
petition. hIL, thcrefrn•e prays to he allowed t]ic hc~nc•lit of tl~e several acts of Asscnil,ly, of tL~~ ~
~'o~nmon~~~euhla of Pe~z~nsylzania, made for the relief of Insolvent Debtors. ~~~~~~, ~, ~~
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A Sc~>leclnlc of Petitio~~cr's I'roi~crty • ~
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~.,i~t o~ I'etitiont'r's Cr~Qlit~r~, ~~i1Ii tl~e nature u~~
A.~110t1NT OF `1'IILIIi. DE~3T5,
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~~~te~aent of ~'~~f it Toner's Tosses, an~i flee mean~l
~i'IIk:ItLI3X IiE I3LCADI~ Ii~SOLVEN'1'e
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'1'he foregoing Yctiticmcr being duly ~a~-z.. according to law, loth say, that all the
fact> c~,ntained in the foregoing Petition, Schedule, List, and Statement, are true, to the. hest of
Lis l:tiotvlcclt;e and belief.
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~c w- ~--~„ aild subscribccl ~ .
before me, the /2 ~
day of ,~~"«`~ 1 S v~ U ~
~~ ~~~~~
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Know ~alY en bgt these Presents; That I ~ ~` %' " ~~" ~ ` `
the within namccl P~TI770N~,It, do hereby assign, transfer, set over and deliver up, unto
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of my creditors, in pursuance of the directirnis of the: lict of a,~emhly, all my estate,
real, persrnial and uiiKCd, reversions and rerr~aiuders, which I now have, p,~~scss. ciai:~i, or a,n
in any respect entitled to, in any place whatever, iu trt.tst for f ~ ,1 ~ - and niy other
creditors. Li ll'ihac5s whercol', 1 have hereunto set n~iy hand and seal, this /'1 1'`~
day of ~ l~ ~f~ iu tlic year of our LOi~ll. 1 S'~ ~~•U
~,S'ecrlecl a~ad cle~li re~•e~l 7 ~ lr~ /~~r/~~ -F/'` •' ~~~a k rr
an the Zn•esertce of ~ ~ ~=a`~;!_
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