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~.I~O the 1~ONORABLE t11C ~llc~~CS OI• tllc l~/Ci112~~,Couimon Pleas of G'ttl7tberlu~td Coac~~ty,
holding said Court at Carlisle, the /~ ti~ ` day of ~- ~r'` l L"~ 18 3 r1-
` ~(,c~ lk ~~-~ res ~ectfnll re resent,
The Petition of ~~~' ~ ~ - I y p
That he has resided within this state for sig months and mru~, immediately proceeding this his
application; that he otTers to deliver up to the use of leis creditors, all hi prupert~~, real, pc•r5«nal
and Inixcd, to ~~'hich he is in any manner entitled ; a schedule «~hcrec~f', together ~~•itll a list of
his c.rcdit~-rs alld the nature of their clcbts, as far as he can asccrtam them, t~~ith a statement of
l~Iis losses and the means whereby he became insolvent, are exhibited ~~-iih, anal aullexed to this
~elilin~t. IIr;, therefore prays to be allowed the benefit of the several acts of ~ssemk~ly, of the
Conamamveallla of Pennaylr,~a~ara, made for the relief of Insolvent llebte~rs. -
~ Schednlc of I'etil,ioiler's Pro~ert~~s J
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~~ist of Pe~itionPr'~ Crec~i~~rG, ~~itTi $he nature and.
~lTUUNT Ok' ZIiLiR DEBTS.
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~ta$eme~It of p'etitioner's Losses, ~nsl tI><e mean
~'VHI~,1{ ~'BX HE BEC1~.A1E I\SaI.V ~ N'P.
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`.i Yie forry~~iti~ P~•titic-ner being duly ,Y`c~rY~-=~``-' ~eeo9 ding to la~v, cloth say, that all the
fac~h contained in the foregoing Petition, 5rizeilulc, List, and Statement, are true, to the best of
his Jtno~vleclge and belief.
y.~~z
before me, the
day of ~ '%'<< .
and ~su~b`scribed
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~nov~r ~, 1~3en by these rresents; That r . ~~~~, ~,,,. ~ 7 , r_
the w'i/thin named PL'TITIUNL'R, do li/rrc~by assign, transfer, set over and deliver up, tzr~to
t ~~ ~.C-~!/ 'Lim ~~ -~ ~' ~.C GL 1 C'C .:.. ~1/~7i... C~Gf/1•Pis-
~-ti of my crecli~nrs, in prir~riance of the directions of tl~e ~Lct of Assemb?~•, all my estate,
real, persor-al and cnixcd, r~~veriuu and reniainriers, ~t liic}t I tiu~S~ had •, pu.sc,•, clai,n, or am
in any respect et,titled to, in any place «•llatevc r, in trust for /~e.~.,.. ari~2lny otller
crecliturs. In lY2lncss }ti•liereuf, I have hereunto set my Band acid seal, this
day of Q~?2-z--,.~ Le,.- in the ycar of uur Loizv. 1 S °~ ~ e ---
+Sculeri crud dcliz~crerl ~
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