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f~ri~:[e.:, and for :.a(c~, c.t [Le o(ji:: cf t?:~ .?n~eracar. Yolunteer, C'arlisir.
The ~Ionourable the Judges oi• the Court of Common Pleas of Cum-
berland county, holding said Court at Carlisle, the ~ day of ~, g=, ~-{- ". ~ ~~8fa--.=r3 f
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Respectfully represents, that he has resided within this State for six months and more, immedi-
ate]y preceding this, his application ; that he others to deliver up to the use of his ('reditnrs, all
his property, real, personal, and tnised, to which he is in any manner entitled ; a Schedule
whereof, together with a list of his creditors, and the nature of their debts, as far as he can as-
~,ertain them, with a statement of his losties, and the means whereby he became insolvent, arc
exhibited with, and annexed to, his Yetitiun : he therefurc pray ~ to be allowed the benefit of the
several Acts of Assembly of the Commonwealth of Pennsylvania, made fur the relief of insolvent
debtorC.
Seliedule of Petitioner's Property.
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itionec•'s Credito1•s~ with the nature and amount o~ his
y,ist of Pet debts, to wit
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~tateinent of Petitioner's losses, and the means whereby he became
insolvent.
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~:umberland Couilt~~, ss.
'The aforesaid Petitioner being duly --~~~~``~ ~'~--- according to law, dotL say, that all
the facts contained in tl-e fore7oing 1t'etition, Schedule, List, and Statement, are true, to the
best of his knowledge and Lelief,
~~' '~`~''''"~ and stcbscriGed L~fore me, ,~~.2GYG ~U/
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the ~ da f of ~-- ~- ~ ~ ~~ ~ ~~3 Jam" ,~ ~ v
~~t4~'~~~ `=? ~~~~~~ ~-~ ~~~~~~~`~~~~~~~ That I, ~'`. .._ ~
the within Warned Petitioner, do hereby assi ;n, transfer, eet over, and deliver up unto
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~:u of my creditors, in pursuance of the directions of the Act of Assembly, all my ]+~state, real,
personal, and mixed, reversions and remainders, which I now have, possess, claim, or am in
an3• respect entitled tu, in any place whatever, in trust, for themselves and my other creditors.
~n ]Yitness u)aereof, I have hereunto set my I-anel and seal, this gyp'/l2•~~r~~_ ~~~I ~~
Sealed and Delivered i.n the presence of
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