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'ro the Iloron~BLtJ the Judges of the Court of Common Pleas o~ tamberlunrl Cotan~ 3
clay of~ ~ 1 S
Ilolding said Court at Carlisle, the 3~~ ft ,
The Petition of ~`~ a ~'~-! `~ `~~ ~ 1~' `~`'~" t~ / respectfully represents, ~~"•
That he has resided ti~'itliin this state f~ r Ll~, montf hi.ncr clitorsI all tasapr] p lri.r erca~L pt i~~~>>lal
al'Plicaiic.m; that to otli~rs t~~ d~~l~~•et ~~1
all(1 11114('(1. t~ ti~'liich he is in ai~v malel)tr. astfal~as ltc:scancaisccrtli>i~th~r~m,~ ~~ith a~~tatrmc•nt ~~1~
his c-•cditors and the tiaturc of tttc it ,
his lc,aes ai-d the mans ~~'h~•rehy he h~ ~,c d•tlnerb~•nefita~f~th~ISCVCraI aCts~ oh.c'~ssClllbly, tof ~ll~~
prllto1a. Hr. t-leret'otc pt~ay, to be all ~
Col?a~~iatweullla r f I'c~tTtsylz~uniu, made for the relief of Illsolvcnt llc tors.
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.~ Schedule of Petitioner's proper ~;
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~~tatetnent o~'T'PfifAoner's Losses, ~n~1 tic means
/ ~'YhEI~3Y ICE BEC~l.NiE ~NSOI.VENT.
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Thc foregoin;; Petitioner being duly i~~*--¢s=-- .according to ]ativ, loth say, that al] the
facts contained in the foregoing Petition, Schedule, List, and Statement, are true, to the best of
his knowledge and belief.
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-~~'`~"`r``r and subscribed ~J
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before mc, the /z ~-- •
~iay~/~lof ~/v~u 5' ~~~-f- 1 8~j,_3-~
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T~now all lien by these Presents; That ~'
the witliiii named PETIT/IUIITI;11, do het•eby assign, transfer, set over a.nd deliver up, unta~
~s~ Hof my creclitrn~5;' in pursuance of the directions of the Act of Assembly, all my estate,
real, personal and mired, rcver:siou., and remainders, tivliicli I now leave, posscs~, claim, or a+iP
in any respect entitled to, in any place tivhatevcr, in trust for f ~ • -- seed my oilier
creditors. In LYil~tess whereof, I have l~crcunto set my hand and seal, this // ~~'
play of ~L ~- ~-.~ au the year of our Ia01tD. 1 8 ~
~Se~~letl cr7trl clelirel•e~l ~ Mfr,
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~a~ dhc p1•csencc off' <' G ~ ~ -J = ~ .`4 ,'' .
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