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'I'o the I3oxorzABL>; the Judges of the Coiu•t of Common fleas o G'zcniberlartd Coc~ril~,
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holding said Court at Carlisle, the L2r~ ~ ~~ ~ day of ~~-'• r ~ : ,
n of ~ = ~_ _ _.-- r ~ ~ I~lt-~1~~' f espectiully i eprc.sent~,
'I"he Pet~t~o
't'hat he has resided n'itltiti ibis state fnr sig tn~nths and ntnre, immediatcl,v prcceediri;; th» ht~
application; that. he oflcrs to dcli~•er i~p to the use of his creditors, all his ln•~~pert~-, real. p~~rsr~tial
and mixed, tr- «•}tich he is iu any inau-,l'~. a!,tiat a li ~`c~in~aUa~~rtain~thc m,~it ith a~~tatemcitt of
his creditors and the nattn•c of tlic•u• d~ t_,
his lo~.~es and the means whereby he became in.olveul, are r•xl-il~itc•d ~~~ith, and annexed to this
~ffl~l0~2. IIt:. there+i'ore pray, to be allo~~•rd tlu~ benefit of tln~ s~~c~~ral acts of l~ssetnbly, of the
~'orrt~aza~zu~eallle ~f• ye~i.~ts~lt'a?zia, made fur the relief of ltisolvet-t Dcbtoi•s. f
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~1. Schedule or I'ctitio~ier's Yro~ert~y e
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~,,ist of Peiition~~~'~ ~Cr~t~itors, ~~ it~~ t~~n ~na.ture ~t~~~
/ ,)~ AMOUNT OF TIIEIR DEBT~a
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~~~,temeut of 1'elif io~er's Losses, ~n~1 >the ~nea~l~
~VIIF,Ii•EBY HE BECAITE INSOLVEN'.~',
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Cr~~rizrt;Lnxn Q,o~r•r~•; ~~, '• ~
7'he~fore<ruin~r Petitioner bein~• du] % c~~. - ` •
Y~ ~ ~' ~~ccording to lavv, cloth Ray, that all the
facts coutainccl iri tl~e fore~uin~ Petitioli, Schedule, List, slid Statenieut, arc true, to the best of
his kn wlccl~e and belief. , . 0 , n ,
before mc, the j~f~ '
da of
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Snow a111V~en by th a Presents; 'Thai I
the within Iiamcd PF, TITIUIVI:1~, clo lierchy assign, transfer, set over and deliver up, ante
~~+ • of my crcdit~rs, in ptu:~nanec of the directions of the Act of Assemhl•y, all -ny estate,
real, perscnial and Inilecl, reversions and remaiudc•rs, which I notiv have, possess, claiut, or am
in any respect cutitlcd to, in any place whatever, in trust for -~ --~~~~ 1II(~ n1y other
crcclitors. In IT~ilness tivhereof; I have hereunto set my hand audseal, this // ~{
clay of ~ ~~ ... _ -l.'. in the year of our Lotto. 1 b 3 j ,
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