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~`hc ~Io~io$~n,blc the ~ -:l~,es of the Court of Common fleas of
Cumberland county, holding said Court at (':u•lislc, the day of 183
Respectfully represcnfs,
That he has been arrested in execution and gi~•en bond conditioned For his appearance to take the benefit of the
Insolvent Laws of Chis Commonwealth, agreeably to the provisions of i.he Acts of Assembly ~n such case made
and pror-idcd; that he has resided within this State for six months and more, immediately preceding ibis, his
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application; that he ofl'ct•s to deliver up to the use of his Creditors, all his property, deal, personal, and mixed,
to which he is in any manner entitled; a Schedule whereoF, together with a li~~,o his cTeditQrs, and the nature
anc~ amount of their debts, as far as he can ascertain thc,n, with a statement of~ts losses, and t ie means whereby
he became insolvent, are exhibited with, and annexed to, his Petition: he therefore prays to be allowed the bene-
fit of the several Acts of Assembly of the Commonwealth of Pennsylvania, made for the relief of insolvent
debtors.
Schedule of Petitioner's Property.
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List of Petitioner's Creditors, with the nature and amount of
his debits, to ~vit:
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Statemcut of ~ct.itioncr'a losses, ~n~i the ~nc~,ns wlicreby tie
~Ji, // ff- j bccatnc insolj-cnt.
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The aforesaid Petitioner bcin,~' duly %y~~rs-ce~ according to ]aw, cloth say, that all the facta
contained in the Foregoing Petition, ~chcdulc, I,~;i, and St<ltcment, arc true, to the best of his knowledge and
belieff.
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~ ,~~ ~,,.... ,~, ~ ~ ~ ~,~L ~~~IYt~i That I,
~> the within namccl Petitioner, du hereby assign, transfer, set over, :uni
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~~t' m~- crcdilors, in pur~uancr of the directions of the Act of Assembly, all my 1'Jslate, real, personal, and
r,ii~:~~l, reversions and remainders, which I now have, possess, claim, or am in any respect entitled to, in anp
l,Li;~~: cvli;ctet•r.r, in trust, for themselves, ;aid my other creditors. •
lit I! rl,icss t!'Itel•e~:/; I have hereunto set my hand and seal, this ~~~
in the ~ /~ ~ , d~~y- of
/1,FJ1[ e t...-(c ~~ ~~ear of• our Lord one thousand ci~ht hundred and thirty yfl't,~~.
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