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Ti><c Horlor~blc the Jur~~e~ of the Court of Coanmor>t Pleas
of Cuntbcrlaud county, ltuldio~ said (~uurt at (;arlislu~ the~~~r.: ~~a,y of ~ yUV ~~.~
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I{,espectfully represents,
Tltat he has been art•cstcd lIt CtieClltl011 and ;;i~~en hood conditioned for his appearance to
talcs the beue-lit of the Ltsul~~cnt La~tis of this ('omnton-~•c~alth, a~rc•cal-ly to the. pro~~isious of
the Acts of assembly iu such case math. and 1-ru~'ided ; that he has resided witltiu this State
for six months and wore, intmediatcly 1n•ecetlin~; this. his apl-lication ; that he ulTcrs to dc-
liver up to the use. of his Crctlitors. all his property, real, personal, and mired, to tvhiclt Le
is in any manner entitled ; a ~chedulc wl-et•eol', tu7etl-er with a list of his creditors, and the
nature atul amount of their debts, as far as he can ascertain them, «•ith a statement of his
loses, and the means whereby he became. insolvent, arc exhibited with, and annexed to. his
Petition : he therefore. prays to be allowed the beucGt of the sc~•eral Acts of Assembly of the
Gommou~~~calth of Pennsylvania, made for the relief of insolvent debtors.
Schedule of Petitioner's Property.
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List ~~f ~~'~titio~~er's (~reciitoi~~, with the uaturc and ~.niount
01' 1-is u~uhts, to wit:
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~tatemcnt of Petitioner's l~cces. ~w~-~ ~~>Ie means wl><ereby he
beca~~rc x~>tsuiver~~.
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'1 lrr .tfui t.~.iirl } t titiuu_ r _~t ins d tl~ ~ ~ -' acc•~rdin to la~v, dotlt sad-, that
all the fa.ct5 coutstined iu the. fore~oin Yctitiou, 5r,hctlule, List) and '~tateutent~ arcs t.rue~ to
the bthis ltuo~~~lcdc and hr•li~•f.
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' a,rd~rrcL~criGed efr~iyN ata~ ~ `.f- ~ ~„ ~ _ .
the /`~ ~` da~~ yl.- . __~~_ irs3 ~ S
~-ItO~v iYYX ~Ctt ~1U ~)c~e ~L'Pl6iFI1<tk~• That 1, Vl~rs , . , t-~ E- ~~.? ~'
t}te within Heated Yctitiuncr, do ltcrcby assi'u, transft:t•, set. u~~ct•, anti deliver up untri
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~w.+ ut' nth- ~ rrdiiur~. ~n l~~tr~ii,:;ti ~• ~~~ iii: •t,rr~ iiuti • ui ~lu~ '.; ~ ;~I' 1~~;~ntl~l~'. ;:ll nth l~. ,~at~
t•e:rl. personal, and rnixerl, reversions anti rentttiuders, which l t.~.~~ I~ ie:•..I~~~;~•a, claim, or
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aut in any respect entitled to, in auy place whatever, in tru.,t, I'ur ~..rr~...~rr~; , .uul my other
creditors.
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Ir, .l»L'it,te~s 2ahereof, I have hereunto 5e.t my hsuirl and seal, tlri5 ..3/ day of.
~~~, ~ ,~ ._ -- l~/in the. year of ottr Lords unc ttton4antl ci~ht hundrt•d stud tlrirty~•,,.«
Sealed and del~icet~%d ire preseaice of 1 ~ ,~••=~~s~~
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