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'1'hc IIo--oin•tntilr~ tlir~ Junc~s of flee ('otr-•t of Co»t--to-- I'lcns of Cru-id~r•-•ta--tt ('a-ir--ty;
IIolding said Cuurt at Carlisle, the d:Iy of IS3
TIII; PPTiTI0~1 Oh ~"'
Respectfully represents,
'T'hat he has been arrested in execution and given bond conditioned for his appearance to take the benefit of the
Insolvent Laws of dais Commonwealth, agreeably to the provisions of the Acts of Assembly in such case made
and provided ; that TIC has resided within this State for six mouthy and more, immediately preceding this, his
application ; that he offers to deliver up to the use of his Creditors, all his property, real, personal, and mixed,
to which he is in any manner entiLlcd ; a Schedule whereof, together with a list of his creditors, and the nature
and amount of their debts, as far as he can ascertain them, wlth a SLatClnellt Of h1S lo5SC5, an[I the IrieanS \Vlaere-
Uy he became insolvent, arc exhibited with, and annexed to, his Petition : IIc therefore prays to be allowed
the benefit of the several Acts of Assembly of the Commonwealth of Pennsylvania, made fur the relief of In-
solventDebtors.
Se~icdule of Petitioner's Prapert~.
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~,~,5'T ~F PT'TITIt7.N'FP'S CP~;'1~IT®~aS`,
~'Vith tic uattirc Ana amount of his ~cbts, to-wit :-
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~tu.~caazca2t of Petitioazer's Losses, aaad flee means Zvlccreb~
lie becuaa~e Insolvent.
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CITMREPI,ANI~ COUNTY..
'I'hc .rfuresaid Petitioner being duly according to law, loth say, that all the iacts
contained in the foregoing Petition, Schedule, List, and Statement, are true, to the best of his knowledge and
belief.
-'~ tcnrl subscriLed Lefi~re me 2
flee dtrJ rf .. 183 `> S '
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KNOV~P ~~y IdL~N BY' ~~~~E PR~~E~'~~~ TII.'1T I,
the within named Petitioner, do hereby assign, transfer, set over, and
lcliver up unto
two of my creditors, in pursuance of the directions of the 11ct of Assemb]y, all my Estate, real, personal, and
mixed, reversions and remainders, which I now have, possess, claim, or am in any respect entitled to, in any
place tivhatever, in trust, for themselves, and my other creditors.
lx tiVi•i•xE55 1VliEltEOb•, I have hereunto set my hand and scat, this
day of in the year of our Lortl, one tliousanci eight huud~'ed and thirty
aE/1LED .211'D DL''LII L''IiL''D Iti' 7'l1E I'IiE~~'E~1'C'E DID'
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