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'T1>tc Honor~l-le the Ju+~~,es of the Court of~~Commou Peas
of Cumberland county, huldiug said Court at Carlislo, the ~~ ___~ day of ~%~~~'~
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Ilvespectfully represents, ~/ ~ ,~,~,'f ~~,;,, . c}'~... ~.( '~~. ~ , ~~,
That he Las bee~i arrested in execution and ~ven bond conditioned far his appearance to
talce the benefit of the Insol~~ent La~~s of this Common+seal~h, arecahl~~ to the pro~•isious of
the Acts of Asscmbl~- in such cae made and pro~'ide.d ; that he has rc5icled within this State
fur six months and more, immediately preccdiny this. his application ; that he offers to dc-
liver up to the use of his Creditors. all his property, real, pcr~onal, and mixed, to which Le
is in auy manner entitled ; a Schedule whereof, to~ethcr ~~•ith a list of his creditors, and the
nature. and amount of their debts, as far as he can ascertain them, ~r~ith a statement of his
losses, and the means whereby he became insolvent, are exhibited with, and annexed to. his
Petition : he therefore prays to be allowed the benefit of the several Acts of Assembly of the
Cou~moutivealtL of Pennsylvania, made for tl-e relief of insolvent debtors.
Scheclulc of Petitioner's Property
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List of ~'etitiopie~~'s Lreditoi°~, «rith the llatu~~c and amount
~-~' leis debts, to wit:
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7'he aforesaid Petitioner bciu~ duly l ~~,,,~~,( _ ~,
according to la.w, loth 5a ~ . tba~
all the, fact, contaiuPd iu the tin•,•;;oiny !'e~tiou, Schedule, List, acid ~tatameut~ arc trne~ to
the b of his I:nowlc•dl;c~ Ind belief.
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tlce . !/''~ fG. da y ~,F ~~ ~„ ,1~ 1:i3 ~ s - __ - •
~110LU ZIr ,~CII ~1t) t1Jfl;iC ~j,11Cf,8fllt,6i. 'That Y,
ttivo of my credito,:q. in pursuance of tho directiuus of the Act of Assembly, all u,y l~~siaec.
real, peraon:,l, aucl ,nixed, rever~;iu-is xud rem:Lindcra. ~ti-hich I now lucve. pnsscss, clxi,n, or
am in :uty respect ~ntitletl tu, in any place whatever, in trust, for theuisclves, and my othe,
crerlitorc.
Irr Wit~~esa 2vhereof, I have he.rcunto ant my hand and seal, this
clay nt
iu the year of uur Lords one thousan,l ci~ht•hundred and Il,irty
,healed a~ad delivered in ~reserice g f' ~
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