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Tle,e Ilorratcr•alde tlih Jrtchc's oP flee Cotu•t al' Carurrtorr PZeccs a/' (.'trrrtl~erl~:ncl Cotualy,
Holding said Court at Carlisle, the // ~'t rlly of ~~ 1~/
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TIIE PETITION OF ~ f.-~-~~•~ ~ ~lf'f
Respectfully represents,
That he has been arrested in execution and given bond conditioned for Isis appearance to talcc the benefit of the
Insolvent Laws of this Commonwealth, agreeably to the provisions of the Acts of Assembly in such case made
and provided ; that he has resided within this State for six months and more, immediately preceding this, his
application ; that he otl'ers to deliver up to the use of his Creditors, all his property, real, personal, and mixed,
to which he is in any manner entitled ; 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, with a statement of his losses, and the means whcrc-
by he became insolvent, arc exhibited with, and annexed to, his Petition : IIe therefore prays to be allowed
the benefit of the several Acts of Assembly of the Commonwealth of Pennsylvania, made for the relief of In-
solvent Debtors.
Sc~icclule of ~"etitiorler'S 1'1•ol~erty•
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With tl~c uaturc au~l amo~uit of i-is Dcbts, to-wit :---
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bytuteo~ent of Pet'itioner's Losses, acncl tl~e 1~1'eans w%aereby~
,be became Insolvent.
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CUMRERLAN~ COUN`PY,~s.
The aforesaid Petitioner being duly .~ /~^ : f _ according to law, Both say, that all the facts
contained in the foregoing Petition, Schedule, List, and Statement, are true, to the best of his knowledge and
belief.
~~~ r d ands bscribecl before me / ~~~ ~
the /~ clay of ._~.r . - 18~f ~ / c C, ~ Cl c-e. , ~ ~ l`~f { Lei'
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KNOW ALI, MEN BY ~iiE~E PRE~EN~~~ THAT I, ~ • '
e~ ~ the within nat>>[~tl hciitinnr~r- rln hnrnhv ~ccimn 4~ancFnr. cn~ nvnr ~n,l
deliver up unto ,~ ~_ 7
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~-of my creditors, i^ pursuance of the directions of the Act of Assembly, all my Estate, real, personal, and
miacd, reversions and remaindc~s, whic ~I now have, possess, claim, or am in any respect entitled to, in any
place whatever, in trust, for tj}~,~J.voc~and my other creditors.
Ix WITN~SS wrf Eo~~, I have ficreunto set my hand and seal, this r; ~r~ .
day of ~Y'/ ~ in the year of our Lord, one thousand eight hundted and tl>~ ~~
SE.RLED /1ND DELIVEI~'D IN 1'IIE PRESE1kCE OF'
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