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'I'Ire I/o-r.ozrf•rrlilr' tlr~ .Trrrl;~~~ of the ('oru•t oI' !'otrrrarou 1'hris n/' f'rrruli~ylrrrrrl l'orrruJ,
IIolcling said Court at C;u•lislc, 1,Irr /~ ' ~ Slav o1~ f ~.- [~ 1S~'i/
TIIF PETITION OF ~-r ,~~..._.._~ ~ll~~f-f
Respectfully represents,
That he has been arrested in execution and given bond conditioned fot• his appearaucc to talc the benefit of the
Insolvent Laws of this Commonwealth, agreeably to the provisions of the Acts of Assembly in such case made
an<! provided ; that he has resided within this State for six months 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 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 where-
by he became insolvent, are 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 llebtors.
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ICI-SyT ~F PETITIOIVF.,~'.S~ ~'RF:DIT~1'~~~;
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S'lcclemenl of 1'~cliC~o~~er's Loses, and ~1ie 1~pans wla.~re~~
lie becu~»e hisolvent„
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CUMI3F.RI,ANn COUNTY, ss.
The aforesaid Petitioner being duty ,! ~~ ~ j ~ accordinb to law, loth say, that all the facts
contained in the foregoing Petition, Schedule, List, and statement, are true, to the 1>~st of his knowledge and
belief. ~ '~
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KNOW AI~I, MAN BY' 2' ci~N~~ PR~3~EN~~~ T1I!1T I,
the within mined Petitioner, do hereby assign, transfer, set over, and
deliver up unto ~~~ ~~'
two of my creditors, in pursuance of the directions of the Act of Assembly, all my Lstate, real, personal, and
mixed, reversions and remainders, which I now have, possess, claim, or am in any respect entitled to, in any
place whatever, in trust, for themselves, and my other creditors. ,
Irt WrrirESS ivliEItEOr', I have hereunto set my band and seal, this /L=-~/~ -
day of Gi~-~ y.~-•~~ - in the year of our Lord, one thousand tight hwtdrecltncl 41~i~!fGYliz .~ ~'vKr
.SL,?LLD .R:VD DLLII'L71l:1J IN 1'lIE 1'ItE,SL~I'CZ: l~l' n, ~ ._
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