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The ii~nol°~1>'lc ih~ .Tii~l~es ~f' the (~'o~u/t of Coinniou 1'1e~.5
of Cumberland c•uunt~•, huldiu~ said (,'uurt at l,'arliyle, tl-c !: ~ ~' r ~c~ day of ~j1a+.
t ~~~ / a
~~Jf ~CtirtOIY Df `~!./ <z << C r [!{~( Fc
Ii,esprctl'ully rrPrescuts,
1'bat he has been arrested it- execution and riven hood cunditiuued fur his appearaucc to
take the brnc.tit of the Ltsulvrnt Lass of this ('o-nmonwraltb, --~ree<tbl,y~ to thr Provisions of
the Acts of :lssembl~ iu sucl- cast made and provided ; that 1-e bas resided within this State
fur six nwnths and more, intuu•diatcly prcccdin~; this, his application ; that he u$et•s to de-
livr,r up to the use of his Creditor.. all his property, real, prryunal, and miser], to -vhicl- Ire
is in an•y uru-nrr entitled ; a ~c.hedulc wl-ereuf, to~rthrr with a list of his creditors, and ttte
nature and antc~unt of tl-cir debts, as far as he ca^ ascet•tain them, with a statement of iris
losses. and the means whercl-,y hr, Lccame insolvent, are exhibited with, and annexed to, L-is
1'rtitiou : he thcrel'ure pra~'y to bc. allowed the benefit of the several Acts of 1lssembly of thc~
Commonwealth of 1'eunsylvauia, made for the relief of insolvent debtors.
Scl><caulc of Pctiti(~ner's Pi°opcrty.
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~.ist of" ~ctitio~icr's Crcditor~, «~iti~ tk~c nature and a.monnt,
- - of` fi~~ ~E~~~Ut~, eu wit:
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y~utl~~n~.urE ,ter. ~ ~~~~iZ- /L!'!. Cyr: L~e~J ~'ct~ _ - _ /~j/-> lj-ti
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statement off' Petitioner's 1!os~P~, ~n~1 f~~c means w~~ercby- he
~eca~>r>lc i>t><so,~v~;tit.
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~a~m~~erland corrinty, ~~.
The afnre~aid Petitioner bc•in~ duly ~ ~ cjvc) ,>~ according to law, rlotl- say, that
all the f~ictti contained in U-c f'urc:;nin;; Petition, fichedule, List, and Statemcut, are tree, tr.
tl-e best of his 1:nu~ti~ledgc lucl bclic•f.
~ ` h"~ ` ' ` acrd xu scr°iGed G~ fore mc: ~ -- .' ~ ,, _ . /,
tlce ~ _ day 4f ~i'• . Q _ iti~. / ~- - - !t~'~=~. ~_._-
~>Ito~ ~tYr ~cn dip t~~rec ~;~ireci>rre,,~1'~-at I, .
the witlriu named Petitioner, du I-ercl.-y assign, transfer, set or-er, acrd deliver ap ilntu
two of my creditors, iu pursuance of the directions of the Act nl' Assetr-bly, all w,y h.state,
real, personal, and mi~cd, reversions and remainders, which I now have, pussc~ss, cl.-inr, or
am in any respect entitled to, In any p1aCC ~Y11atCVCr, in trust, for themselves, and -ny otl-er
creditors.
In Ii~itness ivherevf, I have hereunto set my hand anal seal, this clay of
_ .. in the year of our Lurd, one thottsaud ci~ht Lundred and l:riu#i~
Sealed acrd delivered ire presence of ~ .;,.
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