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1'Iie Ilo~tn~[-•~cl~le llec .Trur~es of fltC (.hurt nl' Coutvto~e l'l~~i~s of Cieaa~Gca•l~r~r~~ ('or~ath/.
Holding said Court at Carlisle, the clay of ~ ~ ~ ~ ~ - `~ 1 S3 j
THE PETITION OI` '' ~ ~~~ -~- '~ '~ ``'~~
Respectfully represents,
That he has been arrested in execution and given bond conditioned for his appearance to take 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 oilers to deliver up to the use of his Creditors, all his property, real, personal, and mired,
to which he is in any manncrentitled ; 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, 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 fut• the relief of In-
solvent Debtors.
Se~iedule ~f Petitioner's 1'rapert~o
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Lrs~~~ ~~r n~~J~~®~v~,~~~d~ c~r~~~~~s~,
•'~ ~t~~ t~~c aiaturc a~~a amount of ~iis Dots, to-wit : -
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~S`tate~~tent of Petitioner's Losses, and the ~Teans ~vliereb?I
Ice beccr~ne Insolvent.
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CUMP,ERi,ANn COUN'['Y, ss.
The aforesaid Petitioner being duly according to law, loth say, that all the facts
contained in the foregoing Petition, Schedule, List, and Statement, are trot, to the best of his knowledc and
belief.
~cncl s2cLscribecl LPfm•e me ~•~', ~ ~; e,
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KNCW AI,2, MAN B'~' `~~?'~~~ PRE~~7t~T~~~ TII~1T I, ~,;~~~.,~
t .~'~~ the within named Petitioner, do hereby assign, transfer, set over, and
deliver u unto ~ ~ ~ /' ,, '~ ,
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two of my creditors, in pursuance of the directions of the Act of Assembly, all my Estate, real, personal, and
mired, reversions and remainders, which I nosy have, possess, claim, or am in any respect entitled to, in any
place whatever, in trust, for themselves, and my other creditors.
Irr `V 1TNES5 wfcenEOr, I have hereunto set my hand and seal, this `6' ~+`
day of `i1, ~ l~v,,~ ~L )~ ~ in the year of our Lord, one thousand cicht hundred and t1~~ .- N ~ i-'~~
SE.9LED .91'D DEI,II LRTIJ IN TILE PI1T57~::\'L'.I: OI' ~
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