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'1 lug Ilnnt-r:tlrlt~ fire Jutl;;c~ of the Court u ~ Common ]'lt'a~ ut' Cuntltrt•l:uttl ('ttuut~.
Iloldir;• paid (,Dort at (',rrlislc, the ~ t (/ day of -„~~+~ ~~ I `,;a1
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Rc,pcrtlully r•rprc~cnt~,
That he has been arrested in execution and given bond conditioned for• his appearance to take the benefit of the Inul-
vent I.;,++•~ of Ibis Common+vealth, a~rreably to the provi.ions of the Acts of• Assembly in such case made and presided;
that hr. has re~idrd +eithin this State-for six months and more, innnrdiately precceding this, his application; that hr af-
irr: I;, doliver up to the u,e of his Creditors, all his propcrtr•, rc•ul, personal, and mixed, to ~chieh he is in any rnanner
entitled: ;i Schedule ++hcrcnf, together ++•ith a list of his creditors, and the nature sod amount of their debts, as far as
I,e can a~ccrt,rin thorn, ++ilh ;+ st;rtement of his losses, and the means wherebti- Ile became insolvent, arc exhibited +vith,
and annexed to, his Ycririon: iic therefore prays to be allu++•cd the benefit o1• the several -lets of _1c~cmblti• of the
C.+mtnvn+rcallh of 1'cnns+Ivania, nuulc fur the relief of Insolvent I)ebturs.
~chez~ci<~c of ~''ctatioe~cr's IDrc~~crt3~.
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The af~~~ r~nid I'etitiuner being; duly ~!~/vr'-,-~ according to law, loth say, that all the f;lcts contained in
t'ie I-urenuin~ 1'ctitiun, 5chcdulc, List, and Slaiemr.nt, arc true, to the best of his kuutvledre and belief. ,
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p~„y~ h ~~, the wilhit: named Petitioner, do hereby assign, transfet•, set over, and
tlclivcr u , unlu r'! t•f '
of my credit~u•s, in pursuance of the dit•ections of the Act of .A,sembly, all my P;state, real, persnnal, and mixed, re-
versions ~tnd reurainder~, wltic6 i nary have, possess, claim, ur am in any respect entitled ±o, in any place whatever, in
bust, f~u• themselves, and ut1• usher cYCditurs. .
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Iv 1Vt•r~tas tcin:~tr:nr, [ hati•e hereunto set tn_y hand and seal, this ~ ~ ~ rii tt; q da}• of ~ ~~.:.~ ~.
in the ~-e;u• ul• our Lord, uue thousand ei;ht huntlrcd and fut'ty,~i (.'L', '
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