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~~le ~TOll01'1~)~C t.jlC .111"~~,CS ~f the (~~t><><'t Of COi11'11011 PIC1s
of C'umherl;u,d cmrnt~, huldiug swirl Uourt at Uarlisle, the ~~ day of ~
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~~jr ~lcti~iot>r of .:~2e ~. ~-~.~ ~~
Re~l-cc•tfully represents,
'1l'hat, he. has been arrested in execution and ;;i~•en bmrd cnndiiioned fm• his appearance to
take the benefit of the Insol~-cnt La+~s rrf•this f'omnrnn~c~~alth, a~rc•eahl~ tc, ilre k)1'O~'1SlOn~ of
the Acts of lssembl~ in such case ma.cfc .u,d pro~-ided ; that he has re.,ided wit.ltin this Mate
f~n• six months and mm•e, i-umcdialely precedin' this. Iris apl-licatinn : that he olli+r, to clc-
liyt~r ~~n to the ucc~ c,P hi. (:recfilrn•,. all his 1-rol,crty. real, 1-et•;e-n~tl. ~tnrl mixed, tri n~hich he
i4 iu any manner entitled c a ~cl-adule ~r~herr•of, to~ethcr ~~~ilh a list of leis ct•editurs, and the
nature and au,uuut of their dehty, as far as he can ascertain them, ~~~ith a statement of I-is
lo~~es, and the. means whc.rchv he became. irrsolvcnt, are exhibited with, and annexed f.o. his
Petition : he therefore prays to be. allowed the benefit of the sc~~eral Acts of Assembly of the
Clommonwealth of Ycnnsylvania, made for the relief of insolvr+nt debtors.
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Scl><caulc of Petitioner's Pro~-ertye
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~1i~t ~>f ~'ctitioncr's Grc~litors, with the nature aid amoli.ni
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statement of Petitioner's losses, ~.n~l the means whereby he
beiai~>le iusuiver><t.
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Cnml~erla»d c~i~nty, ss. ~
The aforesaid pet.ilioner hc•in;; duly -' - •' according to law, doih sad-, than
all the fact; r~ont.;cined iu the fore~oiug Yelition, Srheuule, List, and Statement, at•e true, to
the best of his kuuwledge and bclie.f. ~
acrd ~uGscribed b~~~,r•r~ rnr~ ~ c' ~~- ~.~ -.._~ ~ ~ ~ .•-~.~~. ~:
the /s dad of t `'~ ~'- S
~.no~ ~[YY ~ctt ~p t~jrec ~,~rcecY><t~. T~,a~ I, c ~_. ~ ..' _ ~ ,O ~.`_ r-r •
the will.-ju named Petitioner, do hereby assign, transfer, set o~•et•, attcl deliver up unto
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fw~of my creditors, in pursuance of the directiuus of the. Act of lissembly, all my F,state,
t•cal. personal, and mixed, rever.5ions atul re,!nainders, which L now have. possess, claim, or
am iu ~tny respect entitled to, iu any place whatever, in trust, for themselves, and my other
ct•cd itnr~. fr
l~rr F~'itne~a whereof, I have hereunto set my hand and sral, this ~ ray of
L iu the year of our Lords ottc tltousatt~ eight huuclrcd and t.
Sealed and delivered i~a presence of 1 / ./ .~. ; ~4•,~~s
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