REceived the 19th Day of Feby: 1711
of the
Minister
and Churchwardens of St Dionis
Back Church the Sum of
Fourteen pound Nineteen Shillings
Collected upon Her Majesty's Letter for the Relief of the
Poor in and about London. I [..] , Received for [..]
St. Wm. Fazakerley< no role >
[..] Chamberlain of London. }
£14:19s:0d
Pr. S. Foster