passing on as afd. by means whereof the
near & where of the said Cart did then & there
accidly etc go upon and pass over the right
Leg of Achm the said Geo Chapman< no role > ley me any
Whereof he the sd Geo Chapman< no role > did then
and there Stew dwen mortal Wounds
and bruises [..] in and upon his said
right Leg of wch Mortal Wounds and
bruises he the sd Geo Chapman< no role > did
die and sd etc do say that the said
Geo Chapman< no role > in manner and by the
Means afd casually and by misfortune
was accidy killed and that the said
near wheel of the said Cart was moving

to the Death of the said Geo Chapman< no role >
and is of the value of sd and the property and
in the posicon of one Wm Stapleton< no role > of White
Frairs in the sd City of London In Witnesses