of this Informant And with a design and Intent to
obtain the Money Arising there from and to convert and
Appropriate the same to and for his own proper use
Benefit and Advantage and with an Intent to
Cheat and defraud this Informt. of the said Sum of
Forty Pounds

Sworn before Us two of his
Majestys Justices of the peace
for the said County City and
Liberty July First 1773}

John Lane< no role > .

Jno. Barnfather< no role >

her
Mary [mark] Jackson< no role >
Mark

Many Jackson< no role >
agt.
Richd Jacobs< no role > }
Informt