To the Right Worspl: his Maties Justices of the Peace for the County of Middx.

Sheweth

The humble Peticon of Sarah Diston< no role > of the Pish
of St. James Clerkenwell in the sd. County widow .

That Some time past Yor. Petr. tooke in one Francis Bromfeild< no role > as a lodge
That the sd. Fran: Bromfeild< no role > being aged 105 Yeares and upwards and
noe ways capeable of helping himselfe Soe that he is became Very
troublesome to Yor. Petr. And he being a Penconer belonging to the
Said Parish Yor. Petr. hath often requested & desired the Church:
:warden & Overseer of the Poore thereof to take the paid
Francis Bromfeild< no role > from Yor. Peticoner which they refuse
to doe.

P Livestley

Yor. Pr. therefore most humbly prays Yor.
worps to order that the said Churchwarden
& overseers of the Poore may take
the Paid [..] : Fran: Bromfeild< no role > from
yor. Petr. [..]

And Yor. Pr. Shall er pray Etc.
Sarah Diston< no role >