To the Worll: her Mats: Justices of the Peace
in Quarter Sessions at Hickshall.

The humble Petition and Appeal of the Church=
Wardens and Overseers of the Poor of the Parish
of St: Margtt. Westminster

Sheweth

That Mary Broadgate< no role > Widdow is
removed by Virtue of a Pass Signed by the Worp: John Worsley< no role >
and Germain Ireton< no role > Esqr : two of her Mats: Justices of the
Peace for the County of Middx, out of the Parish of St:
Clements Danes in the said County. And brought into the said
Parish of St: Margtt : Westmr : as her last Legall Settlement

That yor: [..] think themselves Agg [..]
[..]

Your Petrs: therefore humbly Appeal and
Pray this Worp: Bench to grant yor: Order to the
Churchwardens or Overseers of the Poor of the
said Parish of St: Clement Danes to Answer the
said Appeale

And yor: Petrs: shall ever Pray Etc