To the Right [..] her Mejesties Justices
of the peace for the County of Middlx

The humble Peticon appeale of Henry
Wood< no role > of the parish of St Giles with
out Cripplegate in the Countes of
Middlx Laboraur .

Sheweth

That your Peticoner is rated 3s per Quarter
towards the releife of the poore of the St parish
And for as much as yor. Petr is 64 years of
Age hath a Wife & one Child to maintain
at his owne & about & haveing many Losses which
makes him unable to pay the ss. Assesment.

therefore yor Petr humbly: prayes this
Honble Court to take his [..] into
Considerations grant him Such
releife in the prmises as your
Worps shall Seem meet.

And yor Petr shall pray Etc
Henry Wood< no role >

[..] of the [..]
[..] Wood of the Parish of st [..]
[..] Cripplegate at Middx

About the poors rate

to be hd 22d. Feb: 9 cl

redd to 2s 6d. p pod