[..]
of the peace for the Countie of Middlx

The humble Peticon & appeale of Thomas Often< no role >
of the parish of St Giles without Cripple.
gate in the Sd Countie Capmaker

Sheweth

That yor; Petr. is Rated to the Releif of the
poore of the said parish two Shillings &
Six pence per quarter and payes but £5 pence
for his house hath a Wife & three children
to maintane by his owne hand labour
And for us much as yor Petr 1s in Custody
for delt & but of one ande circumstance
which makes him unable to pay the Sd rate

Therefore Yor Petr most humbly
prayes this honble Court to
take his case in to Consideraton
& grant him Such releife in
the premisses as yor Worps
that Seem meet

And yor: Petr: shall ever pray Etc