To the Right Worppll: her Majties Justices of the Peace in the
County of Middx

The humble Peticon & appeale of Edward Fletcher< no role > [..] of the parish of
St Giles without Cripplegate in the Said County

Sheweth.

Tha your Petr is rated 3s per Quarter towards
the Releife of the poore of the St parish and
that by reason of his poverty and Lameness in
his Limbes and great losses by Seamen &
nothing whar with to maintane himself
& wife makes him unable to pay the sd Rate

Therefore humbly prayes yor: Worpps
to discharge him from the
St Assesment

And yor: Petr shall pray Etc