To the Rt Worsppll his Matye Justices of the Peace for ye
County of Middx

The Humble peticon & Appeal of
Susan Ecklis< no role > of the Parish of
St Andrews holbourne in the sd.
County Widow

Sheweth

That your Peticoner is this year rated in the
Poors rate of the said Parish

That yer Peticoner is reduced to poor and Lowe
Circumstances and much afflicted with the
[..] and Aged Seventy four yeares.
and past her labour is not able to pay to the
said poors rate or any past There of & Appeals
agst the Same

[..] here fore, humbly
Prays Yor Worspps Will be
Pleased order ye she.
may be Wholly discharged
from passing to the said poors
Rate

And Yor. Pet Shall Ever prayer
& Susan Ecklis< no role > [..]