[..] Worshippll his Maties Justices of the Peace for
for the County of Middx

The humble Petition and Appeale of Doctor
[..] Savage of the Parish of St James Clerkenwell

[..] is Charged to the Poore and Scavengers
[..] aforesaid for his Personal Estate much
[..] as be humbly Conceives he ought to pay whereby
[..] and humbly Appeales against the
[..] Rates

Wherefore your Petitioner humbly prays such
[..] the premissed wth this Honble Court shall
[..] that and Convenient

And your Petitioner shall ever pray Etc