To the Right Worshipfull his Majesties
Justices of ye Peace for ye County of Middx

The Humble Peticon & Appeale of Robert
Long< no role > of ye Pish of St. Giles Without
Criplegate in ye County aforesaid

Shewith

That your Peticon is Chousen Constable
for ye Liberty of Grubb Street
In ye Said Psh, Butt being above
Sixty Years of Age & haveing been
Very Infirme for Severall Yeers
and not being Capeable so he Serve
In ye Said office

Yor Peticon prays to be
Excused from Serving
ye Said office

And Yor Peticon Shall
Ever Pray Etc