Middx ss.

To the Right Worsppfull his Matyes Justices of the
peace for the County of Middx now assembled in
Sessions

The humble Peticonr & Appeale of the Church
Wardens & Overseers of the poor of the pish of
St. Clemt. Dans in the sd. County

That by an Ordr. and the handle Seales of John Ellis< no role > MilnerEllis & John
Milner< no role > Esqrs two of his Matyes Justices of the peace for the sd. County (Quor
nunc) bearing date the Wth. day of May Instant Anne Wallis< no role > Single Woman
was removed from the Pish of St. Giles in the Fields to the pish of [..]
Clemt Danes in the Sd. County as the plate of her last legall settlemt.

Yer Petrs. humbly [..] themselves apprived
by the Ordr. of the sd. two Justices & due Appeale
therefrom to the Judgemt. of this Cort and
pray a day for Hearing Etc.

And yer petrs. shall pray Etc