To the Right Worsppfull his Matyes Justices of the Peace for the
County of Middx assembled in Quarter Sessions.

The Humble Peticon and Appeale of the Church Wardens
& Ovrseers of the poor of the Pish of St. Clemt. Danes in the
sd. County

Sheweth

That Anne Bacon< no role > wife of John Bacon< no role > with their young Child named
John < no role > aged abt. time Months were by ordr. dated the 31th day of May last
undr. the hands & seales of two of his Matyes of the peace for the [..]
County of Middx (Quor unns) removed from the pish of St. Giles in
the feilds in the sd. County to the sd. Pish of St. Clemt. Danes as the place of their
last legall settlemt.

Yor. Petrs. therefore humbly conceive themselves
to be aggreived by the sd. order. of the sd. two Justices
& appeale therefrom to the Judgmt. of this Cort
and pray that this Cort will appoint appoint a day for
Hearing Etc

And yor Petrs. Shall Pray Etc.