To the Right Worsppll his Matys Justices of the peace for the
County of Middlx

The humble Peticon and Appeal of
William Roberts< no role > and ann Caine< no role > &
Elizabeth Hith< no role > of the parish of St James Clerk work
in the Said County

Sheweth

That your Peticoners are rated to the poor and Scavengers rate
of the Said parish But being aged and very poor are not able to
pay to the Said rates and Appeal against the Same

Yer Peter therefore humbly pray they
may be discharged from paying to
the Said rates

And Yor: Peter Shall Ever pray Etc
Wm. Roberts< no role >
Ann Caine< no role >