16th Janr 1726

Reed then of Thomas Knight< no role > the
Sume of three pounds and three
Shillings being in full for the
Surgdon And my self for Loss of time
And Smart Money According to the
Order of ye Court this Day at Hicks
Hall I say recd by me

Witess
Rebecah [..]
Jno Symonds< no role >

his
Wm [mark] Pitt< no role >
Mark