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

The humble Peticon & Appeale of the Church-
Wardens & Overseers of the poor of the parish of
St. Clemt. Danes in the sd. County

Sheweth

That by an Ordr. undr. the hands & Seales of John Milner< no role > & John Ellis< no role >
Esqrs. two of his Matyes Justices of the peace for the sd. County (Quor Unus)
beareing Date the twenty eighth day of July last Jane Roberts< no role >
widw. was removed from the Pish of St. Giles in the Fields in this County to
the sd. Pish of St. Clemt Danes as the place of her last legall Settlemt.

Ro Chimmow< no role >

That yor. Petrs. thinke themselves aggreived
by the Ordr. of the sd. two Justices & doe therefore
humbly appeale therefrom to the Judgemt. of
this Cort & pray to be heard thereon Etc

12th October John Burt< no role >
H P:C