To the Worshipfull his Majs. Justices of the Peace for
the County of Middx now Setting on the Bench at Hick's Hall .

The petition of Samuel Sansbury< no role > now in Clerkenwell
Bridewell

Humbly Sheweth

That your petitioner was convicted [..] last
Sessions by his Worship Justice Barey for 6
Months for Uttering false Counterfeit Guineas
imitateing the Courant Coin of Great Brittain

Your Petitioner has been 6 Months Confined and am in a miserable
Condition having lost one of my Eyes since my Confinement &
having a Wife & 6 Small Children humbly begs Your Worships
would please to order his Discharge

And in so doing Your Petitioner will
ever Pray