To the Worshipfull his Majesty's Justices of the Peace for the County
of Middlesex in General Session of the Peace at Hicks Hall in the said County
Assembled.

The humble Petition and Appeal of the Church Wardens and
Overseers of the poor of the Parish of Saint Anne within the
Liberty of Westminster in the County aforesaid

Sheweth

That by Virtue of a Pass Warrant of Order under the hands and Seals
of Philip Dyot< no role > and John Girdler< no role > Esquires two of his Majesty's Justices of
the Peace in and for the County of Middlesex (whereof one is of the Quorum)
bearing date the eighteenth Day of January last Samuel Robinson< no role >
Peruke maker and Elizabeth< no role > his Wife were removed and conveyed from
that part of the Parish of Saint Andrew Holborn which his above the
Bars in the County of Middlesex to the said Parish of Saint Anne
as the place of their last legal Settlement whereby Your Petitioners
conceive themselves to be aggreived.

Your Petitioners therefore humbly Appeal to this
Court against the Adjudication of the said two Justices
and their said Order and pray that Your Worships
will please to appoint some Day in this present
Session for the hearing and determining the said
Appeal And to Order that the Church Warden s
and Overseers of the poor of the said part of the Parish of Saint
Andrew Holborn and all Persons concerned Do
then Attend this Court.

And Your Petitr: Shall Pray Etc

Jno Gerard< no role >
Wm, Stedman< no role > }
Church Wardens

and

Nr Horwood
Lewis Gilles< no role >
S Goddard
W Peale}
Overseers of the Poor
of the said Parish of
Saint Anne