To the Worshipfull Justices of Peace for
the County of Middlesex

We whose Names are hereunto Subscribed being Members
of a Congregation Called Protestant Desenters and Independents meeting in
Artillery Lane in the County of Middlesex having Set under
and been Instructed by Mr. Thomas Nicholls< no role > for upwards
of 18. Months last past Do request and Desire he may be
Licenced for the Purpose of being and Continuing our Pastor and
Teacher as the Law in such Cases hath Directed

Jno Leave< no role >
J Noble

Recommended by the
Revd. Mr. Richardson