Middesex
Tower Divison }

Simon Jem< no role > Maketh Oath and Saith that
he Did deliver the within Named Vagrant
according to the Order of the with in Duplicate

Simon Jeve< no role >

Sworn the 18th Day of
November 1779 before me}
John Staples< no role >

Recev'd of Mr Elliott
one Shilling for the within
Vagrant

P Simon Jeve< no role >

Recd Elizabeth Ward< no role > ley Mr John Anagkreick< no role > for
Indeddt. Hall governar October the 29 1779