Pawned and Pledged and the name and Place of abode of
the Person by whom the same were so pawned and Pledged
and also the name and place of abode of the Owner thereof
according to the Information of the Person Pewning or Pledging
the Same according to the Direction of the Statute in such Case
made and provided but wholly neglected to make such Entry as
aforesaid Contrary to the Form of the Statute in such Case made
and provided

And you Petitioner was adjudged to pay
Forfeit For Such Offence the Sum of Ten Pounds
Whereby your Petitioner conceives himself Aggrieved

AndYour Petitioner therefore most humbly prays that he may be at Liberty
a day in this present Session may be appointed for
to Appeal to the said Conviction And that for [..]
hearing and determining thereof [..]
[..]

And your Petitioner shall ever Pray Etc
Pio Sienesi< no role >