and the Name and place of abode of the Person by whom the
same was so pawned and Pledged and also the Name and
palce of abode of the Owner thereof according to the Information
of the Person Pawning 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 according
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 concieves himself
Aggrieved

AndYour Petitioner therefore most humbly prays that he may be at
Liberty to appeal to the said Conviction
And thatthe same may be Adjourned
[..] the next General Session of the a Day in this present Session may be
Peace to be holden For the said CountyAppointed for the hearing and determining
thereof

And your Petitioner shall ever
Pray Etc
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