To the Worshipful his Majesty's Justices of the Peace for the County of
Middlesex in their General Quarter Session of the Peace Assembled

The Humble Petition and Appeal of the
Churchwardens and Overseers of the Poor of the Parish
of Saint Giles in the Fields in the said County

Sheweth

That by virtue of a Pass Warrant or Order under the
Hands and Seals of Mich: Downs< no role > and Willm.. Jones< no role > Esquires two
of his Majestys Justices of the Peace acting in and for the City
and Liberty of Westminster in the said County (one whereof being
of the Quorum) bearing date the Nineteenth day of February
last past Ann Duflo< no role > Singlewoman insane was removed
and Conveyed from and out of the Parish of Saint James within
the said Liberty and County to the said Parish of Saint Giles
in the Fields as the Place of her last Legal Settlement whereby
Your Petitioners conceive themselves to be aggrieved

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 be Please to appoint a
day in this Present Session for the hearing and
determing the said Appeal

And Your Petitioners will Pray Etc

Herbt Robertson< no role >
Sol : for the Appellt.}