two Justices and dow therefore [..]
Appeal to your Worships therefrom
And humbly Prays that you will
be Pleased to hear him in the
Premises and Order that the said
Sarah Bidder< no role > and the Church Wardens
and Overseers of the Poor of the said
Parish of Saint Pancras in the County
of Middlesex may appear before you
at a certain day to be appointed
to hear and abide the Judgement
and determination of your Worship
touching the Appeal

And your Petitioner shall
ever Pray Etc.