Middx

Richd. Barther< no role > upon his Oath saith that
abt. Ten Years ago he lived in & rented a House
in Clare Court in the Parish of St. Clement Danes
in the County of Middlesex of the Yearly Rent
of Ten Pounds for the Space of Six Years & upwds-
& further saith that he hath not since he
left the sd. House rented Ten Pounds a Yr. pd.
Parish Taxes lived with any Person as a Yearly
hired Servt. for the Space of one Year or otherwise
gained a Settlemt. in any other Place to his
knowledge or beleife that being Poor he is not
able to maintaine himselfe

Sworne the Day & Year
above menconed before}

The Mark of [mark] Richd. Barther< no role >