The 15 Day of Jenwory 1710

REceived then of me winders for me Botles ESB
the Sum of
Six Shillings so much being
Assess'd and Charg'd upon hLandlord for [..] he third
quarterly Payment of the Aid granted to Her Majesty
Queen Anne, by Virtue of an Act of Parliament made in the ninth
Year of Her said Majesty's Reign, Intituled, An Act for granting an
Aid to Her Majesty, to be rais'd by a Land-Tax in Great Britain, for
the Service of the Year One thousand seven hundred and teen say
Received the said Sum of }
£. 0- s. 6. d. 0

By {
Sam Brasby< no role >
Hanes Grigroy< no role > }
Collector.