REceived the 19th Day of February 1712 of the
Minister and Churchwardens of St Dyonis
Back Church the Sum of
Twelve pounds eight Shillings & six Pence
Collected upon Her Majesty's Letter for the Relief of the
Poor in and about London. I say, Received for [..]
Sr. Wm. Fazakerley< no role > [..] Chamberlain of London. }£12:08s:06d

P: L: Forster.