Received the 2th. of April 1765 of Mr. [..]
Kippax Church Warden of the Parish
Church of St. Dennis Back Church the
Sum of Three Pound for One Quarter
annuity due to me from ye said Parish,
at Lady day' last past

£3.0.0

Madeliene Bourget< no role >
Samuel Codere< no role > Clerk
Isaac Gosset< no role >