The humble request of Cornett George Russell< no role > to the
[..] hipll. Justices of Peace for ye. County of Middlesex.

Humbly requests that your Worships will be well
[..] to sign this Peticon to the Treasury of theWestEast division
[..] taken allready to Mr. Poird ye. treasurer of ye said
for the gift of forty Shillings to keep him from prishing
[..] distracted Wife who is 80 years and he is 87 and
[..] I hope your worships will consider his great service
[..] ing 17 wounds [..] 3 of ym. being Shotts, I hope
[..] ench will be pleased with the same

And as in duty found shall ever pray

[..]

[..] nt the
WestEast
[..] gine
[..] hereof
[..] hg shillings
[..] that the whole
[..] be well pleasd
[..] Sonne

[..] whose names are underwritten
content yt the Treasures for the
[..] shall give ye bearer in regard of
d & poverty forty shillings out
[..] County stocke July ye 20 1691 .

Tho Rowe< no role >
Jam. Cardross< no role >
Tho; Owen< no role >