To the Right Worspl his Maties Justices of the Peace for this Courts of
Middx

Sheweth

The humble Peticon of Mary Adams< no role > [..]
of the Calledgee of [..]
County

That in Some time past one Thomas Scott< no role > was by Order of this Honble Court
comitted to the cave of your Petr.

That the sd. Thomas Scott< no role > is abt this time untill afflicted with the Slugs Will
which is Soe Violent upon him that he is not fitting to coutinue Conar with her [..]
And force Smith as your Petr. haveing Severall times peticoned your Words as
on this Account but could never as yett receive your Worsops answer and the sd
Thomas Scott being now in Court

Yor Petr therefore most humbly Prayer yor
Worspp to be aleaged to Grant that the sd
Thomas Scott< no role > may he discharged from the sr
Polleryin further [..] .

[..] Tho. Nash< no role >

And yor Pr. Shall ever Pray Etc
Mary Adams< no role >