To the Rt. Worspll. his Matys Justices of the
County of Middx

The humble Pe [..]
Samuell Hutt< no role >

Sheweth
That for the yeare Last Past your Pet
of Headborough for ye upper Liberty of the [..]
Clerkenwell in the sd County and In the [..]
Did Disburst in Passing and Releineing Say [..]
and Otherwise the Sume of £4:11d:6s as app [..]
Acots upon Oath. That your Penticoner has
the sd Money's of ye Churchwardens and [..]
of the sd psh but they Refuse to Pay
an Order of this H [..] nable Court.

Yor. Petir. therefore in
Praye's yor. Worshipp [..]
Order that he may [..]
the sd Money's see
as aforesaid as with
shall seem meet the
Want thereof [..]

And yr Pen [..]

Clerkenwell
Churchw: to
make a tale for
ye reimbursing
the Petr.
[..]
[mark]
1699.