To the Rt Worpfull his Ma [..]
peace for the County of [..]

The humble peticon of [..]
poor of the Prsent of [..]
[..]

Sheweth
Therefore [..]
wife being Inhabitants in the [..]
Tenemt. of £3 p ann or [..] thereabout [..]
last past privately made away with all the [..]
away & left three small children
William Collier< no role > chargeable to the said
That Wm Haverland< no role > of the said Prsent [..]
Father to the said Grace the wife [..]
the said three Children) is of su [..]
maintaine & Pride for the [..]
refuseth to [..]
very charge [..]

H Rolfe:

Yor petrs [..]
Wm Haverland< no role > [..]
this Court some time [..]
cause why [..] he short [..]
sd Children or [..]
And your Petr [..]