To the Right Worppfull her Matie [..]
Justices of the peace for the County
Middx in the Genall Quarter Sessions
Assembled at Hicks Hall

The Humble peticon & Appear of Philipp Mor [..]

Sheweth

That Your Petr. hath lately built a [..]
Parish of thing in the said County of Middx

That Altho Your Petr. Coth notr Wellor [..]
the said house but only keeps A Servt. there for
Months in the Yeare to Show the same to Any per [..]
that shall be Minded to take or buy the same
And is not as he humbly Conceives charges to [..]
Any tax for the poor in respect of the said hou [..]
Yett the Churchwardens & Overseers or oth [..]
Officers of the Said Parish have rated yo [..]
Petr. 15s: for the poor after the rate of 10 [..]
Ann

Your Petr. therefore Prays
your Worshipps that he may be
Ward in the Prmises and that the
Said Churchwardens & other
Officers may attend your [..]
touching this Appeal

And your Petr Shall Praye [..]