[..] Worsppll his Matys Justices of the Peace
County of Middx

The humble Petition and Appeal of
Thomas Mitchell< no role > of the Parish of St James
Clerkenwell in the said County.

Sheweth

That your Petitr. is Charged to the Poors Ra [..]
said Parish for the House he Dwells in after the
[..] twenty pounds P Annum rent whereas
Petitr. pays noe more then £15:17s:04d P Ann
[..] sd House Wherefore he Conceives himselfe
[..] ved and Appeals against the same

Your Petitr: therefore humbly prays
such Relief in the premises as to this
Court shall be thought meete.

And yor Petitr shall every p
Tho Mitchell< no role >