To the Right Wopfull his Majts, [..]
The pe for ye County of Middx

The Humble Peticon & Appeale of Robert
Long< no role > of the [..] of St Giles without
Criplegate in ye County aforesaid

Shewith

That yor [..] Pson is Rated towards the
releife of ye Poore ye said psh ye Sume of Seaven
Shillings & Six pence for one hundred pound
Stock for halfe yeera Yor Peticonr & is ready
To make it [..] Appear to this Court, ye he has
not Stock or P Shall [..] fate some his house not
goods & monyes to [..] ply his dayly Necessaryes

yr Peticonprayshumbly prays Such
[..] Wife as yor Worshipps
shall Seeme Meet

and yor Peticonr Shall Ever pray Etc