Henry Trevisa< no role > of the parish of St Andrews Holbourne
in the County of Middx Victualler Maketh Oath
that he this Depont. did on the One thirteeth
day of Augt last part serve Frances Fothergill< no role >
Wife of John Fothergill< no role > at her mothers house
in White Chappell with a five copy of the
Notice here unto annexed by delivering the
same into her own hand

Jur in Cur prime
die september Annno
Dui 1701

Henry Trevisa< no role >