To the Worspll. his Matyes Justices of the Peace Assembled in
Quarter Sessions

The humble Peticon & Appeale of the Church
Wardens & Ovrseers of the Poor of the Pish of
St. Clement Danes in the County of Middx

Sheweth

That by an Order under the hands & Seales of two of
his Matyes Justices of the Peace for the sd. County of
Middx bearing Date the first day of October Instant
[..] Jacob Mail< no role > aged abt. Nine Yeares Some of John Mail< no role >
deced by same his wife was removed from the Pish of
St. Gyles in the Feilds in the sd. County to the sd. Pish
of St. Clement Danes as the place of the last legall
Settlement of the sd. Jacob Mail< no role >

That your Petrs. think themselves [..] aggreived by the
Order of the sd two Justices doe Appeale therefrom
to your Worshipps & humbly Praya Short day may
be appointed for hearing the Same

And your Petr. shall Pray Etc