To the Worshipfull his Majesty's Justices of the Peace for the County of Middx [..]
Assembled in Genll. Session at Hicks Hall in & for the sd. County

The humble Peticon & Appeale of the Church Wardens &
Overseers of the poor of the parish of St. Clemt. Danes in sd. County

Sheweth

That by an Order undo: the hands & Seales of John Mercer< no role > &
Ben: Burroughs two of his Majestys Justices of the peace for the sd. County
of Middx (one being of the Quorum) bearing date the 8th. day of Janry last
Rachell Storey< no role > Widw . of Thos. Storey< no role > deced was removed from the parish
of St. Giles in the Feilds in the sd. County of Middx to the sd. parish of St.
Clemt. Danes as the place of her last legall Settlemt. where by your Petrs.
conceive themselves to be Agreived & agt. the sd. Order doe Appeale

Your Petrs. therefore humbly pray that a Short Day may
be appointed this present Sessions to hear & determine
themres touching the sd. Appeale

And your Petrs shall pray

Ro: Chimmow< no role > Sollr .
For the Appellts}