Middx to wit

THE Examination of [..]
Daniel Cooper< no role > who is go [..]
a Rogue and Vagabond apprehended by i [..]

in the Parish [..]
of Middlesex [..] [..] ought b [..]
of His Majesty's Justi [..]
of Middlesex aforesaid and ta [..] ore
this 29th. Day of August [..] Year of our
Lord 17 64

This Examinant on h er Oath says, That [..]
Lawfully Married to her said Hens [..] and hall
two Children by him born in Law [..]
namely Martha< no role > aged about three years and [..]
aged about seventeen Months and [..]
said Husband was born a [..]
of York where his Father and [..]
Rented a house there and paid [..]
same as this Examination [..]
the best of this Examination [..]
her said Husband hath not do [..]
to gain any subsequent Settle [..]

Taken and Sworn
the day & Your above written
Before me}
Cad. Coker< no role >