To the Worll: her Mats: Justices of
the Peace for the County of
Middx: in Quarter Sessions Assembled

The humble Peticon & Appeal of the
Churchwardens and Overseers of the poor
of the parish of St: Margtt: Westmr

Sheweth

That Jane Soan< no role > Widow was
removed by Virtue of a pass Signed by John
Cogg< no role > and John Bond< no role > Esqr: two of her Maties
Justices of the peace for the County of Middx
out of the Parish of St: Clement Danes in the
said County and brought unto the said Parish of
St: Margtt: Westmr : as her last legal Settlemt. the passe bearing
date the 23th. day of May last

That yor: Petr: think themselves
Agrieved by the Adjudgement of the said Justices

Your Petr: therefore humbly Appeal
and pray this Worll: Bench to grant
your Order to the Churchwardens or
Overseers of the poor of the said parish
of St: Clement Danes to Answer the
said Appeal.

And yor: petr: shall ever pray Etc