To the Rt. Worspl. her Matys Justices
of the Peace for the County of Middx

The humble Peticon of Elizabeth
Smith< no role > of the Parish of St. Pancras
in the sd. County Widow .

Sheweth
That for the Space of Four yeares past your Petr. was
allowed 8sh. month as a Pencon from the sd. Pish But
very Lately Paymt. is Stopt there of By reason of Which
your Petr. must Inevitably Parish Haveing wholly lost
the first of One of her Eyes Dim of the Other ya most [..]
lost the use of her Limbs

Yor. Petr. therefore Most
humbly prayes your Worspps to
be Pleased to Order that She
may be allowed such Pencon
from the sd. Pish As but your
Worpps shall seem meet.

And yor. Petr. shall Ever Pray etc

Eliz: Smith< no role >
her & mke

P Tho: Nash< no role >