To the Worshipful His Majesty's Justices of the Peace for the County
of Middlesex in their General Session Assembled

The Humble Petition and Appeal of John
Heaviside< no role > of George Street in the Parish of Saint George
Hanover Square in the County of Middlesex Surgeon .

Sheweth

That your Petitioner was on or about the 26th
day of June last convicted in the Penalty of Ten Pounds by
Cranley Thomas Kerby< no role > Esquire one of His Majestys Justices
of the Peace for the said County upon an Information
exhibited and prosecuted by Joseph Sewerby for using and
weaing Hair Powder as an Article of Dress not having
clamed a Certificate thereof contrary to the Statute, And
also four Shillings for Costs.

That your Petitioner conceives himself
aggrieved by such Conviction and is advised to appeal
against the same

Your Petitioner humbly prays your
Worships will be pleased to permit him
to enter his appeal so that the same may
be heard at this present General Session
and that your Worships will appoint a
day for the hearing and detemining
the same

And your Petitioner shall ever pray Etc.