To the right Worshipfull his Magr. Juste: of ye peace
for the county of Middlessex

The humble Petitr: and appeale of Hannah Archer< no role >
of the Parish of St: Giles Cripplegate in the
said County Widdow

Sheweth

That yr. Petitioner is rated twelve schills
and Six pence for one hundred pound Sterl and
personall estate towards the relief of she poor
of the Sd: Parish: and yr: Petr: is ready to make
Oath that the has no Sok noe personall estate
of any kind what soeber save her house held goods
weaving apparell and so much mony only as Supplays her
daily necessities [..]

Yr: Petitr: humbly prays she may be discharged
from the said rate and to appoint a day
for hearing

And Yr: Petr: Shall ever Pray Etc