To Ye. Rt. Worshipful his Majties.
Justices of the Peace for the County of Middlx I Quarter
Sessions Assembled

The humble Peticon and appeal of Henry
Lee< no role > in the Parish of St. James Clerkenwell
in the County of Middx

Sheweth

That Yor Peticon is rated to the poors
rate of the said Parish for Ten pounds pr. Ann for the
house he lives in altho': he Rents but Eight pounds
pr. Ann

Yor. peticon therefore thinks
himself agreeved by the Said Assessment and Appeales
against the Same

Yor. peticon therefore humbly
pays for Such releife as Your
Worshipps shall See meet

And Yor. peticon shall ever pray Etc.