To ye Worshpfull his Matyes Justices of ye peace for ye County of Middx
Assembled in Quarter Sessions.

The humble Peticon & Appeale of ye Church Wardens &
Ovrseers of ye poor of ye Pish of St. Clement Danes in ye County
of Middx

Sheweth

That by an Order under ye hands & Seales of two of his Matyes Justices of the peace for the
sd. County of Middx (Quorum Unus) bearing date ye twelth day of Aprill Instant John
Andson< no role > an Instant Aged abt. two years was removed from ye Hamlett of Hammersmith in
ye. Pish of Fulham in this County to ye sd. Pish of St. Clement Danes as ye place of his last
legall Settlemt.

Yor. Petrs. thinking themselves Aggreived by the
Judgemt. of ye sd. Two Justices of ye peace Appeale to this
Court agt. the same & desired to be releived therein

And your Petrs. shall ever pray Etc