City and Liberty
of Westminster .}

By Virtue of a Warrant under the Hand and Seal of THOMAS
PRICKARD< no role > , Gentleman , his Majesty's Coroner for the said City
and Liberty of Westminster , you are hereby summoned personally to be
and appear before him as a Juryman, on the Day of
at of the Clock in the Afternoon
precisely, at the House of known by the Sign of
the in the Parish of
within the Liberty of Westminster , then and
there to enquire in his Majesty's Behalf, touching the Death of
and further to do and
execute such other Matters and Things as shall be then and there given
you in Charge, and not to depart without Leave. Hereof fail not at
your Peril. Dated this Day of 179

Your's
Constable of the said Parish of

To Mr.
of the Parish of
within the Liberty of West-
minster.}