FORM S

OF

APPLICATION

ΤΟ

THIS SOCIETY FOR RELIEF.

THE Debtor receives gratis from the Gaoler a printed Petition, of which the following is a copy: To the Right Honourable the PRESIDENT, the VICE PRESIDENTS, and other Members of the Society for Discharge and Relief of Persons imprisoned for Small Debts.

The humble Petition of

late of

SHEWETH,

street, in the parish of

in the County of

THAT your Petitioner-bath not received any benefit from your Society heretofore: That he is in the Year of his Age: by profession a

and hath *

D 4

* Insert the Wife and number of Children, if any, under 14 years of age.

THAT

Insert the on the f

on

day of

and continues confined

plaintiff's of the said prison for a debt of £ name, profes-

sion, and sworn to by

also the dates

of the decla- your petitioner in the court of ||

ration, trial,

who hath proceeded against

superscdable;

the time when, also to pay the prison-fees to obtain your

and for what

REASON.

Insert the

names, pro

petitioner's liberty who having no effects, or power, to discharge the saine,

fessions, and most humbly prays to partake of your places of a

bode of two bounty, in such way as to you may seem housekeepers meet; and refers to ¶

who are ac

quainted with

the prisoner's in the parish of

case; but if a

of

and

of

street, in the parish

dens, &c. of for a character of his sobriety and integ

the parish

wherein he or rity.

she lately re

sided.

DIREC

DIRECTIONS TO THE PRISONERS.

I. Debtors who desire to partake of this Charity, must apply by printed PETITION ONLY; a form of which, as above, may be had of the respective keepers, gratis.

II. No Petition will be attended to, unless filled up fully and exactly, as directed in the margin; those directions being so plain that no difficulty can arise. It is therefore desired that every Petitioner will fill up his or her own Petition.

III. Those who apply for their liberty by Supersedeas, or for Sixpences, must send a copy of their cause or causes, with the Keeper's certificate.

IV. All LETTERS, PETITIONS, &c. are to be forwarded to the Letter-Box, N° 7, in Craven-street, Strand, post-paid.

N. B. An attempt to impose on the Society, in any particular, will prevent the Petitioner's being relieved.

A letter of thanks will be expected from every person discharged: and it is desired that no Bond, Note, Warrant of Attorney, or Obligation whatever, be given to such Plaintiffs as receive a composition from this Society.

Upon

Upon the proposed composition being accepted by the plaintiff, the gaol-fees are immediately paid, and the debtor set at liberty; with some small donation, according to the number and distress of family, &c.

And, in order to prevent imposition by SWINDLERS, the Society have found it sometimes necessary to apply to the plaintiff for his testimony concerning the debtor, by the following address.

SOCIETY for the Discharge and Relief of
Persons imprisoned for SMALL DEBTS.

The

CRAVEN-STREET, STRAND.

of

180

a Prisoner at your suit in the Gaol of for a debt of £•

S.

d. bath

petitioned this Society for their charitable assistance; who, being desirous of distributing the benevolence of the Publick to every worthy object (and to such only), request to be informed by you, of the manner in which the debt was contracted: whether in the common and ordinary course of business, or on specious pretences; and of such other circumstances, as may enable the Society to judge of the Petitioner's true character, and of his qualification to partake of the public bounty from this Charity. R. GRASSWELL, Sec. Be pleased to write your answer on the back of this paper; and direct it

To be put into the Letter-Box, No. 7, Craven-Street, Strand.

FORM