Know all men by these presents, that I [blank] do owe, stand justly indebted and firmly bound unto [blank] in the paenal sum of [blank] currant lawfull money of Pennsilvania to be paid to the said [blank] or his certain attorney, their heirs, executors, administrators or assigns. In and to the which payment well and truly to be made and done, I bind and oblige me, my heirs, executors and administrators firmly by these presents. In witness whereof I have hereunto set my hand and seal this [blank] day of [blank] anno 16[blank] The condition of this obligation is such, that if the above bounden [blank] or his certain attorney, their heirs, executors or administrators do well and truly pay or cause to be paid to the said [blank] his certain attorney, theirs heirs, executors or administrators or assigns the full and just sum of [blank] lawfull money aforesaid, and that in [blank] at or before the [blank] day of [blank] next ensuing the date hereof, without fraud, coven or further delay, that then and in that case the abovesaid obligation shall be void, else it shall remain in full force and virtue. [blank] Signed, sealed and delivered in the presence of us, [blank]