Printed form completed in manuscript.
The proclamation referred to is Evans 14783: By Richard Viscount Howe of the kingdom of Ireland, and William Howe, Esq; ... the King's Commissioners for Restoring Peace to His Majesty's Colonies in North-America ... Given at New-York, this thirtieth day of November, 1776.
The proclamation was printed by Macdonald and Cameron.
Some copies completed in manuscript: "New-York [Suffolk County] ... the bearer [John Ketcham] ... "; signed at bottom: "Wm. Tryon."
Description based on online resource; title from PDF title page (LLMC Digital, viewed September 10, 2017).