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“A, of the parish of B, in the county of C, maketh Oath that D, of the parish of B, in the county of C, lately deceased, was not put in, wrapt or wound up or Buried, in any Shirt, Shift, Sheet, or Shroud, made or mingled with Flax, Hemp, Silk, Hair, Gold, or Silver, or other than that which is made of Sheep’s Wool only. Nor in any Coffin lined or faced with any cloth, stuff, or anything whatsoever, made or mingled with Flax, Hemp, Silk, Hair, Gold, or Silver, or any other material but Sheep’s Wool only.

“Dated the ... day of ... in the xxxth year of the reign of our Sovereign Lord, Charles the second, king of England, Scotland, France, and Ireland, etc.

“Sealed and Subscribed by us, who were present and witnesses to the Swearing of the above said affidavit

(Signatures of two witnesses.)

“I, ..., esq., one of the King’s Majesties Justices of the Peace for the County above said, do hereby certify that the day and year above said A came before me and made such affidavit as is above specified according to the late Act of Parliament, entitled An Act for burying in Woollen.