This document is an insurance claim for a fire at the home of Moses Cohen of three Crown Court, Poor Jewry Lane. This claim states that the fire happened on or about June 8, 1771, was accidental, and caused the loss and damage of his household goods, printed books and wearing apparel worth sixty pounds. An inventory of said household goods was delivered to the Sun Fire Office. The claim affidavit was signed on July 30, 1771 by Brass Crosby, Mayor of London, at Guild Hall.

On the reverse side of the page, the “minister, church wardens and other inhabitants of the parish of [blank]” certify that the fire on June 8, 1771 at the home of Moses Cohen was accidental, and that “Moses Cohen is an honest man and that he really and by misfortune without any fraud or evil practice has sustained by said fire a loss to the amount of the sum mentioned in the within affidavit.” The document is signed by Sarah Snow and David Salomons.

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The second sheet of paper is titled, “An Inventory of the Losses Sustained by the Fire that happened in by back room”. The inventory includes items such as fabric, aprons, a wig box with caps and handkerchiefs, a cap, apron, and ruffles and lace my wife was married in, 1 trunk about 25 inches long & 15 broad marked M. M. with my children’s clothes, a bed, blankets, curtains, and books.

Underneath the inventory is a note about the original fire insurance policy, No. 205959, dated January 10, 1764, on his household goods and printed books, in his new dwelling house only…and wearing apparel therein.