Ten Pounds or paid any Poors Rate or Kings
Tax or done any Act to her Knowledge
or Belief to gain a subsequent Settlement
that she has Three Children Namely Mary
aged< no role > about Seven Years, [..] Frances aged< no role >
about Three Years [..] & Thomas Aged< no role > about
EighteenTwenty Months Months the lawful issue by
her said Husband

Sworn this Day of
1795 before}