Middlesex ss

Ann Norris< no role > the wife of Thomas Hush
Norris< no role > maketh oath That her said husband who is
now disordered in his mind heretofore rented the
Cock Alehouse in Cock alley in the Parish of Saint
Botolph without Aldgate in the said county and
during such his residence therein he was charged
to and Paid Poors Rates for the Same That her sd
husband has not Since rented a house of the yearly
rent or Value of Ten Pounds or Served any Parish
office or Paid any Poors Rates or Kings Taxes
& done any Act to gain a Settlement elsewhere
and that she was lawfully married to her said
husband

Sworn this 14. day
of March 1787 before}

The Mark of
Ann [mark] Norris< no role >