Name of the Child.
If a Foundling mark F
If a BastardB
If a CasualtyC
If the same Child is
taken a second Time
mark the second
Entry of the Name
2
If a third Time3
Age
real or
reputed
Years Y.
Months M
Days D
If born in
the Work
house when
If not born
in the
Workhouse
when
Admitted
Name of the
Person by whom.
sent.
If by an Officer
mark ye Name O
If by ye Father F
If by ye Mother M
If Money
be received
with any
Child.
what Sum
When died
in the
Workhouse
When discharged
from the
Workhouse
If Nursed by the
Mother, mark M
If Removed or
Passed
to what Place
When delivered from
the Workhouse
to the
Father
, Mother, or
other Person
If to ye Father mark F
If to ye MotherM
If to my other Person
mention his or her
Name
Nurses Name to
whom delivered to
be Nursed.
If a Wet Nurse,
markW
If a Dry NurseD.
If the Nurse dies or is
charged write the
Name of wet Nurse
under the former
Place
where the
Nurse lives
lives
Price of Nursing each Week
Bounty
to
Nurses
If died
at Nurse
when
If taken from
Nurse when. If
brought to the
Workhouse
mark W.
If delivered to the
Mother mark. M.
If to the Father. F.
If to any others Person
mention his or her
Name.
Y M D
Charlotte Dionis F
1 3 -
1768 26 Decr.
Will. Wilde D
Ann Collop< no role >
. W
Chigwell Row
4
[..]
2 3
[..]
[..]
[..]
[..]
4 18
Born Sepr. 7th 1763
DoW
Do
4
[..]
3 1 -
Novr. 3rd 1763
[..]
[..]
2 2 -
3d Novr 1763
[..]
Jams. Harrison< no role >
4 3 -
Decr. 17th. 1763
Do. [..]
27th Jan 1763
James Hebert< no role >
Jurr
Tuan Leach< no role >
} Church Wardens
George Maynard< no role >
Peter Pope< no role >
Richd. James< no role >
Heny. Newton< no role >
Overseers.
Nathl Andrews< no role >
Vestry Clerk
Richd Brick< no role >
His
[mark] Mark
Master of the Work-house
Robt. Pernell< no role >
Thos. Hunter< no role >
John Chantrell< no role >
James Dunn< no role >
Wm Hilde< no role >