§
1768
1768
Name of the Child
If a Foundling mark F
If a BastardB
If a Casually C
If the same Child is
taken a second time
mark the second Entry
of the Name2.
If a Third3
Etc.
Age
Real or
Reputed
Years Y
Months M
Days D
If Born
in the
Work house
when
If not Born
in the
Work house
when
admitted
Name of the Person
by whom sent
If by an Officer
mark the Name O
If by the Father F
If by the Mother M
If Money
be received
with any
Child
What Sum
When died
in the
Work house
When discharged
from the
Work house
If nursed by
the Mother Mark
M
If Removed or
Passed to what
Place
When delivered from
the Work house to the
Father, Mother, or
other Person.
If to the Father Mark F
If to the Mother. M
If to any other Person
mention his or her
Name.
Nurse's Name to
whom delivered to be
Nursed. If a wet Nurse
markW
If a dry Nurse. D
If the Nurse dies or
is changed write the
Name of the new
Nurse under the
former.
Place where
the Nurse
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 other Person
mention his or her
Name.
This is to Certify that there has not been one Poor Infant under
four Years of Age belonging to and maintained by the said Parish
of St. Dionis Backchurch
from the 1st. day of January to the 31st day
of December. 1768. Witness our hands this 28th. day of January 17 [..]
Thos Shellam< no role >
Jo Chaplin Hankey< no role >
}
Church Wardens
Peter Pope< no role >
Hong. Newton< no role >
William Lem< no role >
}
Overseers of the Poor
.
N Andrews
Vestry Clerk
The Duplicate is
Signd also by Mrs Phillip
Master of the Workhouse
and delivered to Mr. C [..]
Agent
for the Compy
Parish Clerks 4th. Feby