To the Worshipfull his Majties: Justices
of the peace for the County of Middx

I Thomas Jenkins< no role > Churchwarden of the parish
of Tottenham high Cross in the sd. County Doe hereby
Certifie that A Bastard Child lately borne on
the Body of Elizabeth Townsend< no role > Singlewoman
is Dead Witness my hand the First Day of
March Anno Dom 1716/17

Witnessed by
Willm: Calvert< no role >

Tho: Jenkines< no role >