To the Worshipfull his Majestys Justices of
the Peace for the County of Middx in Generall
Sessions Assembled.

We whose Names are hereunto Subscribed
being Overseers the Poor of the Parish of St. Clemt.
Danes in the Liberty of Westminster and county
of Middx do hereby certify that Robert pacey< no role > This name instance is in set 2039. who
was bound over to appear to answer the complaint
of the Churchwardens and Overseers of the Poor of
the said Parish of St. Clement Dance for
unlawfully begetting Ann Savage< no role > This name instance is in set 2055. This set is in the group(s): MothersCD . with Child
hath given Security to Indemnify the said Parish
by Bond dated the Sixteenth Day of May 1763

Withness
Wm. Chimmow< no role > Vestry Cl

r. 12/8

Williams
Tho: Oliver< no role >
Ralph Williams< no role >