Wee the Minister and Church Warden
of the Parish and Parish Church of Saint
Andrew Holborn
Do hereby Certify That William Symons< no role >
on Sunday the Thirteenth Day of September
did receive the Sacrament of the Lord Supper in the Parish
Church
aforesaid immediately after Divine Service and
Sermen according to the Usage of the Church of England
In Witness whereof we have hereunto subscribed our
Hands the said Thirteenth Day of Septr.
1778
Wm Lee< no role >
Curate
{Minister
of the Parish and
Parish Church aforesaid
E. [..] {Church Warden
of the said
Parish and Parish Church
William Boulter< no role >
& Charles Marley< no role >
Do severally make Oath That they did see the said
William Symons< no role >
in the
above written Certificate named, did who now present
hath delivered the same into this Court Receive the
Sacrament of the Words Supper in the Parish Church
aforesaid And that they did see the said Certificate
subscribed by the said Minister and Churchwarden
W Boulter
Chas. Marley< no role >