Public Office, Hatton Garden
Established pursuant to Act of Parliament, 32 Geo. 111.

Middlesex
to wit}

Chese are to certify that [..] an
Officer of the Excise , in the said County, appeared [..]
and took the Oaths appointed to be taken by Officers of the Excise
and likewise the Oaths of Supremacy and Allegiance,

Given under our Hands this [..] Day of [..]
at the PUBLIC OFFICE in Hatton Garden .

M. Bleam [..]
W [..]