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Childrens Names Whether Legitimate or Illegitimate
When Admitted or Born in the House. If not Admitted. Note it
Age when Admitted
Mothers Name Settlemt. & Residence.
Fathers Name Settlemt. Residence & Occupation.
When Placed out to Nurse
Nurses C:& Sir Name
Nurses Residence to be Particularised
Weekly Allowance
Bounty
When Paid
When Died at Nurse, & Wher. Occasioned by the Nurse's Negligence or how.
If Removed, When, where, with whom & how Placed.
Remarks