Childrens Names Wher. Legitimate or Illegitimate
When Admitted or Born in the House
Age when Admitted Y M D
Mothers Name Settlemt. & Residence.
Fathers Name Settlemt. Residence & Occupation
When Placed out to Nurse
Nurses C: & Sir Name
Nurses Residence to be plarised.
Weekly Allowance
Bounty
When Paid
When died at Nurse
If Removed, Where, When, with whom, & how Placed.
Remarks