Childrens Names Wher. Legitimate or Illegitimate
When Admitted or Born in the House.
Age when Admitted
Mothers Name Settlemt. & Residence.
Fathers Name Settlemt. Residence & Occupation
When Placed out to Nurse
Nurses C: & Sir Names If the Mor. Etc to be so Described.
Nurses Residence to be particularised
Weekly Allowance s d
Bounty
When Paid
When Died at Nurse
If Removed, When, Where, With whom, & how placed.
Remarks