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Childrens Names Wher. Legitimate or Illegitimate
When Admitted or Born in the House. If not Admitted. Note it.
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, When, Where, With whom, & how placed.
Remarks.