§

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: Etc Sir Name If the Mor. Etc to be so Described.
Nurses Residence to be Plarised
Weekly Allowance s d
Bounty
When Paid
When Died at Nurse.
If Removed, When, Where, With whom, & how Placed.
Remarks.