St. Clement Danes
Middlesex
&
Westminster}
(to wit)
Robt. Jackson< no role >
Aged Nineteen years
& upwards Upon his Oath saith that he
never was Married that he lived as an
hired Yearly Servant
with Mr. Swyffin at
the Talbot as Spotted Dog
Tottenham Court
Road
in the parish of St. Pancras
in the said
County and Liberty abt. 13 Months at the
Yearly Wages
Rent of £5 that he quitted that
Service abt. thirteen Months ago
[..] and since
then hath not done any Act or thing wtsoever
whereby to his knowledge or belief he might
[..] acquired any other legal Settlement and
that he is Ill Poor & unable to support
himself
Sworn the 22nd. June
1791
. before us
D Walker R Butler
his
Robert [mark] Jackson< no role >
Mark