Saint Clement Danes .
June 18th. 1794

Middlesex
and
Westminster }

Settlement in
St C D}

(to wit) Ann Wormington< no role > Widow aged about 73
years Upon Oath saith that she was Married to
Charles Wormington< no role > her late Husband at the Parish
Church of St. Clement Danes several years ago
(by License) that Subsequent thereto to his Death she Rented and
resided in a House in Little Shire Lane in the
Parish of St Clement Danes in the Liberty of Westminster
and County of Middlesex for about 20 years at the
Annual Rent of £14 that She quitted the same about [..]
several years ago and hath not Since done any Act
Matter or thing whereby to obtain any subsequent
legal settlement to the best of her knowledge
Information or belief

Sworn the 18th day of June
1794 before me} Wm Kitchiner< no role >

Ann Wormington< no role > 's
[mark]
Mark

Witness
Garrett