<div1 type="CD_BEpage" id="WCCDBE35602BE356020007"> <xptr type="pageFacsimile" doc="WCCDBE356020007"></xptr>
<p n="20">§</p>
</div1>
<div1 type="CD_BEpage" id="WCCDBE35602BE356020008"> <xptr type="pageFacsimile" doc="WCCDBE356020008"></xptr>
<p n="21">Childrens Names Whether Legitimate or Illegitimate <lb></lb>
When Admitted or Born in the House, If not Admitted, Note it <lb></lb>
Age when Admitted Y: M: D <lb></lb>
Mothers Name Settlement & Residence <lb></lb>
Fathers Name Settlemt. residence & Occupation <lb></lb>
When Placed out to Nurse <lb></lb>
Nurses Christn. & Sir Name If the Mor. or or. Relations to be so Described, <lb></lb>
Nurses residence be particularised <lb></lb>
Weekly Allowance <lb></lb>
Bounty <lb></lb>
When Paid <lb></lb>
When Died at Nurse, Wher. Supposed to be Occasioned by the Nurses Inattention, or how, <lb></lb>
If removed, When, Where, & with Whom Placed <lb></lb>
Remarks</p>
</div1>

View as Text