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<p n="428">§</p>
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<p n="429">Childrens Names Wher. 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 Settlemt. & Residence.<lb></lb>
Fathers Name Settlement Residence & Occupation<lb></lb>
When Placed out to Nurse<lb></lb>
Nurses C: & Sir Name<lb></lb>
Nurses Residence to be plarised.<lb></lb>
Weekly Allowance<lb></lb>
Bounty<lb></lb>
When Paid<lb></lb>
When Died at Nurse, Wher. Etc by the Nurses Negligence, or how<lb></lb>
If Removed, When, Where, With whom, & how Placed<lb></lb>
Remarks</p>
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