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<p n="431">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>
Father Name Settlemt. Residence & Occupation<lb></lb>
When Placed out to Nurse<lb></lb>
Nurses C: & Sir Name If the Mor. Etc. so to be Described.<lb></lb>
Nurses Residence to be pticularised.<lb></lb>
Weekly Allowance S D<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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