§

1772 1772

Name of the Child
If a Foundling mark F.
If a BastardB.
If a CasualtyC.
If the same Child is
taken a second time
mark the second Entry
of the Name2
If a third.3
Etc

Age
real or
reputed
Years Y.
Months. M.
Days. D.

If Born
in the
Workhouse
when

If not born
in the
Workhouse
when
Admitted

Name of the Person
by whom sent
If by an Officer
mark the Name O.
If by the Father F.
If by the Mother M.

If Money
be Received
with any
Child
what Sum

When Died
in the
Workhouse

When discharged
from the
Workhouse
If Nursed by the
Mother mark M.

If Removed
or Passed to
what place.

When delivered from
the Workhouse to the
Father Mother or
other Person.
If to the Father mark F.
If to the Mother. M.
If to my other Person
mention his or her
Name.

Nurse's Name to whom
delivered to be Nursed
If a Wet Nurse mark W.
If a dry NurseD.
If the Nurse dies or
is changed write the
Name of the new
Nurse under the
former.

Place
where the
Nurse
lives.

Price of Nursing each Week

Bounty
to Nurse

If died
at
Nurse
when

If taken from Nurse
when.If brought
to the Workhouse
markW.
If delivered to the
Mother mark. M.
if to the Father. F.
If to any other Person
mention his or her
Name.

Y. M. D.
Mary Ann< no role > Roules B
2 7 26
Nursed by her Mother Ann Rowles< no role > and under her Care
Great George Street Westminster
2s

Susannah Farrill< no role > B
9 25
1772 March. 6th.
12 May 1772. M.
Sarah Margarett< no role > D.

Eliz: Combs< no role > .
3
24. Augt.
M
D}
Hoxton Middle

Susannah Combs< no role >
1
Do.
M.
D}
Hoxton Middle

Willm. Phillips< no role > Master of the Workhouse

Robt. Boyd< no role >
Henry Rutt< no role > }
Church Wardens

Peters Pope< no role >
Jas. Hebert< no role >
Richd. James< no role >
Thos. Hudson< no role > }
Overseers

Rd: Andrews< no role >
Vestry Clk