§

1782 178223

Name of the Child
If a Foundling mark
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 time3
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
If to the Mother M.
If to any other Person
mention his or her
Name.

Nurse's Name to
whom delivered to be
Nursed. If a wet
Nurse markW
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
Nurses

If
Died at
Nurse
when

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

Y M D
Wm. Combs< no role > . C.
5 -
£ S D
Nursed by his Mother
Castle street White Chapel }
2s:6
1782 March

Alice Sabray< no role > C.
2
Nursed by
Sarah Graves< no role > }
Low Layton Essex
2/6

Robt. Pouling< no role >
Thos. Hankey< no role > }
Church Wardens

Peter Pope< no role >
Richd. James< no role >
J Holebrooke}
Overseers

Willm. Phillips< no role > Masters of the Workhouse

Nl: Andrews Vestry Cl

1783. 10th. Feb. Left Duplicate at Apr. Crippens Nll.