§

1783 1783

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 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
Work
house

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

If Removed
or Passed
to what place

When delivered
from the Work-
house, to the Father
Mother, or other
Person. If to the
Father mark F.
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 mark W
If a dry Nurse D.
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
markW.
If delivered to the
Mother mark. M.
If to the Father F.
If to any others
Person mention
his or her Name.

Y M D
Alice Sabray< no role > C
3 - -
Dorothy Corwell< no role >
Hornsey Middx
3s/6d

Henry Holgrave< no role > C.
3 -
Mary Markes< no role > . Ducking Pond Street Mile End New town }
3s.

M W Hall
Chas. Barry< no role > }
Church Warden

James Green< no role >
Thos: Hudson< no role >
Rob Gosling< no role > }
Overseers

Willm. Phillips< no role > Master of the Workhouse

Nl: Andrews< no role >
Vestry Cl

1784. 23d. Jan. left Duplicate at Mr. Cuppers Nll