§

Name of the Child
If a Foundling Mark F.
If a Bastard B
If a Casualty C.
If the same Child
is taken a Second
time Mark the
second Entry of the
Name2
It a third time 3

Age
real or
respected
Years y
Months M
Days D

If Born
in the
Work
house
When

If not
Born in
the Work
house
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.

When
died
in the
Work
house

If Money
be received
with any
Child
what
Sum

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

Y M D
Jane Harrison< no role > C.
2 7 -
1792 19 April

Jno. Fombs< no role >
Sam Lampkin< no role > }
Church Wardens

John Dod< no role >
Thos. Lancaster< no role > }
Overseers

Ann Ebrall< no role > .
1y : 6M.
Osbond Sheet White Chaple
2

Maria Johnson< no role >
2. 6
Brief lane With Fields
2

William Sharan< no role >
1.11.
Floyd's Yards Coleman Sheet}
2

[..] nd by Robertson & Simpson Masters of the Workhouse

15th. Feb. 1793 deled Duplicated at Mr. Clippens NA