§

Jno Tom< no role > [..]
Sam Lampkin< no role >

John Dos< no role >
Thos. Lancastle< no role >

1792

If removed
or passed
to what place

When delivered from
the Workhouse to
the Father Mother
or other Person
If to the Father F.
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
Mark M. 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

Piece Nursing last Week

Bounty
to
Nurses

If
died
at
Nurse
when

If taken from
Nurse when
If bought to the
work house mark
M. If delivered
to the Mother mark
M. If to the
Father F. It to
any other Person
mention his or
her Names

Wit Nursed by the Mother
4s
Discharged to the Mother 8th. May 1792

Mr. Andrew
Vestry Cl

Duplicate sign'd by Robertson & Simpson Masters of the Workhouse

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