§

1763 1763

Name of the Child
If a Foundling mark F.
If a BastardB
If a Casualty C.
If the same Child is
taken a second time
Mark the second
Entry of the Name
2
If a third time3

Age
real or
Reputed
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 Ye. Name O
If by Ye. Father F
If by Ye a 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 ye Workhouse
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.

Nurses Name
to whom delivered
to be Nursed.
If a Wet Nurse
MarkW.
If a Dry Nurse D.
If the Nurse dies
or is changed write
the name of ye 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 mark M.
If to the Father F.
If to any other
Person mention
his or her Name

Y M D
Charlotte Dionis F
1 3
1762. 26. Decemr:
Willm Wylde< no role > O
Ann Collop< no role > W
Chigwell Row< no role >
4s

Mary Ives< no role > C
2 3
1763 28. May.
Francis Leects< no role > O

Willm Kolsworth B
4 18
born Sepr: 7th. 1763
Ann Collop< no role > W.
Do.
4

Caroline Harrison< no role >
3 1
Novr: 3d 1763.
Francis Leects< no role > O

Jane Harrison< no role >
2 2
Novr: 3d. 1763
Do

27th. January 1764

Fran Leech< no role >
William Kippax< no role > }
Church Wardens

G. Maynard
Peter Pope< no role >
Richd James< no role >
Jas Hebert< no role > Jur}
Overseers

his
Rd. [mark] Birck< no role >
mark}
Master of the Workhouse

Nath Harred}
Vestry Clerk

Febry 7th 1765 Duplicate Rere of delivered
to the Beadle of the Company of Pish
Clerks N A.