1769
1769
Name of the Child
If a Foundling mark F.
If a BastardB
If a CasuallyC
If the same Child is
taken a second time
mark the second Entry
of the Name2
If a Third3
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
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 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 Day Nurse. D
If the Nurse dies
or is changed write
the Name of the new
Nurse under the
Former.
Place
when 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 Work house
MarkW.
If delivered to the
Mother mark M.
If to the Father F.
If to any other
Person mention
his or her Name.
This is to Certify that there has not been one Poor Infant
under Four Years of Age belonging to and maintained
by the Parish of Saint Dionis Backchurch
from the
day of January to the 31st. day of December 1769.
Witness our hands this 25th. day of January 1770.
Wm Chesson< no role >
Hen Gretton< no role >
}
Church Wardens
Peter Pope< no role >
Thos Kellam< no role > This name instance is in set 1515.
Jas Hebert< no role >
}
Overseers
Nl: Andrews< no role >
Vestry Cl