1771 1771

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 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 the
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 my other
Person mention his
or her name.

Nurses Name to
whom delivered to be
Nursed. If a Wet Nurse
markW
If a dry NurseD
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
Nurse

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.

Mary Ann< no role > Rowles B.
1 7 26}
{Nursed by [..] Mother Ann [..] and under to [..]
St. Gile's
2s

Geo: Fredk. Kent< no role > B.
- 2 -
June 3d. 1771.
Q
21st Septr. 17 [..]
Matw. Bethnal Green .

William Sims< no role > B.
July 16th. 1771.
24th. Septr.

Willm. Phillip< no role > Master of the Workhouse

Thos: Hudson< no role >
Robt. Boyd< no role > }
Church Wardens

Peter Pope< no role >
Hen Gretton< no role >
Jas Hebert< no role > }
Overseers.

Nl: Andrews< no role >
Vestry Cl