§

1777 177718

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 third time3.
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 C.
If by the Father F.
If by the Mother M

If Money
be received
with any
Child
what Sum

When
Died in
the Work
house.

When discharged
from the
Workhouse.
If Nursed by
the Mother
markM.

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 mark W.
If a dry NurseD.
If the Nurse dies or
is Charged 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 markW.
If delivered to the
Mother mark M.
If to the Father F.
If to anyother
Person mention
his or her Name.

Y M D
George Harrison< no role > C
3 - -
1776. 23. July
Ann Gibbs< no role > . D.
Hoxton
4s

Reed. C. A Male. Died before Baptism}
- - 12
Born in Southwark 22d. Oct.}
3d. Novr.

Joseph Richardson< no role >
Chars. Robins< no role > }
Church Wardens

Peter Pope< no role >
James Green< no role >
William Arch< no role > This name instance is in set 1505. }
Overseers.

Willm. Phillips< no role > Master of the Workhouse

Nl: Andrews Vestry Cl

10th. Feb. 1778 Left Copy at Mr. Crippens Nll