1791 1791

Name of the Child
If a Foundling Mark F.
If a Bastard B.
If a Casualty C.
If the same Child is
taken a second time
mark the second
Entry of the Name 2
It a third time 3

Age
Real
or
reputed
Years Y
Months M.
Days D.

If Born
in the
Work-
house
when

If not
Born in
the Work-
house
where
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
Work
house

When
discharged poor
the Workhouse
If Nursed
by the Mother
mark M.

If removed
or Passed
to what
Place

When delivered
from the Work-
house 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 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 of Nursing each week

Bounty
to
Nurses

If
died
at
Nurse
when

If taken from
Worse 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
James Frost< no role > C.
1791 7. Feb.
28. April
M.
2

Ann Elerall< no role > C.
1
6
Nursed the whole year by the Mother in Osbound street Whitechapel }
2

Maria Johnson< no role > C.
2
6
The same Brick Lane Spittlefields
2

William Sharan< no role > [..]
1
11
The Same Floyd's Yard Coleman street }
2

Mattw. Gibbs< no role >
Robert Morris< no role > }
Church Warden

[..] Lancaster
Chars Robins< no role >
John Dod< no role > }
Overseers

Nl: Andrews Vestry Cl

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