1793 1793

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
County of the Name 2
If 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
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 A 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 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. It to any other.
Person mention his
or her Name.

Nurses is Name to
whom delivered to
be nursed. If a Wet
Nurse mark W.
If a dry Nurse D.
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 last Week

Bounty
to
Nurses

If died
at Nurse
when

If taken from
Nurse when If
brought to the
Work house 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
Chas. Martin< no role > C
17 19-
1793 23d. Jan
11 Sept.
Wet Nursed M.
4s

Willm. Smith< no role > C.
2
24 April
20 May M.
4

John Smith< no role > C.
1
24 april
20 May M.
4

William Steward< no role > C.
3
1. June
31. Augt.
4

Jane Gibbs< no role > C
3
31. Augt. Continues in at Workhouse Nurse by her Mother
4

Wm Lampkin< no role >
John Layton< no role > }
Churchwarden

John Dod< no role >
Jno. Tombs< no role > }
Overseers

Mr. Andrew Vestry Cl

Duplicate signed by Robertson & Simpson
Master of the Workhouse

14th. Feb. 1794 delid Duplicate at Mr. Clippens Na