Surrey ss

Eliz: Scott< no role > of St. Saviours Southwarkr . in
the County of Surrey widdow , maketh Oath
that Samuel Adams< no role > , a base Son borne of
the Body of Eliz: West< no role > borne about a
month since, and whose Supposed father
is Samuel Adams< no role > , of Limehouse Cooper
dyed the ninetenth of this instant February
1711 .. Within the Parish of Sd. Savior
Southwark of Convulsion, and that the
Churchwardens and Overseers of the poor
of the said parish, are Satisfied, and
have nor farther clamie on the said
Samll. Adams< no role > , for or by reason of his the
Said Samll Adams< no role > Cooper being the
putative father of the Accused bastard
Child above said

Jurat.
ultimo die February
1711

Coram me
John Lade< no role >

The [mark] Marke of
Eliz: Scott< no role >