Middx
To the Keeper
of the
House of Correction
for the
sd County at Clerkenwell
Receive into your Custody the Body of Ann Eames< no role >
of South Mims
in this County Single Woman
Ch [..]
on Oath before us Two of his Majesty's Justices of the
Peace
for the sd County with being lately delivered of
Bastard Child in the sd Parish which is Chargable
to the Same And Keep her there one whole year
from the date hereof Given under our Hands and
Seals the 5th day of December 1765
Richd Hassell< no role >
jun