Children's Names Wher. Legitimate or Illegitimate
When Admitted or Born in the House
Age when Admitted
Mothers Name Settlemt. & Residence.
Fathers Name Settlemt Residence & Occupation.
When Placed out to Nurse
Nurses C: & Sir Name
Nurses Residence to be Plarised.
Weekly Allowance s d
Bounty
When Paid
When Died at Nurse, Wher. Occasioned by the Nurses Negligence, -or how.
If Removed, When, where, with whom & how Placed.
Remarks