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Childrens Names Wher. Legitimate or Illegitimate
When Admitted or Born in the House
Age when Admitted Y:M:D
Mothers Name Settlemt. & Residence
Fathers Name Settlemt. Residence & Occupation
When Placed out to Nurse
Nurses C:& Sir Name
Nurses Residence to be particularised
Weekly Allowance s d
Bounty
When Paid
When Died at Nurse
If Removed, When, where, with whom & how Placed.
Remarks