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 particularised
Weekly Allowance s d
Bounty
When Paid
When Died at Nurse
If Removed, When, Where, With whom, & how Placed
Remarks