St. Clement Danes 12th July 1786
Middx
(to wit)
Catherine Poole< no role >
Aged 21 or thereabouts upon her
Oath Saith That
John Perry< no role >
an Illegitimate Child
Aged about two Months was Born in the
Workhouse
belonging to the Parish of Saint Martin in the fields
in the County of Middlesex
and of whom she this
Examinant is the Mother and that she is Poor and
unable to Maintain the said Child
Sworn this 12th
July 1786
before us
James Paine< no role >
G Mercer
her
Catherine [mark] Poole< no role >
Mark