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<p n="186">Childrens Names Wher. Legitimate or Illegitimate<lb></lb>
When Admitted or Born in the House If not Admitted, Note it<lb></lb>
Age when Admitted Y M D<lb></lb>
Mothers Name Settlemt. & Residence:<lb></lb>
Fathers Name Settlemt. Residence & Occupation<lb></lb>
When Placed out to Nurse<lb></lb>
Nurses C: & Sir Name<lb></lb>
Nurses Residence to be Ptlarised<lb></lb>
Weekly Allowance s:d<lb></lb>
Bounty<lb></lb>
When Paid<lb></lb>
When Died at Nurse Wher. Occassioned by the Nurse's Negligence, or how.<lb></lb>
If Removed When, Where, with whom & how Placed.<lb></lb>
Remarks</p>
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