JB/119/147/001

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Panopticon Bill
Forms.
Superannuation Annuity
[C. 2.]
Petition for Remittance from a Superannuation Annuitant.

To the Governor of the General Panopticon Penitentiary House.
Honoured Sir
[Town County this day of Month Year]
A Half yearly payment or [Half yearly payments] of
my Superannuation Annuity having become due [or about to be due] the day of [Month
Year] and I being settled at or in the neighbourhood of the Town of []
in the County of [] and it being particularly convenient to me to receive
such payment at the said Town [or at the Town of] [] I do hereby
humbly request you to cause the said Sum to be remitted for my use to [
] Postmaster for the said Town of [] Witness the hand of
Your dutiful & grateful Servant
R. A.

[C. 3.]
Identity Certificate from a Post-Master in favour of a Superannuation
Annuitant to be annexed to

To the Governor of the General Panopticon Penitentiary House.
Sir
[Town County this day of Month Year]
Being satisfied by inspection & examination of the person as compared with the
description in my custody [or by my own personal Knowledge] [or by sufficient testimony+]
that the signature above contained is the signature of a person known by the name therein
contained, and that the said person is as he avers upon the list of Superannuation Annuitants
belonging to the General Panopticon Penitentiary House I hereby transmitt
his said Petition to you accordingly, together with this my Certificate: requesting you to
remitt to me the amount of the payment or payments due upon the said Annuity as
therein mentioned; which, as soon as received, or so much thereof as shall have been received
by me, I hereby engage to pay either at once or if otherwise directed by you, by monthly
or weekly instalments, according to your directions in that behalf: being
Sir
Your humble Servant
to command.
A. P.

Identifier: | JB/119/147/001 "JB/" can not be assigned to a declared number type with value 119.
Date_1		Marginal Summary Numbering
Box	119	Main Headings	panopticon
Folio number	147	Info in main headings field	panopticon bill
Image	001	Titles
Category	copy/fair copy sheet	Number of Pages	4
Recto/Verso	recto	Page Numbering	d1 f5 / d2 f6 / d1 f7 / d2 f8
Penner		Watermarks
Marginals		Paper Producer
Corrections		Paper Produced in Year
Notes public		ID Number	39658
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