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JB/119/163/001

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Panopticon Bill.Forms.
Metasylum.

[E. 1.]
Metasylum-man's Good-Behaviour Certificate.

Certificate of Good-Behaviour from the Governor of the Metasylum in1
Title —

favour of A. M. Metasylum-man, under the Statute of the 34. Geo: 3. ch. §. VII.
Metasylum in this day of [Month Year]2
Date —

This is to certify whom it may concern — 3
Certificate —

1. That on the day of [Month Year] the said A. M. was admitted into this establishment.1. Admission —

That from the said day to the present his behaviour has been honest, sober, diligent,2. Behaviour —
orderly, and unexceptionable: and that I know of no cause why he should be
unlikely to maintain the same course of good behaviour in any other service. Witness
my hand
Signature Governor.

First Renewal.3. Renewals —
[Day Month Year] The behaviour of the said A. M. hath still continued good as
above
Signature

Second Renewal.
[Day Month Year] Good as ever
Signature

Third &c Renewal.
[Day Month Year] Good as ever
Signature.



Identifier: | JB/119/163/001
"JB/" can not be assigned to a declared number type with value 119.

Date_1

Marginal Summary Numbering

1-3

Box

119

Main Headings

panopticon

Folio number

163

Info in main headings field

panopticon bill

Image

001

Titles

Category

copy/fair copy sheet

Number of Pages

2

Recto/Verso

recto

Page Numbering

d1 f1 / d2 f2

Penner

Watermarks

Marginals

Paper Producer

Corrections

Paper Produced in Year

Notes public

ID Number

39674

Box Contents

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