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
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