JB/119/215/001

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Forms
Superannuation An.
Panopticon Bill.
[C.3.]
Identity-Certificate from a Post-Master
in favour of a Superannuation Annuitant
to be annexed to his Petition for Remittance.

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/119/215/001 "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	215	Info in main headings field	panopticon bill
Image	001	Titles
Category	copy/fair copy sheet	Number of Pages	4
Recto/Verso	recto	Page Numbering
Penner		Watermarks
Marginals		Paper Producer
Corrections		Paper Produced in Year
Notes public		ID Number	39726
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