JB/119/226/001

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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 in favour of A.M.
Metasylum-man, under the Statute of the 3a.
Geo:3.ch. //.VIII

Metasylum in this day [Mth Yr]
This is to certify whom it may concern —

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

2. That from the said day to the present his behaviour
has been honest, sober, diligent, orderly,
& 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.
[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/119/226/001 "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	226	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	39737
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