JB/119/237/001

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1 Forms
Panopticon Bill. IX Friendly Guardian. 4

[F.1.]

Examination of F. G. under the Statute of 34 Geo: 3
ch ____ §. ____ in quality of Friendly Guardian to A. P.
Penitentiary-Man [or A. M. Metasylum Man]

Place & Date

Be it remembered that on this day came before
me A. J. one of his Majesty's Justices of the Peace for
__________ came F. G. of [Place] [Occupation] and
declared as follows, viz:

1. That there is now under confinement in the General
Panopticon Penitentiary House as Penitentiary-Man
one A. P.: and that the term of the aid A. P. will
expire on the ____ of Month next. [Or if in the
Metasylum or serving according to any of the other
options, state accordingly.]

2. That the said A. P. is desirous of being on the
day of his said enlargement committed to the friendly
care of the said F. G. in quality of a Ward under
the said Statute.

3. That he the said F. G. hath accordingly consented
and is desirous to take charge of the said A. P. in
quality of his Friendly Guardian.

4. That the said A. P. hath expressed himself desirous
of repairing under such Guardianship to [Place]
there to exercise the occupation of [__________] and that
he the said F. G. is willing & ready to assist him
in so doing.

5. That

Identifier: | JB/119/237/001 "JB/" can not be assigned to a declared number type with value 119.
Date_1		Marginal Summary Numbering	not numbered
Box	119	Main Headings	panopticon
Folio number	237	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 f1 / d2 f2 / d3 f3 / d4 f4
Penner		Watermarks
Marginals		Paper Producer
Corrections		Paper Produced in Year
Notes public		ID Number	39748
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