JB/119/237/003

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3 Panopticon Bill. Forms.
Friendly Guardian p

5. That, forasmuch as under the said Statute it is
necessary that every such Friendly Guardian should
give a Bond under the penalties of £50 for the
performance of divers undertakings therein mentioned
and should moreover pass examination in
manner hereafter following, thereby to justify himself as
able to bear the penalty of such Bond and as being
in all other aspects a fit person to be intrusted in
the capacity aforesaid, he the said F. G. is desirous
to undergo such examination accordingly.

6. Whereupon at the request of the said F. G. I
have proceeded to take such his examination which
is as follows

Examination

1. Being examined touching his name, the
1. Name --
Examinant saith that it is F. G. as aforesaid:
that he hath always gone by the said name, &
never by any other. Or if there hath been any
assumption of a new name state it: if according to
law state the manner & occasion: if otherwise than
according to Law, examine particularly with regard
to the time, occasion, motive & circumstances.

2. Being examined touching his Age, he saith
2. Age --
that he is between _____ and _____ years of age: having
been born as he hath been informed & believes on
or about the _____ day of [Month Year] How if it be
not well known that he has never gone by an
assumed

Identifier: | JB/119/237/003 "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	003	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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