JB/119/253/003

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Forms.
Panopticon Bill.Friendly Guard.

[F. 10.]
Warrant for Caption and Conveyance after
Emancipation revoked.

Warrant in favour of F. G. in the capacity of
1
Title
Friendly Guardian under the General Panopticon
Penitentiary Act 34. Geo: 3. ch. _____ § VIII. for
the Caption and Conveyance of A. W. his Ward
to the Metasylum, after Emancipation of the
said A. W. and Revocation thereof.
[County to wit] [Place specifying the House] this day of [Month
2
Date --
Year]

1. Preparatory Examination.
Be it remembered that on this day before me A.
3
Complainant's
appearance --
J. one of his Majesty's Justices of the Peace in &
for the __________ aforesaid, cometh F. G. of
[Abode particularly described] [Occupation] and upon
his Oath saith —
1. That on the _____ day of [Month Year] the Wardship
4
Allegation viz
1. Assignment
of Wardship --
of one A. W. quondam Penitentiary-Man
was under the Act aforesaid § VIII by the Governor
of the General Panopticon Penitentiary
House assigned to this Complainant for one year
from the day aforesaid: [as by one part of the
Deed of Assignment in that behalf made, and
by him the said F. G. now exhibited to me
doth appear —]

2. That

Identifier: | JB/119/253/003 "JB/" can not be assigned to a declared number type with value 119.
Date_1		Marginal Summary Numbering	14, 1-4
Box	119	Main Headings	panopticon
Folio number	253	Info in main headings field	panopticon bill
Image	003	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	39764
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