JB/124/057/001

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VI Requiem

No 1
Grant of
Requisite Annuity

[C.1.]
[C.]
Form of Grant of Requiem Superannuation Annuity in
pursuance of §§ VII Art.

General Panopticon Penitentiary House at Place this day of Month Year
Grant of a Requiem Superannuation Annuity from the Governor
of the said General Panopticon Penitentiary-House
to A.P. Penitentiary Man therein.

Know all men, that in pursuance of the Statute
of 34 Geo: 3. Ch. §§. VI. I J.B. Governor of the said House, in consideration
of the sum of [£-s-d] being the amount
of such part of the said Ye earnings of the said
A.P. for the Year ending this day as is applicable
to this purpose, do hereby grant unto the said
A.P. a clear annuity of [£-s-d] a Year, for the term of his life; to
commence from his Age of [ ] years: payable
in half yearly payments, the first payment
to w be made on the day of [Month Year]: if
the said A.P. be then alive. And for the just
and regular payment of the same I do hereby
bind myself my heirs, Executors, Administrators
Assigns and Successors. As witness my
hand and seal

(Z. S.) J.B.

Attested A.S.
Secretary of the
said House.

Instructions

Identifier: | JB/124/057/001 "JB/" can not be assigned to a declared number type with value 124.
Date_1		Marginal Summary Numbering	not numbered
Box	124	Main Headings	panopticon
Folio number	057	Info in main headings field
Image	001	Titles
Category	text sheet	Number of Pages	2
Recto/Verso	recto	Page Numbering	d1 / d2
Penner	jeremy bentham	Watermarks
Marginals	jeremy bentham	Paper Producer
Corrections		Paper Produced in Year
Notes public		ID Number	41746
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