JB/124/089/001

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1 Forms
IX 11 Friendly Guardian
Examination

[E.1.]

Examination of a Friendly Guardian Guardian's previous Examination.

1
Title —

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

1 2
Date

Place and date

2 3
Introduction Complainant's
Appearance

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

3 4
Recital —


of
1 Prisoners term
about to expire

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 said
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]

4 5
2
be engaged
be taken under
Wardship

2. That the said A.P. is desirous of being committed
in the capacity of a Ward under the said on the on that day of his said enlargement committed
Statute to the friendly m care of the said F.G. and and that the
said F.G. should take charge of him in quality accordingly
of Friendly Guardian in the capacity quality of a Ward
under the said Statute.

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3. Guardian
consent

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

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4. Intended also
said occupation

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

Identifier: | JB/124/089/001 "JB/" can not be assigned to a declared number type with value 124.
Date_1		Marginal Summary Numbering	1-10
Box	124	Main Headings	panopticon
Folio number	089	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	41778
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