JB/119/146/001

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Panopticon Bill.
Forms
Superannuation Annuity.
[C. 1.]
Grant of a Superannuation Annuity

General Panopticon Penitentiary House at Place this day of Month Year
Grant of a Superannuation Annuity from the Governor of the said 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 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 be made on the
day of [Month Year]: if the said A. P. be then alive. And for the just & regular
payment of the same I do hereby bind myself, my Heirs, Executors, Administrators,
Assigns, & Successors. As Witness my hand & seal
L. S. J. B.
Attested A. S.
Secretary of the
said House.

Instructions to the Annuitant:

stating the provisions of law of which he and others are concerned to be informed in
relation to this Grant.

Identifier: | JB/119/146/001"JB/" can not be assigned to a declared number type with value 119.
Date_1		Marginal Summary Numbering
Box	119	Main Headings	panopticon
Folio number	146	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	39657
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