JB/124/057/001

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VI Requiem

no 1
Grant of
Requisite Annuity

[C.1.]
[C.]
Forms 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<l/>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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