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JB/124/059/002

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Forms VI
Requiem No 3 continued

To the Governor of the National General Panopticon
Penitentiary-House

Sir [Town County this day of Month Year]

Being satisfied by inspection and examination
that of the person as begotten
of report
of diverse and persons
as compared with
the description in my custody [or by my own personal knowledge] [or by the otherreport
of divers persons credible persons
sufficient testimony] + that the
signature above contained in the signature of
the a person known by the name therein
contained and that the said person is as he
Requiem avers upon the list of Requiem Superannuation Annuitants [+] [+] belonging to the
General Panopticon
Penitentiary House
I hereby transmitt his said Letter petition to you
Accordingly, together with this my certificate: requesting
you to remitt to me the amount of the
payment or payments due upon the said
Annuity as therein mentioned; which, as soon
as received, or so much thereof as shall have
been received by me, I hereby engage to pay either at once
<add>by in the lump or [+] [+] or if otherwise directed
by you,
by monthly or weekly instalments, according
to your directions in that behalf: being</add>
Your humble Servant
to command

+ Instruction to the Post Master in relation to his A.P. certificate as above
N.B. To serve the Annuitant when already known as such
the trouble
of personal appearance attendance<add> or in comparison
to an Annuitant who through infirmity
or otherwise is unable personally to appear <add>attend/add>, the Post Master
may sign remitt a Letter of request <add>upon the report of
as stand in the
above form remitt the petition in question upon the report of others: a Letter of
<add>and the rest



Identifier: | JB/124/059/002"JB/" can not be assigned to a declared number type with value 124.

Date_1

Marginal Summary Numbering

2-3

Box

124

Main Headings

panopticon

Folio number

059

Info in main headings field

Image

002

Titles

Category

text sheet

Number of Pages

2

Recto/Verso

recto

Page Numbering

d5 / d6

Penner

jeremy bentham

Watermarks

Marginals

jeremy bentham

Paper Producer

Corrections

Paper Produced in Year

Notes public

ID Number

41748

Box Contents

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