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Case 6135

1. Application to Waifs and Strays' Society 21 September 1897

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13. At what address and with whom is the child now living?
With grandfather at Buckley Hill Lane, Milnrow

14. Give in full the names, addresses, ages, occupations and earnings of each living relative the child is known to possess either on the father's or mother's side such as grandparents, uncles, aunts, &c.
DEGREE OF RELATIONSHIP, NAMES, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS
Grandfather, J, Buckley Hillham Milenen, 65, Coachman, none
Grandmother, R, ", 62, Housewife, none
Aunt, S, ", 36, Weaver, 14/-
Aunt, M, ", 25, Weaver, nothing for 15 weeks
Aunt E, ", 20, weaver, 10/-

15. State whether any of the child's relatives are in your judgment in a position to maintain the child, or to contribute in any degree toward its support?
none unless the married sister, but she was only married in August last

16. Can any payment for the child be guaranteed from any source?
Mrs. [Pooley] the wife of Dec [Pooley] of Yorkshire N [Rochdale] I would guarantee the [source] from offertories

17. Has the child ever been convicted? Is so, state the nature of the child's offence and term of imprisonment
never

18. Has it ever attended day school? If so, where and for how long and in what Standard is it?
Butler St. Board School one year Standard III

19. Ever attended Sunday School? Is so, where and for how long?
no

20. Has the child ever been in the workhouse? If so, for how long and where?
no

21. Has the child any affections of the limbs, joints, skin or eyes which may have the affect of preventing her from entering domestic services?
no

22. Is the child subject to fits or has the child ever had one? If so, state its nature. Is this child subject to incontinence of urine?
no
no

23. Is the child at present affected with any infectious or contagious disease, or with scrofula requiring medical treatment?
no

24. Has the child had scarlet fever, or whooping cough or measles, or small pox? If not the latter, has she been vaccinated?
Scarlet Fever, been vaccinated, [?]

25. Is the child's general health good?
yes

[?]
Milnrow
Rochdale

26. Are the child's parents, grandparents or next of kin, willing to sign an agreement to commit the girl wholly to the care of the Managers of the Home, to obey the rules in force, and to permit the said girl when fully trained to be sent to any situation in the United Kingdom which may be obtained for her by the Managers?
I cannot say as the father, but as he has never cared for any of his children, I should think he could. The grandparents are quite willing

I certify that the foregoing questions have been correctly replied to by the grandparents who is known to me as a responsible person.
Name Revd. L
Address Milnrow Vicarage in Rochdale
Incumbent of Milnrow
Date Sept. 21, 1897

Original document

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Image of Case 6135 1. Application to Waifs and Strays' Society  21 September 1897
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