Middx
&
Westmr.}
Thos. Clean< no role >
one of the Overseers
of the Psh of
St-
Clement Danes
in the Liberty of Westmr
- in the Co-
of Middx
on behalf of
Henry Gallard< no role >
an Infant aged
about one Year and five Months Son of
Henry Gallard< no role >
(gone to America
) by
Jane Gallard< no role >
his Wife
now deced
on his Oath says that on searching the Examination
Book & Pass Warrts- find that the above named
Jane
Gallard< no role >
with her two Children were passed from the
sd- Parish of St- Clement Danes
to the Parish of
luckfield
in the Co- of Sussex
by Order dated 4th- day of April 1776
under the hands & Seals of R. Butler &
Wm- Kitchiner< no role >
Esqs
Two of his Majesty's Justices of the Peace
for the
said County of
Middx
& City & Liberty of Westmr
- &
further says that the said
Jane Gallard< no role >
is since Dead
that the above named
Edward Gallard< no role >
the Infant
is the Son of the
Jane Gallard< no role >
by the said
Henry
Gallard< no role >
& is the same Child that was passed with
the sd- Jane the Mother by the above mentioned
Order as he has been credibly Informed & verily
believes
Sworn this 22nd- Day
of July 1777
before.
G Mercer Jno. Barnfather< no role >
Thos. Cleane< no role >