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Note The List to be made to the END of the Quarter, and sent to the Clerk of the Union within 7 days

COUNTY OF CORNWALL, UNION OF FALMOUTH, DISTRICT OF CONSTANTINE
QUARTERLY LIST OF LUNATIC PAUPERS within the District of the Union of CONSTANTINE, in the County of CORNWALL, not in any Asylum, Hospital, or Licensed House

Name sex age Illness duration resident in W.H. Date conditions restrained
Joyce Collins F 73 Imbacile   From
Birth
No. Ch Town her Sister Elizabeth Rowe Dec 27 Health good
Mind Weak
Well cared for Accommodation satisfactory
No

I declare that I have personally examined the several Persons whose names are specified in the above list on the days set opposite their names; I certify, firstly, with respect to those appearing by the above List to be in the Workhouse is sufficient for their reception, and that they are all proper patients to be kept in the Workhouse; and secondly, with respect to those appearing by the above List to be resident elsewhere than in the Workhouse, that they remain out of an asylum

I declare that the persons in the above List are, to the best of my knowledge, the only Pauper Lunatics in the CONSTANTINE District of the Union of CONSTANTINE who are not in an Asylum, Hospital, or Licensed House.
Dated 28th day of December 1894 Signed Montague W Roe Medical Officer of the CONSTANTINE District

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Contributed by Malcolm McCarthy, (Malc in Sunny Padstow), who has the original document.