Case 8650

Application for the Admission of a child

1. Give the child's christian name and surname

A

2. State the exact age, and give the date and place of her birth

9 yrs. on May 5th 1901, Born Sheffield May 5th, 1892

3. Legitimate?

yes

4. If baptized, state place and date of baptism

At St. Simon's Church Sheffield on May 24, 1892

5. Parents living?

neither