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Archival description

Age of applicant: 35
Address: 6 Fern St.
Occupation (if given): Smith
Dependents: Margaret (wife,37), children Thomas Henry (11 1/2), Margaret (10), Fanny (7 1/2), Elizabeth (5 1/2), Florence (4 1/2), Alice (2 1/2), Edith (7 months); Thomas (father); Jonathan (father-in-law).
Relief given (if documented): 6s for 13 weeks.
Ward name or number: 0