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I am directed by the Guardians of the Newport Union to inform you
that it is necessary that you should name a person in the Parish to which you
belong, to receive from me your Weekly Relief, (being [blank] )
and you are required to furnish me with a Certificate of your health and circumstances
every Three Months, signed by the Clergyman or Churchwarden of the Parish in which you
reside, according to the Form on the other side. You must also sign the receipt for the past
relief you have received.
[on right hand side of page:-] Receiving Officer
[In margin] Xd Reg[in a] v[ersu]sFrost
& W[illia]m Davies</person>
[In the opposie margin] 434[history]
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