:fl.:kr.: Could gain by this Work per Week---- : : : Wants for his weekly Support-------- : : : Receives at present per Week from his own } : : : Means, get by way of Pension, Alms, } : : : and .. .. .. .. .. .. .. .. .. .. } : : : Wants, therefore, a weekly Allowance of Alms of : : : : : : --------- :fl.:kr.: { Income of his own -- -- : : : { Earned by working -- -- : : : { Salary -- -- -- -- : : : Enjoyed heretofore { Pension -- -- -- -- : : : per Week { { From the Court : : : { Alms, { From the City -- : : : { { From private Persons : : : { Got by begging -- -- : : : : : : :---:---: Total : : : : : : --------- :fl.:kr.: : : : Pays House-rent -- -- -- -- -- -- -- -- -- : : : : : : Has Bed of his own, the Value of which : : : is about-- -- -- -- -- -- -- -- -- -- -- : : : : : : Possesses other Utensils necessary for House- : : : keeping, worth about-- -- -- -- -- -- -- -- : : : : : : Is provided with the following Working Tools: -- : : : : : : --------- Can work at Home Could be employed in the Military Workhouse Is provided with Raiment, and wants Articles of Apparel Life and Conduct, according to the Information received Is given to and Is known to have committed Crimes and has appeared before the Magistrates How long he lives in his present Habitation Year Month Weeks Name and Residence of his present Landlord Where he lived before, and how long Other Remarks. Has been settled here Received a Licence to marry, from Possessed or received, when married Value about fl. kr.