| No. in Admissions Register: | 350 |
| Date of admission: | 9 February 1867 |
| Whence received: | Stafford |
| By whom brought: | - |
| On what terms: | - |
| Friends interested in him: | - |
| Description: | |
| Height: | - |
| Figure: | - |
| Complexion: | Fresh |
| Hair colour: | Brown |
| Eyes colour: | Brown |
| Perfect vision? | - |
| State of health: | Good |
| Able-bodied? | Yes |
| Sound intellect? | Yes |
| Use of all limbs? | Yes |
| Had cow or small pox? | No |
| Particular marks: | - |
| Cutaneous disorder? | No |
| Scrofulous or consumptive? | Not apparent |
| Subject to fits? | - |
| Age last birthday: | 14 |
| Illegitimate? | - |
| Birthday: | - |
| Birth place: | - |
| Has resided: | Wolverhampton |
| Parish he belongs to: | Lichfield |
| Customary work and mode of life: | Grocer's porter |
| Schools attended: | - |
| By whom and where employed: | - |
| State of education: | |
| Reads: | Well |
| Writes: | Well |
| Cyphers: | - |
| General ability: | - |
| Offence: | Stealing one sovereign |
| Circumstances which may have led to it: | Not known |
| Date of sentence: | 9 January 1867 |
| Where convicted: | Wolverhampton before I Spooner |
| Who prosecuted: | - |
| Where imprisoned: | - |
| Sentence: | 1 month prison, 5 years at Saltley |
| Previous committals and convictions: | None |
| Father's name: | - |
| Occupation: | - |
| Residence: | - |
| Mother's name: | Rosa Haines |
| Occupation: | Needlewoman |
| Residence: | Bird Street, Lichfield |
| Father's character: | - |
| Mother's character: | Bad – is cohabiting with one Enoch White, collier, Pelsall |
| Parents dead? | Father |
| Survivor married again? | No |
| Parents' treatment of child: | Good |
| Character of parents | Good but in poor circumstances |
| Parents' wages: | No certain earnings |
| Amount parents agree to pay: | Nothing |
| Superintendent of police (to collect payments): | Captain Segrave, Wolverhampton |
| Relatives to communicate with: | - |
| Person making this return: | - |
| Estimate of character on admission: | - |
| Character on discharge: | - |
| When and how left the Reformatory: | - |
12 January 1867 There is a report of the crime in the Staffordshire Advertiser Saturday 12 January 1867 p.7 col.5: ROBBERY FROM A TILL.-Thomas Haines was charged with stealing one sovereign and 14s. 6d. from a till belonging to Enoch Atkins, grocer, of Horsley Fields. The prisoner had been in the prosecutor's employ for two years, and on Tuesday last Mr Atkins missed the above-named moneys from the shop till. Prosecutor asked the prisoner if knew anything about it, and prisoner after a little time replied, if he (prosecutor) would give him a candle he would show him where the money was. The money was not found. and prosecutor sent for a police-officer. When the prisoner was charged with the offence he admitted taking the money. One sovereign. three half-crowns. two florins, and three shillings were found on him. He was sentenced to one month's imprisonment and five years in a reformatory.
3 August 1869 Licensed to be under servant at Masons Hall and Club
September 1871 Still doing well at Masons Hall
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