| No. in Admissions Register: | 549 |
| Age: | 12 |
| Whence received: | Stafford |
| Description: | |
| Complexion: | Fresh |
| Hair colour: | Brown |
| Eyes colour: | Brown |
| Visage: | - |
| Particular marks: | - |
| State of health: | - |
| Able-bodied? | - |
| Date of admission and term: | 10 June 1876 4 years |
| Late residence: | Moxley |
| Parish he belongs to: | Wednesfield |
| Customary work and mode of life: | None |
| Whether illegitimate: | - |
| State of education: | |
| Reads: | Not at all |
| Writes: | Not at all |
| Offence: | Stealing iron |
| Circumstances which may have led to it: | Neglect of parents |
| Date of sentence, by who and court: | 29 May 1876, Wolverhampton Petty Sessions, T Cartwright and J H Perks |
| Where imprisoned: | Stafford |
| Sentence: | 14 days prison (hard labour), 4 years at Saltley |
| Previous committals: | |
| Number: | None |
| Length: | - |
| For what: | - |
| Father's name: | Thomas Lawrence (stepfather) |
| Occupation: | - |
| Mother's name: | Ada Lawrence |
| Occupation: | - |
| Parents dead? | Own father |
| Survivor married again? | Yes |
| Parents' treatment of child: | Good |
| Character of parents | Honest and sober. Circumstances not very good |
| Parents' wages: | 18s per week |
| Amount parents agree to pay: | 6d per week |
| Parents address: | Moxley Village, Wolverhampton |
| Superintendent of police (to collect payments): | - |
| Person making this return: | - |
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