Pages
page_0006
Certificate of two Householders.
Date_
We certify that the abovenamed Applicant has been known to us for a period of_ years; that to the best of our knowledge and belief the answers he has given to the foregoing questions are true; and that he is a fit subject for admission to the Dunwich Benevolent Asylum.
Signatures{
_________
Certificate of Surgeon or Physician.
I certify that_ William Rutson has been under treatment by me for a period of_ eighteen months; that he is suffering from_ loss of Sight; is physically unfit to work for a living; does not require constant medical attendance; and is a fit subject for admission to the Dunwich Benevolent Asylum.
Signature_ Philip Thomton. Surgeon Ipswich Hospital
page_0007
[stamp] COLONIAL SECRETARY'S OFFICE. QUEENSLAND 5.MAR.89 02005[tick]
87./1889 Dunwich
Application for Admission to the Benevolent Asylum, Dunwich.
PLACE_ Ipswich Hospital DATE_ February 28th 1889
I, THE UNDERSIGNED, hereby apply for admission to the Benevolent Asylum at Dunwich; and, in the event of this Application being approved, I hereby undertake to strictly observe the Regulations and By-laws of the Institution, and to obey all lawful orders of the Superintendent or his deputy; and I do hereby declare that the following particulars respecting myself are strictly true:-
1.-Name of Applicant_ Robert Shields
2.-Age_ 57 years
3.-Country where Born_ England
4.-Religion_ Ch. England
5.-Trade or Calling_ Engineer
6.-Length of time in Queensland_ 20 years
7.-Married or Single_ Married
8.-Names, Addresses, and Circumstances of Applicant's Sons or Daughters (if any)_Wife and several children living on charity in Ipswich
9.-Names, Addresses, and Circumsances of other Relatives (if any)_ none
10.-Names and Addresses of Employers during the two years immediately preceding the date of this Application, and length of time with each_ had no employment for last 2 years
11.-Particulars of Applicant's Real or Personal Property (if any)_ none
12.-Particulars of Aid received from Hospitals or other Charitable Institutions during the two years immediately preceding the date of this Application_ been about 18 month [aproximate?] of Ipswich Hospital for 4 months and is at present in Hospital. been in Toowoomba Hospital for several months
13.-Nature of Chronic Affection (if any) from which Applicants is suffering_ Chronic Abscess
14.-Reasons for desiring Admission_ want of means
(Signature of Applicant)_ Robert Shields
{Colonel Ross [SC?] 5.3.89}
{Admit to D.A. 7/3/89}
{[BC?]}
{[V?.J N 43 [D?]/8.3.89.}
{Recommended for admission 7/3/89. [EW RRoss?] Colonel VISITING JUSTICE}
{Sent down to Dunwich, 14th March 1889. [E.W.RRoss?] VISITING JUSTICE}
page_0008
Certificate of two Householders.
Date_
We certify that the abovenamed Applicant has been known to us for a period of_ years; that to the best of our knowledge and belief the answers he has given to the foregoing questions are true; and that he is a fit subject for admission to the Dunwich Benevolent Asylum.
Signatures{
_________
Certificate of Surgeon or Physician.
I certify that_ Robert Shields has been under treatment by me for a period of_ one month; that he is suffering from_ Chronic Abscess; is physically unfit to work for a living; does not require constant medical attendance; and is a fit subject for admission to the Dunwich Benevolent Asylum.
Signature_ Philip Thomton. Surgeon Ipswich Hospital
page_0009
[stamp] COLONIAL SECRETARY'S OFFICE. QUEENSLAND 5.MAR.89 02006[tick]
88/1889. Dunwich
Application for Admission to the Benevolent Asylum, Dunwich.
PLACE_ Southport DATE_ 1st March 1889
I, THE UNDERSIGNED, hereby apply for admission to the Benevolent Asylum at Dunwich; and, in the event of this Application being approved, I hereby undertake to strictly observe the Regulations and By-laws of the Institution, and to obey all lawful orders of the Superintendent or his deputy; and I do hereby declare that the following particulars respecting myself are strictly true:-
1.-Name of Applicant_ John McFarland
2.-Age_ seventy four (74) years
3.-Country where Born_ Ireland
4.-Religion_ Presbytarian
5.-Trade or Calling_ Lavourer
6.-Length of time in Queensland_ Nine years
7.-Married or Single_ [Widdowar?]
8.-Names, Addresses, and Circumstances of Applicant's Sons or Daughters (if any)_ Sons and Daughters diad
9.-Names, Addresses, and Circumsances of other Relatives (if any)_ Nil
10.-Names and Addresses of Employers during the two years immediately preceding the date of this Application, and length of time with each_ James [Midgley?] Brisbane two years Henry Meyers Southport one year and nine months up to date
11.-Particulars of Applicant's Real or Personal Property (if any)_ Nil Nil -
12.-Particulars of Aid received from Hospitals or other Charitable Institutions during the two years immediately preceding the date of this Application_ Nil Nil
13.-Nature of Chronic Affection (if any) from which Applicants is suffering_ old age and infirmity
14.-Reasons for desiring Admission_ No home No employment
(Signature of Applicant)_ Mr Mc Farland
{Colonel ross [S?.C.] 5.3.89 }
{Admit to D.A. 7/3/89}
{[BC?]}
{[V?.J N 44 [D?]/8.3/89.}
{Recommended for admission 7/3/89 [EW RRoss?] Colonel VISITING JUSTICE}
{Sent down to Dunwich, 7th May 1889. [E.W.RRoss?]}
page_0010
Certificate of two Householders.
Date_ First March 1889
We certify that the abovenamed Applicant has been known to us for a period of_ Three years; that to the best of our knowledge and belief the answers he has given to the foregoing questions are true; and that he is a fit subject for admission to the Dunwich Benevolent Asylum.
Signatures{ [tick][?allers] [tick][M? A? Welsh]
_________
Certificate of Surgeon or Physician.
I certify that_ has been under treatment by me for a period of_; that he is suffering from_; is physically unfit to work for a living; does not require constant medical attendance; and is a fit subject for admission to the Dunwich Benevolent Asylum.
Signature_