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Court House Southport 2. march 1889
[M?. H. Ryder] Esq Under Colonial Secretary
Sir
Herewith I have the honour to enclose the application of John Mc Farland for admission to Dunwich Asylum.
The Sergeant of police in charge of this station states that he has known the applicant for twelve months and believes him to be deserving of relief in the manner sought
Ihave the honour to be Sir your obedient servant
[? Francis?] P.M.
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[stamp] COLONIAL SECRETARY'S OFFICE. QUEENSLAND 5.MAR.89 02007[tick]
86/1889 Dunwich
Application for Admission to the Benevolent Asylum, Dunwich.
PLACE_ [Charleville?] DATE_ 15. Feby 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_ Thomas Moran
2.-Age_ 60
3.-Country where Born_ Ireland
4.-Religion_ Roman Catholic
5.-Trade or Calling_ Wheel-[?]-
6.-Length of time in Queensland_ 13 years Queensland - 23 N.S.W.
7.-Married or Single_ Widower
8.-Names, Addresses, and Circumstances of Applicant's Sons or Daughters (if any)_ none
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_ Mr [Lacoso?] [9?] months. Mr Duggan 5 months.
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_ Charleville Hospital 3 months.
13.-Nature of Chronic Affection (if any) from which Applicants is suffering_ Old age. Devility.
14.-Reasons for desiring Admission_ Inability to earn [livelyhood?]
(Signature of Applicant)_ Thomas Moran His [cross] mark witnes. [? V? Kirkalby?]
{Colonel Ross [S?.C.] 5.3.89 }
{Admit to D. A. 7/3/89}
{[BC?]}
{[V?.J N 45 [D?]/8.3.89.}
{Recommended for admission 7/3/89. [EW RRoss?] Colonel VISITING JUSTICE}
{Sent down to Dunwich, 2nd April 1889[E.W.RRoss?] VISITING JUSTICE}
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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_ [Mouras? Morau?] has been under treatment by me for a period of_ 3 months; that he is suffering from_ old age & Debility 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_ [W?B? Kirkolder? MB?]
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[stamp] COLONIAL SECRETARY'S OFFICE. QUEENSLAND 5.MAR.89 02008[tick]
90/1889. Dunwich
Application for Admission to the Benevolent Asylum, Dunwich.
PLACE_ Charleville DATE_ 5 Feby 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_ Henry Cole
2.-Age_ 63
3.-Country where Born_ Isle of Whight England
4.-Religion_ Church of England
5.-Trade or Calling_ Ship Carpenter
6.-Length of time in Queensland_ 8 years &. 23 years N.S.W.
7.-Married or Single_ Widower
8.-Names, Addresses, and Circumstances of Applicant's Sons or Daughters (if any)_ John cole (somewhere in India) Edward Cole. Sale. Gipsland V. Mrs Mary Roach - Simpson's Road - Melvourne. V.
9.-Names, Addresses, and Circumsances of other Relatives (if any)_ no
10.-Names and Addresses of Employers during the two years immediately preceding the date of this Application, and length of time with each_ Edward Flood for last 5 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_ Charleville Hospital 3 months
13.-Nature of Chronic Affection (if any) from which Applicants is suffering_ Old age. Heart disease
14.-Reasons for desiring Admission_ Inability to work
(Signature of Applicant)_ [H?] Cole
{Colonel Ross [S?.C.] 5.3.89}
{Admit to D.A. 7/3/89}
{[BC?]}
{[V?.J] N 45 [D?]/8.3.89.}
{7/3/89. Recommended for admission [EW RRoss?] Colonel VISITING JUSTICE}
{7 - 3 - 89}
{Sent down to Dunwich, 26th March 1889. [E.W.RRoss?] VISITING JUSTICE}
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Certificate of two Householders.
Date_ 16 Fegruary 1889
We certify that the abovenamed Applicant has been known to us for a period of_ Two 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{ [L. C Jordan?]
_________
Certificate of Surgeon or Physician.
I certify that_ Henry Cole has been under treatment by me for a period of_ 3 months; that he is suffering from_ Old age. & Heart disease; 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_ [WB Kiskoldy?] [M.B? C. M?.] [?]
[Recommende?] R. Moore [P?. M?]
Charleville 1. 3. 89