Certificate #

• PHA (whether there is an earlier entry for this person in Laura’s earlier book, Poor House Accounts
• Last Name
• First Name
• Gender (Male/Female)
• Race (White, Black, Red)
• Marital Status (Single, Married, Widowed)
• Age
• Admit Date: This is the date of the first admission recorded on the certificate.
• Born in (this) Poor House:
• X = Whether there were Recurring Admissions
• Discharge Date: This is the date of the last discharge recorded on the certificate.
• Died in the Poorhouse
• Buried in the Poorhouse Cemetery
• Cause of Death
• Occupation
• Comments
• Poverty Cause
• Born - (state or nation)
• Born -County
• Born – Town/City