Created by general-english-image-caption-blip-2 on 2025-07-07

a document with the name of a woman

Created by general-english-image-caption-blip on 2025-05-05

a photograph of a document with a picture of a woman's birth certificate

Created by gpt-4o-2024-11-20 on 2025-06-11

The image shows an old handwritten and printed document titled "Record of Overseers of the Poor." This form appears to be for recording details related to a claim made by or on behalf of an individual receiving assistance. The document has various fields to capture personal and case-related information.

Here is a breakdown of the sections:

1. General Information:

   • Fields for "No." (possibly the record number) and "Name."
   • "Claim of" and "on" — likely indicating the individual or reason for the claim.
   • Sections for "For care at," "Ill with," "From" and "to," allowing data about the duration and details of care.
   • Spaces for "Notice rec'd, sent" and "Referred to O. of Poor" (possibly a reference to the overseer of the poor).

2. Settlement Section:

   • Space for "Age," "Wife, widow of" (to note relationship status).
   • "Present residence."
   • Detailed sections to record parental information ("Thro Parents"), including fields for "Father" and "Mother" under both "Paternal" and "Maternal."

3. Taxes Information:

   • Sections for recording "Taxes," "Year," and "Directory."

4. Claim Decision:

   • Fields for noting when the "Claim denied, acknowledged" (likely a final decision and date).

5. Financial Details:

   • Areas to document "Bills received, sent," "Amt." (amount), and "Bills approved, Paid."
   • Empty line for "Returned."

6. Correspondence File No.:

   • Space for filing or tracking related correspondence.

The form is blank and appears intended for administrative use. It is an artifact reflecting older systems for managing public assistance or poverty-related claims. The handwritten note at the top refers to the "Record of Overseers of the Poor for and from Balto. City." (likely Baltimore City).

Created by gpt-4o-2024-08-06 on 2025-06-11

The image shows a blank form titled "Record of Overseers of the Poor for and from Bd. of Hfls." It is a template used for recording information related to claims from individuals in need of assistance. The form includes several sections for inputting details:

• A heading section with fields for "No." and "Name."
• Lines for "Claim of, on," "For care at," and "Ill with."
• Date fields marked "From" and "to."
• Sections for "Notice rec'd, sent" and "Referred to O. of Poor 19."
• A "SETTLEMENT" section with spaces for:
  • "Age," and "Wife, widow of."
  • "Present residence."
  • Ancestral details through "Parents" and "Grand Parents," categorized into "Father," "Mother," for both paternal and maternal sides.
• A section for "Taxes," "Year," and "Directory."
• An entry labeled "Returned."
• A section for decisions on claims: "Claim denied, acknowledged 19."
• Space to note financial dealings: "Bills received, sent," "Amt.," and "Bills approved, Paid."
• A field for "Correspondence File No."

The form is intended to be filled out by officials handling cases related to care for the poor, capturing genealogical, residential, and financial information relevant to the assistance being provided.

Created by anthropic.claude-3-haiku-20240307-v1:0 on 2025-06-14

The image appears to be a settlement form or document. It contains various fields and sections for recording information related to a settlement, such as the claimant's name, claim details, parental and marital status, taxes, and other administrative details. The form seems to be filled out, though some fields are left blank. Overall, this document appears to be a record of a settlement or claim processing.

Created by us.anthropic.claude-3-5-sonnet-20241022-v2:0 on 2025-06-14

This image shows a blank historical form or record template, likely used for administrative purposes. At the top, there's a handwritten note that appears to read "Record of overseers of the Poor for" followed by additional text. The form includes various fields for recording personal information including:

• Number and Name
• Claim details
• Care location and illness information
• Date ranges
• Settlement information
• Age and marital status
• Present residence
• Family information (with spaces for both paternal and maternal grandparents)
• A table for recording taxes and directory information
• Sections for recording returns, claim denials, and bills
• A correspondence file number at the bottom

The form appears to be from an older time period, printed on aged paper with a formal layout typical of historical administrative documents. It seems to be designed for tracking cases related to poor relief or social services.

Created by us.meta.llama3-2-11b-instruct-v1:0 on 2025-06-03

The image shows a vintage document with a beige background and black text. The document is titled "Record of Overseer of the Poor for aid from Poor of He." It has several sections, including:

• Name: This section is blank.
• Claim of, on: This section is blank.
• For care at: This section is blank.
• Ill with: This section is blank.
• From: This section is blank.
• Notice rec'd, sent: This section is blank.
• Referred to O. of Poor: This section is blank.
• SETTLEMENT: This section includes the following information:
  • Age: This section is blank.
  • Wife, widow of: This section is blank.
  • Present residence: This section is blank.
  • Thro Parents: This section is blank.
  • Pat. rual: This section is blank.
  • Maternal: This section is blank.
• Taxes: This section is blank.
• Year: This section is blank.
• Directory: This section is blank.
• Returned: This section is blank.
• Claim denied, acknowledged: This section is blank.
• Bills received, sent: This section is blank.
• Amt.: This section is blank.
• Bills approved, Paid: This section is blank.
• Correspondence File No.: This section is blank.

Overall, the document appears to be a form used to record information about individuals who have received aid from the poor. The form is incomplete, with many sections left blank.

Created by us.meta.llama3-2-90b-instruct-v1:0 on 2025-06-03

The image depicts a form titled "Record of Overseas of the Poor from the Workhouse, Bol. of Hte." The form is divided into sections, including "Name," "Claim of, on," "For care at," "Ill with," "From," "Notice rec'd, sent," "Referred to O. of Poor," "SETTLEMENT," "Age," "Wife, widow of," "Present residence," "Thro Parents," "Pat rual," "Mother," "Maternal," "Father," "Mother," "Taxes," "Year," "Directory," "Returned," "Claim denied, acknowledged," "Bills received, sent," "Amt.," "Bills approved, Paid," and "Correspondence File No."

The form appears to be a record-keeping document for tracking information related to individuals who have been referred to the Overseers of the Poor. It includes spaces for recording personal details, such as name, age, and address, as well as information about their family members and financial situation. The form also has sections for tracking correspondence and payments related to the individual's case.

Overall, the image suggests that the form is used to manage and track information about individuals who are receiving assistance from the Overseers of the Poor, and to ensure that their cases are properly documented and managed.

Created by amazon.nova-pro-v1:0 on 2025-06-02

The image is a document titled "Record of Overseers of the Poor for the Town of" followed by an illegible name, possibly due to wear or poor scanning quality. This document appears to be a form used to record details about individuals who were receiving assistance from the town's poor relief system.

The form is divided into several sections with headings and blank spaces for filling in information. The first section is labeled "No." and "Name," indicating that each entry is numbered and the name of the individual is recorded.

Below this, there are fields for "Claim of," "on," "For care at," "Ill with," and "From to," suggesting that the form is used to document the claim, the period of care, the reason for care (likely illness), and the duration of the care provided.

Following this, there is a section titled "Notice rec'd, sent," indicating that a notice was received and sent, possibly to inform the individual or their family about the care or assistance provided.

The next section is labeled "Referred to O. of Poor" with a blank space, suggesting that the individual was referred to the Overseer of the Poor, a position responsible for managing the town's poor relief efforts.

The section titled "SETTLEMENT" includes fields for "Age," "Wife, widow of," "Present residence," "Father," "Thro' Parents," "Mother," "Father," "Pat. rnal," "Mother," "Father," "Maternal," and "Mother." This section seems to gather detailed personal information about the individual, including age, marital status, current residence, and parental lineage.

There is also a section for "Taxes," "Year," and "Directory," which might be used to record tax-related information or the year of the entry, and possibly a directory reference for further details.

The bottom part of the form includes fields for "Returned," "Claim denied, acknowledged," and "Bills received, sent," "Amt.," "Bills approved, Paid," indicating that the form tracks the status of the claim, whether it was denied or acknowledged, and details about the bills received, their amounts, and whether they were approved and paid.

Finally, there is a section for "Correspondence File No." and a signature at the bottom, possibly indicating the file number for correspondence related to the claim and the signature of the person processing the form.

Overall, the document is a structured form used to meticulously record and manage the details of individuals receiving poor relief, ensuring that all necessary information is documented for administrative and historical purposes.

Created by amazon.nova-lite-v1:0 on 2025-06-02

This appears to be a record or settlement form from the Poor Law Union. It contains various sections and information about an individual's claim for care. The form includes details such as the individual's name, age, present residence, parents' names, and their relationship to the individual. It also mentions the correspondence file number and the amount of bills received, sent, and approved for payment. The form is dated 19 and has a reference to the Office of the Poor. The purpose of this form is likely to document and track the settlement process for individuals seeking care or assistance from the Poor Law Union.

Created by gemini-2.0-flash on 2025-05-06

Here's a description of the image:

The image shows a form titled "Record of Overseers of the Poor" and "from Bd. of He." It's a light tan or beige color and is filled with blank lines for information to be filled in.

The form has sections for:

• Number and name
• Claim information including date, care location, illness, and dates.
• Notice information and referral date.
• A "Settlement" section with fields for age, marital status (wife/widow), present residence, and information about parents and grandparents.
• A section for "Taxes," with columns for "Year" and "Directory."
• Sections for return dates, claim denial/acknowledgment, bill information (received/sent, amount, approved/paid).
• A space for a "Correspondence File No."

The form has a slightly aged look to it, with the text and lines appearing in a dark color against the paper.

Created by gemini-2.0-flash-lite on 2025-05-06

Here is a description of the image:

The image is a black-and-white scan of a vintage, pre-printed form. The form is rectangular, with a vertical orientation, and appears to be made of aged, off-white paper. The title, hand-written at the top, reads "Record of Overseers of the Poor for and from Bd. of He."

The form is divided into several sections, each with labeled fields:

• Identifying Information: Includes fields for "No.", "Name," "Claim of, on," "For care at," and "Ill with."
• Dates: A "From" and "to" section to indicate a date range
• Notice and Referral: "Notice rec'd, sent" and "Referred to O. of Poor."
• Settlement: The word "SETTLEMENT" is prominently displayed, with sections for "Age," "Wife, widow of," and "Present residence."
• Lineage: There are fields to document family history. "Thro Parents" and "Grand Parents" (Patrual, Maternal) with space for Father and Mother.
• Financial Records: Columns are provided for "Taxes," "Year," and "Directory." Another section is for "Returned". And fields for "Claim denied, acknowledged", and a table for bills received, sent, amounts, and bills approved/paid.
• Miscellaneous: The bottom has a place for "Correspondence File No." and a small, handwritten word "(over)" at the very bottom right.

The overall aesthetic suggests an official or bureaucratic document from a time when record-keeping was done manually. The clean layout and standardized sections imply a structured system for documenting information.

Created by us.mistral.pixtral-large-2502-v1:0 on 2025-06-04

The image is a historical form titled "Record of Overseers of the Poor" from the "Bd. of 44." This form appears to be used for documenting details related to the care and settlement of individuals under the oversight of the Overseers of the Poor, an office historically responsible for administering poor relief.

The form is divided into several sections:

1. Claim Information:

   • No.: A space for a reference number.
   • Name: A space for the name of the individual.
   • Claim of, on: A space for the claim details.
   • For care at: A space to note where care was provided.
   • Ill with: A space to note the illness or condition.
   • From _____ to _____: A space to record the duration of care.
   • Notice rec'd, sent: A space to note when the notice was received or sent.
   • Referred to O. of Poor: A space to note the referral date, with the number "19" written in.

2. Settlement Information:

   • Age: A space to record the age.
   • Wife, widow of: A space to note marital status and spouse's name if applicable.
   • Present residence: A space to note the current residence.
   • Thro (Through) Father/Mother: Spaces to note settlement through paternal or maternal lineage.
   • Parents Father/Mother: Spaces to note the parents.
   • Put rat (Putative) Father/Mother: Spaces to note putative parents.
   • Grand Parents Father/Mother: Spaces to note grandparents.
   • Maternal Father/Mother: Spaces to note maternal grandparents.

3. Tax and Directory Information:

   • A table with columns for "Taxes," "Year," and "Directory" to record relevant financial and directory details.

4. Returned Information:

   • A space to note if the claim was returned.

5. Claim Status:

   • Claim denied, acknowledged: A space to note the status of the claim, with the number "19" written in.

6. Bills Information:

   • A table with columns for "Bills received, sent," "Amt. (Amount)," and "Bills approved, Paid" to record financial transactions related to the claim.

7. Correspondence File No.: A space at the bottom to note the correspondence file number.

The form is mostly blank, with only the numbers "19" filled in under "Referred to O. of Poor" and "Claim denied, acknowledged." The form appears to be part of a larger record-keeping system for managing poor relief and settlements.