| Description | Madelaine Polain, a 62 year old woman, requests to be admitted to the Hospital. Her father was Robert Polain and her grandfather, Claude Polain was originally from Picardy but came to England as a refugee to avoid religious persecution. Madelaine suffers from several conditions, including poor eyesight, so had to stop working as a servant a few years prior to the petition being made. One of her neighbours provided some financial assistance but had to stop eighteen months ago as he was made bankrupt. The petition bears Madelaine Polain's mark and is signed by Pierre Fontaneau. |