Dated September 1909
Following the first 2 annual reports (January and December 1866), the Northern Counties' Asylum for Idiots and Imbeciles was called the Royal Albert Asylum
Consists of a list of legacies, a prospectus (Lathom, Richard F. Cavendish, Charles F. Tetley, Edward B. Dawson, Samuel Keir), list of trustees, presidents, officers and central committee members, a report of the general annual meeting at Bradford on 30 September 1909 (Samuel Keir), the report of the central committee (Lathom, chairman), the report of the medical superintendent (Archibald R. Douglas), cases of improvement, the auditor's report (A. B. S. Welch), financial and statistical statements (A. B. S. Welch, Samuel Keir, A. R. Douglas), list of clergymen and ministers, extracts from speeches, presents received, census of imbecile or feeble-minded persons, a list of places that inmates came from, a short article about Brunton House - the asylum's home for "special private pupils", portraits of the Earl of Lathom (Baron Skelmersdale), Lord Richard Cavendish, Sir John Tomlinson Hibbert (d.1908), Sir Edward Lawrence (d.1909), photographs of the Asylum, its grounds and other satellite homes and the pupils engaged in school lessons, basketmaking, joinery, tailoring etc.