Mr Rennison travels to Birmingham from Gretna Green to marry two of the staff in aid of Birmingham Children's Hospital.
Item title reads - In aid of Birmingham Children's Hospital. Mr Rennison, the Gretna Green blacksmith, and the famous anvil, cross the border for the first time. Birmingham, West Midlands.
M/S of Mr Rennison stood in front of his anvil. The bride and groom, who are a doctor and nurse both still in their uniforms, stand with him. He says a few words then joins their hands together across the anvil. M/S as the bride signs the register followed by the groom. It looks to be taking place on a ward with other staff standing around them and children in beds.