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" This certifies that I am the [father, mother, guardian or custodian] of [name of child] , and that [he or she] was born at [name of town or city] , in the county of [name of county, if known] , and state [or country] of , on the [day and year of birth]... "
Public Documents of Massachusetts - Page 596
by Massachusetts - 1896
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Report of the Commissioner of Education Made to the Secretary of ..., Volume 1

United States. Bureau of Education - 1906 - 1296 pages
...guardian, or custodian] of [name of minor] , and that [he or she] was born at [name of city or town] , In the county of [name of county, If known] , and state [or country] of , on the [day and year of birth] , and is now [number of years and months] old. (Signature of father,...
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Annual Report, Volume 1

United States. Office of Education - 1906 - 1290 pages
...guardian, or custodian] of [name of minor] . , and that [he or she] was born at [name of city or town] , in the county of [name of county, if known] , and state [or country] of , on the [day and year of birth] , and Is now [number of years and months] old. (Signature of father,...
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Report of the Commissioner of Education Made to the Secretary of ..., Volume 1

United States. Bureau of Education - 1891 - 760 pages
...IBS'*. — This certifies that I am 4he [father, mother, or guardian] of [name of child), und that [ho or she] was born at [name of town or city], in the...county of [name of county, if known], and State [or county] of [name], on the [day and year of birth J, and is now [number of years mid months] old. [Signature...
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Annual Report of the Bureau of Industrial and Labor Statistics for ..., Volume 2

Maine. Bureau of Industrial and Labor Statistics - 1889 - 218 pages
...OF 1888. This certifies that I am the [father, mother or guardian] of [name of child], and that [lie or she] was born at [name of town or city], in the...country] of [name], on the [day and year of birth,] and 1s now [number of years and months] old. [Signature of father, mother or guardian.] [Town or city and...
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Annual Report of the Department of Inspection of Workshops ..., Volume 5

Ohio. Department of Inspection of Workshops, Factories and Public Buildings - 1889 - 286 pages
...CERTIFICATE, LAW OF 1888. This certifies that I am the [father, mother or guardian] of [name of child], and that [he or she] was born at [name of town or citv], in the county of [name of county, if known], [and state or country] of [name], on the [day and...
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Biennial Report

Minnesota. Department of Labor and Industry - 1890 - 856 pages
...CERTIFICATE, LAW OF 1888.* This certifies that I am the [father, mother, or guardian] of [name of child, 1 and that [he or she] was born at [name of town or...and state [or country] of [name,] on the [day and yearof birth, jandisnow [number of years and months] old. [Signature of father, mother, or guardian.]...
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Annual Report of the Commissioner of Labor, Issue 8

United States. Bureau of Labor - 1892 - 616 pages
...CERTIFICATE, LAW OF 1888. This certifies that lam the [father, mother or guardian] of [name of child], an 1 that [he or she] was born at [name of town or city], in the county of [name of county, if known,] and s^ate [or country] of [name], on the [day and year of birth], and is now [numbef^of years and months]...
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Congressional Serial Set

1892 - 774 pages
...LAW- OF 1888. • This certifies that lam the [father, mother or guardian] of [name of child), an I that [he or she] was born at [name of town or city], in the county of [nameof county, if known,] and s^ate [or country] of [name], on the [day and year of birth], and is...
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Acts and Resolves Passed by the General Court of Massachusetts

Massachusetts - 1894 - 1174 pages
...1894. This certifies that I am the [father, mother or guardian] of [name Age and «choolof child], and that [he or she] was born at [name of town or city], in ">8 certificate, the county of [name of county, if known] , and state [or country] of [name] , on the...
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Annual Report on the Statistics of Labor

Massachusetts. Dept. of Labor and Industries. Division of Statistics - 1898 - 392 pages
...OF 1898. This certifies that I am the [father, mother, guardian or custodian] of [name of child] , and that [he or she] was born at [name of town or...[name of county, If known] , and state [or country] of , on the [day and year of birth] , and Is now [number of years and mouths] old. (Signature of father,...
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