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1843HRADJARSTIHW
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691
Form No. 16.
•
CROCETATENDO Ja
Y quKUDAGOA PRAST
INT ONA 10 de an
CITOUS DEILD KITTEL BINT TO 3172
SHOCKBLIGAO", SHARESIST
KITOTOON SETS BATT
Certificate required under Section 335 of the Lupacy
67692
Certificate of Disability of Person entitled to resents from a
Public Department.
Name Baker, James Edward
H. McKay Chaplain
I,
of the Peace for
() State the de- vicar, or minister (1) mination and rest-
ce.
The Asylum
REG? 26 DEC16
Establishment No.
being a Justice
on the rector, or
Millon Portsmouth
hereby certify that I know the said James Edward Baker and that I believe him to be unable, by reason of mental disability, to manage his affairs; and I further certify that I believe the family of the said James toward Baker
to consist of 4
wift
-1916. Laine Pau
18d bee! 1916...... HM. Marg...
Dated
Signed
Place of abode. Milton Vica portsmouth
metton