CO129-436 - Acting Governor Claud Sever & Governor Sir May & Public Offices - 1916 [11-12] — Page 695

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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