CO129-446 - Others & Individuals - 1917 — Page 159

LUNAGY ACT 1890

53 Vict. c 5

Sect.335.

157

19067

REC

REG 13 APR 17

"તું

and to Schrit 20m to fans bouclameter

LECT

IWO BA NILATOA NI LIJEVA fewn art bar

4

I

Mich

being a person under the

Medical Act 1858, and in actual practice of my profession,

hereby certify that have this day visited and personally examined Chas: Walter Brett

and that the said

Chas: waller Brett is unable by means of mental

disability to manage his or her affairs and that I have formed

this conclusion on the following grounds, viz.,

That the said Charles Walter Brett is suffering from Hemsb

MOJA ZOG

Dist

*

JYOL

MAS

...

HAR

Dated

-Arily th

1917

Signed

BOROUGH

GOODMAYES ILFORD

H

SYLU

(Postal address in full)

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