CO129-446 - Others & Individuals - 1917 — Page 160

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C

LUNACY ACT 1870

A "J.P."

53.Vict. c 5. Sect.335.

or Clerg7-

I Alfred Chaithan

being

en, residence

to be stated

Arxstant Curatt f

57 Kashwoord

SLATES FOR..

158

SChad

Hadwar Heath

Rad

Grodmayes Exp

hereby certify that I know the said

Walter Brett

Charles

and that I believe him or her to be unable by means

of mental disability, to manage his or her affairs,

and I further certify that I believe the family of the

said

Charles Walter Brecc-

to consist of Wife

DARID Gail & Pa Signed A Cheetham

(Place of abode)

191 7.

57 Eastwood Blad