HomeMy WebLinkAboutCOOK_EDWARD GORDON_4070899No.4070899
Age __9J~years.Date of order of admission __Qe.P-t~JIlb.e:r __2_8_l9.36
Date certificate issued ~ep..t~.mbJH..__2.B.#__19_39 by the
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Petition No.J.3_~9.R_________/j'/
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(Complete and true signature of holder)