 | Massachusetts - 1898 - 1286 halaman
...guardian or custodian] of [name of child] , and that [he or she] was born at [name of town or city] , in the county of [name of county, If known] , and state [or country] of , on the [day and year of birth] , and Is now [number of years and months] old. (Signature of &ther,... | |
 | Massachusetts - 1896 - 836 halaman
...[father, mother or guardian] of ^mma of chM^ and that ("he or she-| was born at [name of town or city], in the county of [name of county, if known], and state...birth], and is now [number .of years and months] old. Then personally appeared before me the above named [name of person signing] and made oath that the... | |
 | United States. Bureau of Education - 1906 - 1296 halaman
...guardian, or custodian] of [name of minor] , and that [he or she] was born at [name of city or town] , In the county of [name of county, If known] , and state [or country] of , on the [day and year of birth] , and is now [number of years and months] old. (Signature of father,... | |
 | United States. Office of Education - 1906 - 1290 halaman
...guardian, or custodian] of [name of minor] . , and that [he or she] was born at [name of city or town] , in the county of [name of county, if known] , and state [or country] of , on the [day and year of birth] , and Is now [number of years and months] old. (Signature of father,... | |
 | United States. Bureau of Education - 1891 - 760 halaman
...[father, mother, or guardian] of [name of child), und that [ho or she] was born at [name of town or city], in the county of [name of county, if known], and State [or county] of [name], on the [day and year of birth J, and is now [number of years mid months] old. [Signature... | |
 | Massachusetts - 1888 - 100 halaman
...[father, mother or guardian] of [name of child], and that [he or she] was born at [name of town or city], in the county of [name of county, if known], and state...months] old. [Signature of father, mother or guardian.] Then personally appeared before me the above named [name of person signing] and made oath that the... | |
 | Maine. Bureau of Industrial and Labor Statistics - 1889 - 218 halaman
...[father, mother or guardian] of [name of child], and that [lie or she] was born at [name of town or city], in the county of [name of county, if known] and state...country] of [name], on the [day and year of birth,] and 1s now [number of years and months] old. [Signature of father, mother or guardian.] [Town or city and... | |
 | Minnesota. Department of Labor and Industry - 1890 - 856 halaman
...mother, or guardian] of [name of child, 1 and that [he or she] was born at [name of town or city,] in the, county of [name of county, if known,] and state [or country] of [name,] on the [day and yearof birth, jandisnow [number of years and months] old. [Signature of father, mother, or guardian.]... | |
 | 1892 - 774 halaman
...[he or she] was born at [name of town or city], in the county of [nameof county, if known,] and s^ate [or country] of [name], on the [day and year of birth], and is now [number*of years and months] old. [Signature of father, mother 9r guardian.] [Town or city and date.]... | |
 | United States. Bureau of Labor - 1892 - 616 halaman
...or she] was born at [name of town or city], in the county of [name of county, if known,] and s^ate [or country] of [name], on the [day and year of birth], and is now [numbef^of years and months] old. [Signature of father, mother or guardian.] [Town or city and date.]... | |
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... [Signature of father, mother, or guardian]. [Town or city and date]. There personally appeared before me the above named [name of person signing] and made oath that the foregoing certificate by [him or her] signed is true to the best of [his or her]... 
