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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]... "
Annual Report of the Department of Inspection of Workshops, Factories and ... - Halaman 233
oleh Ohio. Department of Inspection of Workshops, Factories and Public Buildings - 1889
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Public Documents of Massachusetts, Volume 8

Massachusetts - 1895 - 940 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...father, mother or guardian.] [Town or city and date.] 1895.] PUBLIC DOCUMENT — No. 2. 447 Then personally appeared before me the above named [name of person...
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Labor Laws of the United States

United States. Bureau of Labor - 1896 - 1396 halaman
...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...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...
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Annual Report on the Statistics of Labor

Massachusetts. Dept. of Labor and Industries. Division of Statistics - 1898 - 392 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 mouths] old. (Signature of father,...
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Annual Convention of the International Association of Factory Inspectors of ...

International Association of Factory Inspectors, International Association of Inspectors of Factories and Workshops of North America - 1898 - 96 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 county] of , on the [day and year of birth] , and is now [number of years and months] old. (Signature...
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Annual Report of the Factory Inspectors of the State of New York ..., Masalah 13

New York (State). Office of Factory Inspectors - 1899 - 902 halaman
...at [name of town or city] , in the county of [name of county, if known] , and State [or county] of , on the [day and year of birth] , and is now [number...years and months] old. (Signature of father, mother, guardian, or custodian.) (Town or city ала date.) Then personally appeared before me the above-named...
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Annual Report of the Board of Education Together with the ..., Volume 62

Massachusetts. Board of Education - 1899 - 782 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 father,...
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Annual Report of the Factory Inspectors of the State of New York ..., Volume 13

New York (State). Office of Factory Inspectors - 1899 - 906 halaman
...guardian or custodian] of [name of child] , and that [he or she] was born at [name of tywn or city] , in the county of [name of county, if known] , and State [or county] of , on the [day and year of birth] , and is now [number of years and mouths] old. (Signature...
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Lowell: A City of Spindles

Lowell (Mass.). Trades and labor council - 1900 - 474 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...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...
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Report of the Commissioners for Consolidating and ..., Bagian 2;Bagian 75-126

Massachusetts. Commissioners for consolidating and arranging the public statutes - 1901 - 576 halaman
...[name of city or town] , in the county of [name of eounty, if known] , and slate [or country] of , on the [day and year of birth] , and is now [number...years and months] old. (Signature of father, mother, guardian or custodian.) (City or town anil date.) Then personally appeared before mo (lie above-named...
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The Silk Industry in America...

United States. Industrial Commission - 1901 - 74 halaman
...at [name of town or city], in tho county of [name of county, if known], and State, [or county] of , on the [day and year of birth], and is now [number of yetars and mouths] old. (Signature of father, mother, guardian, or custodian.) (Town or city, and date.)...
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