CoC - Prop - Certificate of Insanity.pdf

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(lCommonb.1caltb
of
jfNassacbusdts
(!Certificate
of
lnganitp
This document does hereby serve notice that
has been certified
Legally Insane
by the Commonwealth of Massachusetts on this date of
Whereby the above named has become a Ward of the State
to be committed to an appropriate Institution of Mental Hygiene
to receive treatment for the condition of
For a period of six (6) months or more, as care shall require,
or until sufficient cause can be shown as
to
warrant release.
~d3.~0
fudge, District Coun
Superintendant of
Institution

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