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40-80.


40-80.

    The age and schooling certificate shall not be approved until the
parent or guardian of such child shall present a school attendance
certificate as hereinafter prescribed.  A duplicate of such age and
schooling certificate shall be filled out and sent by the school
officer, before whom the same is made, to the Commissioner of Labor.

The blank forms for school attendance certificate and for the age and
schooling certificate shall be supplied to the principal, headmaster,
or equivalent administrative officer of the school or to one of the
child's parents if the child is being schooled at home by the State
Superintendent of Public Instruction as hereinafter indicated.
                   SCHOOL ATTENDANCE CERTIFICATE.
                   ..................  (Name of School). 
                   ..................  (City and County). 
                   .......................  (Date). 
    This certifies that ................  (name of child) can read
and write and that according to the records of this school and in my
belief is now ............. (number of years and months) old, and has
attended school during the full school term of the preceding year. 
                   ..................  (Name of parent or guardian). 
                   ..................  (Residence). 
                   .................  (Signature of teacher). 
                   AGE AND SCHOOLING CERTIFICATE. 
    This certifies that I am ..............  (father, mother or
guardian) of ...........  (name of child) s.s.# ..............., and
that he (or she) was born at .............  (town or city),
..........  (county), ..............  (state or country), on the
........  (day, month and year of birth), and is now ...............
(number of years and months old). 
                   ..................................... 
                   (Signature of parent or guardian). 
                   ..........................  (Date). 
....................  (City or town or county). 
    Personally appeared before me the above-mentioned ............
(name of person signing), and made oath that the foregoing
certificate is true to the best of his (or her) knowledge and belief. 
    I hereby approve the foregoing certificate of ............. (name
of child), height .............  (feet and inches), weight
...........  (pounds), complexion ...........  (fair or dark), hair
.............  (color), eyes ..........  (color), having no
sufficient reason to doubt that he (or she) is of the age therein
certified. 
                        OWNER OF CERTIFICATE. 
    This certificate belongs to .............  (name of child), and
is to be surrendered to him (or her) whenever he (or she) leaves the
service of the employer holding the same, but if not claimed by said
child within thirty days after leaving said service, shall be sent to
the Commissioner of Labor. 
                         .................................., 
                         (Signature of officer, with name of city,
                         town or county, and date.)


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