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I hereby authorise Mrs Sheila CULBERTSON née JACKAMAN of 25 Cypress Crescent, Lovedean, Hampshire to receive from Hendon Juvenile Court the name of the adoption society or local authority which made arrangements for the adoption of Susan Pauline KEENAN whos adopted name is Sheila JACKAMAN now CULBERTSON on 20th February 1952 and/or the name of the local authority notified under section 3(2) of the Adoption Act 1958, or equivalent earlier legislation, of the intention to apply to adopt the person named. The reference number of the adoption application is not stated.
21st September 1982 Signature Georgina Jones for Registrar General |
