33 
APPLICATION FOR RETIREMENT 
To the Pension Board of the 
American Museum of Natural History: 
I personally make this record of my service with the 
American Museum of Natural History and tender it as a 
basis for my being placed on the Pension Rolls of the said 
Museum : 
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oe eee Se Oe. 6 se eo 2 Oe 6 2.8 Oe @'4 O'S O10 9 O88 Oe OPEC HOC GAGES E8800 @ 
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The above statement to the best of my knowledge and belief 
is correct and I recommend that pension be allowed. 
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Signature of Employing Officer. 
