ON APPLICANT CLAIMING PREFERENCE AS DISABLED VETERAN
SOCIAL SECURITY NO.:________________DATE______________
To Massachusetts Director of Standards:
I have this day examined the record of the above-named applicant,
and hereby certify that the answers to the following questions are
- Has the above-named applicant a disability incurred in the line
of duty in the military or naval service of the United States in
World War 1, World War 11, or Korean or Vietnam Wars?
- What are the dates of service?
U.S. Veterans Administration
I___________________________hereby authorize the release of information to the Massachusetts Director of Standards in order that I may procure a hawker and peddler license.
CONTANT OFFICE: PLEASE RETURN TO VETERAN AFTER CERTIFICATION
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