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Seriously, what is going on in this old, yet VERY bizarre photo?

Would anyone like to make a guess? I'd like to say it is some sort of fake, but it looks eerily realistic to me. 😦 And why does that old woman look so serious? 🤔

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fun4us2b · M

It was that poor lady's daughter, that she refused to part with after she died so young....

adshaw · 36-40, M

Gives new meaning to the saying, "A face only a mother could love."