Page:United States Statutes at Large Volume 59 Part 2.djvu/310

 TREATIES International Sanitary Convention,1944 INTERNATIONAL CERTIFICATE OF INOCULATION AGAINST CHOLERA THIS IS TO CERTIFY THAT (Age Sex ) whose signature appears below was on the dates indicated inoculated against cholera. (Signature of person inoculated) (Home address) (Date) Official Stamp of Inoculating Officer (This certificate is not valid for more than 6 months from date of issue.) [59 STAT.

�