Page:United States Statutes at Large Volume 59 Part 2.djvu/313

 59 STAT.] MULTILATERAL-SANITARY MARITIME NAVIGATION-JAN. 5,1945 International Sanitary Convention, 1944 INTERNATIONAL CERTIFICATE OF INOCULATION AGAINST TYPHUS FEVER THIS IS TO CERTIFY THAT (Age - Sex -) whose signature appears below was on the dates indicated inoculated against typhus fever. (Signature of person inoculated) (Home address) (Date) Official Stamp of Inoculating Offcer (This certificate is not valid for more than 1 year from date of issue.) 979

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