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a
S
I
it
a
D M R 30
DUPLICATE
15.362
C.
nciez
is
RSHINGTONS
NURSING SERVICE
3
CERTIFICATE OF IMMUNITY
T
Place
youker m.you
Date
Des. 21, 1919.
I certify that I have administered anti-typhoid vaccine as a prophylactic to
in the following doses:
1st dose
1/2
c. c.
Date Dee 10,1917.
2nd dose
1.
c. c.
Date
Dec. 15.1917
3rd dose
l
c. c.
Date
Dec. 21, 1917
games 7. laborton
M. D.
I certify that
Hilda C. Bunting
-
is satisfactorily protected by vaccination against smallpox.
games 7. Laborter
M. D.
Fill in location of Base Hospital, Unit or Detachment with which service is desired:
Army Base Hospital at # 116
Naval Base Hospital at
Emergency Detachment at
Navy Detachment at
Hospital Unit at
Surgical Section at
This duplicate certificate should be forwarded by nurse to Chief Nurse of Unit or to Committee
Organizing Detachment.
Req. 17-919-May-25M
5
W
6
2
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"ocrText": "a\nS\nI\nit\na\nD M R 30\nDUPLICATE\n15.362\nC.\nnciez\nis\nRSHINGTONS\nNURSING SERVICE\n3\nCERTIFICATE OF IMMUNITY\nT\nPlace\nyouker m.you\nDate\nDes. 21, 1919.\nI certify that I have administered anti-typhoid vaccine as a prophylactic to\nin the following doses:\n1st dose\n1/2\nc. c.\nDate Dee 10,1917.\n2nd dose\n1.\nc. c.\nDate\nDec. 15.1917\n3rd dose\nl\nc. c.\nDate\nDec. 21, 1917\ngames 7. laborton\nM. D.\nI certify that\nHilda C. Bunting\n-\nis satisfactorily protected by vaccination against smallpox.\ngames 7. Laborter\nM. D.\nFill in location of Base Hospital, Unit or Detachment with which service is desired:\nArmy Base Hospital at # 116\nNaval Base Hospital at\nEmergency Detachment at\nNavy Detachment at\nHospital Unit at\nSurgical Section at\nThis duplicate certificate should be forwarded by nurse to Chief Nurse of Unit or to Committee\nOrganizing Detachment.\nReq. 17-919-May-25M\n5\nW\n6\n2"
}