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DUPLICATE
+
AMERICAN RED CROSS NURSING SERVICE
CERTIFICATE OF IMMUNITY
Providence T.P.
Oct17-14
I
certify that I have administered anti-typhoid vaccine as a prophylactic to
Miss Annu T. McCaney
in the following doses :
Type A 250 william
B 250 :
C. C.
Date sept N 3/14
1st dose
A 500 or
2nd dose
1B
500
Date ock 2 /14
-
C. C.
% J 00
"
oct 12/14
3rd dose
C. C.
Date
Milliam
M. D.
(To be signed by physician after first dose.)
I certify that num Anner it mecauly
IS
satisfactorily protected by vaccination against smallpox. Milliams
M. D.
This duplicate of certificates should be forwarded by nurse to Chairman National Committee on
Nursing Service, American Red Cross, Washington, D. C., after administration of first dose of anti-typhoid
vaccine.
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"ocrText": "DUPLICATE\n+\nAMERICAN RED CROSS NURSING SERVICE\nCERTIFICATE OF IMMUNITY\nProvidence T.P.\nOct17-14\nI\ncertify that I have administered anti-typhoid vaccine as a prophylactic to\nMiss Annu T. McCaney\nin the following doses :\nType A 250 william\nB 250 :\nC. C.\nDate sept N 3/14\n1st dose\nA 500 or\n2nd dose\n1B\n500\nDate ock 2 /14\n-\nC. C.\n% J 00\n\"\noct 12/14\n3rd dose\nC. C.\nDate\nMilliam\nM. D.\n(To be signed by physician after first dose.)\nI certify that num Anner it mecauly\nIS\nsatisfactorily protected by vaccination against smallpox. Milliams\nM. D.\nThis duplicate of certificates should be forwarded by nurse to Chairman National Committee on\nNursing Service, American Red Cross, Washington, D. C., after administration of first dose of anti-typhoid\nvaccine."
}