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DMR 30
DUPLICATE
THE AMERICAN NEUTRALITY RED GROSS
HAS HUMANITY DC
ASHINGTON
"I/
NURSING SERVICE
CERTIFICATE OF IMMUNITY
Place
new fork City
Date
Sept 23.1917
I certify that I have administered anti-typhoid vaccine as a prophylactic to
Catherine Street Dower
in the following doses :
1st dose
1/2
c. c.
Date Sept. 23.1917
2nd dose
c. C.
Date 1-1917
3rd dose
/
c. C.
Date Oct. 8-1917
Carthrup Street Dover
you famins M. D.
I certify that
is satisfactorily protected by vaccination against smallpox.
M. D.
Fill in location of Base Hospital, Unit or Detachment with which service is desired :
Army Base Hospital at
Naval Base Hospital at
Emergency Detachment at
Navy Detachment at
Hospital Unit at
Surgical Section at
childrens Hospital Pediatric
This duplicate certificate should be forwarded by nurse to Chief Nurse of Unit or to Committee
Organizing Detachment.
Req. 17-919-May-25M
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"ocrText": "DMR 30\nDUPLICATE\nTHE AMERICAN NEUTRALITY RED GROSS\nHAS HUMANITY DC\nASHINGTON\n\"I/\nNURSING SERVICE\nCERTIFICATE OF IMMUNITY\nPlace\nnew fork City\nDate\nSept 23.1917\nI certify that I have administered anti-typhoid vaccine as a prophylactic to\nCatherine Street Dower\nin the following doses :\n1st dose\n1/2\nc. c.\nDate Sept. 23.1917\n2nd dose\nc. C.\nDate 1-1917\n3rd dose\n/\nc. C.\nDate Oct. 8-1917\nCarthrup Street Dover\nyou famins M. D.\nI certify that\nis satisfactorily protected by vaccination against smallpox.\nM. D.\nFill in location of Base Hospital, Unit or Detachment with which service is desired :\nArmy Base Hospital at\nNaval Base Hospital at\nEmergency Detachment at\nNavy Detachment at\nHospital Unit at\nSurgical Section at\nchildrens Hospital Pediatric\nThis duplicate certificate should be forwarded by nurse to Chief Nurse of Unit or to Committee\nOrganizing Detachment.\nReq. 17-919-May-25M"
}