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DMR30
DUPLICATE
THE AMERICAN NEUTRALITY RE GOOS
W A HUMANITY SCHOOL
SHINGTON
NURSING SERVICE
CERTIFICATE OF IMMUNITY
Place
n.y- my
Date
Oct 8,1917
I certify that I have administered anti-typhoid vaccine as a prophylactic to
in the following doses:
1st dose Sept-25- 1/2 c. c.
Date Sepi-25 1917
2nd dose Dci- 1
C. c.
Date Oct-1,1917
3rd dose Ucl 8
l C. C.
Date let 8, 1917
J7.Sami
M. D.
Cacherine Dover
I certify that
is satisfactorily protected by vaccination against smallpox.
J7. Sammin 1 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
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": "DMR30\nDUPLICATE\nTHE AMERICAN NEUTRALITY RE GOOS\nW A HUMANITY SCHOOL\nSHINGTON\nNURSING SERVICE\nCERTIFICATE OF IMMUNITY\nPlace\nn.y- my\nDate\nOct 8,1917\nI certify that I have administered anti-typhoid vaccine as a prophylactic to\nin the following doses:\n1st dose Sept-25- 1/2 c. c.\nDate Sepi-25 1917\n2nd dose Dci- 1\nC. c.\nDate Oct-1,1917\n3rd dose Ucl 8\nl C. C.\nDate let 8, 1917\nJ7.Sami\nM. D.\nCacherine Dover\nI certify that\nis satisfactorily protected by vaccination against smallpox.\nJ7. Sammin 1 M.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\nThis duplicate certificate should be forwarded by nurse to Chief Nurse of Unit or to Committee\nOrganizing Detachment.\nReq. 17-919-May-25M"
}