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HEARNAP — Part 37
Page 183
183 / 604
INTERNATIONAL CERTIFICATES OF
VACCINATION 4
AS APPROVED BY 3
THE WORLD HEALTH ORGANIZATION
{EXCEPT FOR AOORESS OF VACCINATOR}
CERTIFICATS INTERNATIONAUX DE
VACCINATION
APPRGUVES PAG
L‘ORGANISATION MONDIALE DE LA SANTE
ISAUF L'ADRESSE DU VaACCINATEUR)
| we Re ate: B49F22y ¢
Jefatura de los Servicios Sanitarios
Seccién ce Vacunaciones .t
' ALGECIRAS ; rn ©
Don Boudie * casa Ki hdor
tert e,
TRAVELER'S NAME-NOM Du VOYAGEUR
an
Boum To WinwekR , vo cs 3
ADDRESS-ADRESSE (number undo (Sweet Rue} Sido vacunado en estos Servicios Sanitarios contra el célera an
F692 AIS? spacey EAST en su Unica Dosis (1c. c.), en el dia de Ia fecha. - fot
eny—vittey Algeciras, de OcPulie ge 1971 a
Fam DALE El Jefe de los Sexiiglogsepitarios, - & |
4he Fd
{(County—Département) (State—Eraty . \ “ZN aS '
| . [XY @& > a
AOS ANGELES CALIFORNIA _ [© ‘Pek, 2) g.
— A's, U.S. DEPARTMENT OF LOTE..4 Ng RRR f con
ey < HEALTH, EDUCATION, AND WELFARE Veg Ec\Re
oe °° PUBLIC HEALTH SERVICE :
PHS-73: “REV. 9-69) ;
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