Page:United States Statutes at Large Volume 59 Part 2.djvu/311

From Wikisource
Jump to navigation Jump to search
This page needs to be proofread.

59 STAT.] MULTILATERAL-SANITARY MARITIME NAVIGATION-JAN. 5 , 1945 International Sanitary Convention, 1944 INTERNATIONAL CERTIFICATE OF INOCULATION AGAINST YELLOW FEVER THIS IS TO CERTIFY THAT (Age Sex )- whose signature appears below has this day been inoculated by me against yellow fever. Origin and Batch No. of vaccine. Signature of inoculating officer Official position Place (Signature of person inoculated) Date (Home address) Official Stamp of Inoculating Officer Footnote: This certificate is not valid: (a) unless the vaccine and the method employed have been approved by UNRRA; (b) until 10 days after the date of the inoculation except in the case of persons re-inoculated within 4 years; (c) for more than 4 years from the date of the last inoculation. 977