Forms of Notice and Certificates

(See section 8) [Page 14 Content:] (S-wQ rn prim vaednation. atation marcst your hwso is at . . . . . . . . . . . . . . . . The daya rad hour# for vaccination at that centre are, . . . On tha =id. . . . . . . . . . (jnscrt the name of tha child). king bmught kfora the public vaccinator at the said station within the said bums on the said date or at any otier public vacci~atoion station in the town on the days and within the horn pi&cribpd . . . . . . . . . . . . . . . . . . for public vatcination at such ccatre thc said. (name of the child) PriU be vaccim td Free' of - chargo. 1f you wish th said. . . . . . . . . . . . . . . . . . . . . . . (name of tho child) to be v a c c i a at . . . . . your own housa the public vaccinator will attend these upon payment of a f&of.', . . . . . . . . . . . . . . . . . . . . . . . ( . . . . . . . . . . . . . 1, tho urrdahgacd horbb'y '&I tify that thoo *1d/f+th%tlb &Id oT. + . '. . . . . . agd about. . . . . . . . . . . - . . . . . . . . . . . . . . years . . . . . . . . . . . . . . . . . .months is not now inh a fit and prom mate to Im vaccinated. Therefore, tho vaccination is postponed for - tha *od . . . . . . . . . . of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -Uayc horn this date. I, tho udersigasb bdreby d f y t'bt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . the mali$)feaak child of. . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . age. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . rmident at, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'ha% -bean. s u m ~ f u y vaccinated by ntu. [Page 15 Content:] I, tho undersigped h&by W i f y that. . . . . . . . . . . . . . . . . . . . . . , . . . . .m~ls~~~~::.~,.r!,i e-:;:; c?f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .m~ident at . . . . . . . . . . . . . . . . . . . . . . ha# shady !I?-. R ~ : . ' I - . ; ~ : ~ E ce I b v e ihrm times vaccinated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . m a ~ c ] f a ~ ~ ~ ~ . l ~ ~ c':': .- ~f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . - . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . - & . . . . . . . . . . . . . . . . . . . . . . . . . in my opinion that tho said child is insuseptib10 to yawination for a pcriod o'f t w c h -&:. Please take notjco that you aro hereby requtrd under the 'provisiom of the lMwr Vahtioa Act, 1960 to submit yourself to a public vaeeiPatur or pn& tlonar within meen days from the sbrvica of this notica for vaccination, and that In of m dohg, you will b liable to a ihei which may arnouat to ffty rum. Tho public vacdnation mntre narest your housa is at,, , , , , , , , , , , Tha &ys and 'hours for vaccinabon at -tha sation am as roIlc)w~:- (Here i&rt the days and hours whom the public v a h t o r is in, attandad On your attending bafm a public va-tor at the said itadon wi n the d d hwr on any of the said days, or at-any other public vaoinadon mtra in t t town on the days and within the hours prescribed fof public vaccination at such cuntia; y w wilt h moeiaatbd fief3 of chargo- if you wish to be vaccinated at your own house, the public vacdttator, will amd' tbe;~ upon payment of a fa of.. , ,,,,,,,, ,,,, Dated the '........... ..of.. -. . 1 9 Superintendent of Vacchtaion