Page:United States Statutes at Large Volume 59 Part 2.djvu/351

This page needs to be proofread.

59 STAT.] MULTILATERAL-SANITARY AERIAL NAVIGATION-JAN. 5, 1945 International Sanitary Convention for Aerial Navigation, 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 nosition Place Date (Signature of person Inoculated) (Home address) Official Stamp of Inoulating Officer PFotnoe: 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-inoclated withn 4 years: (c) for more than 4 years from the date of the last Inoculatin. 86847 0-47-PT. 11-22 1017 c