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CERTIFICATE OF
WHOOPING COUGH
IMMUNIZATION
THIS is to certify that
i Age residing at
has received a series of three injections of Parke -Davis Pertussis Vaccine,
I Immunizing (Sauer) 15,000 mill. per cc. authorized by Northwestern
..k University Medical School. Serial number of vaccine
Issued by —_ -- __ - M. D. Date_----- -_ —___ N