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Title: General Laws For the Government of The New Zealand Central District

Author: Independent Order of Rechabites (Salford Unity)

In: The Pamphlet Collection of Sir Robert Stout: Volume 21

Publication details: Victoria University of Wellington Library, Wellington

Part of: The Pamphlet Collection of Sir Robert Stout

License: Creative Commons Attribution-Share Alike 3.0 New Zealand Licence

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The Pamphlet Collection of Sir Robert Stout: Volume 21

No. 3.—Form of Surgeon's Certificate on Fund

No. 3.—Form of Surgeon's Certificate on Fund.

Dated day of 18

I certify that the above-named _____ is afflicted with or suffering from _____ and is not able to follow his employment. _____ Tent Surgeon.