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The Pamphlet Collection of Sir Robert Stout: Volume 60

[medical certificate]

This is to Certify that I have carefully examined the above-named_______and find him in good health, and of sound constitution, and believe his ace to be as declared by him. I have also examined his wife and find her to be in good health, and of sound constitution.

As Witness my hand this_______day of_______18

Medical Officer