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47
(C. 2.)
ST. PANCRAS BOROUGH COUNCIL.
Public Health Department.
Town Hall,
Pancras Road, N.W.
Whereas you •
of suffering
from vermin, have undergone cleansing and purifying of the person and
disinfesting of the clothing at the Personal Cleansing Station, Cambridge!
Street, Pancras Road, N.W., the Disinfect,ors have been instructed, upon your
desire duly signed, to disinfest of vermin such infested articles of bedding and
clothing at your dwelling place as may be indicated for removal by the person
in charge.
Medical Officer of Health.
I desire my clothing, bedding, &c., at
to be removed, disinfected and returned.
To be signed at Cleansing Station Date
(Here follows list of articles as on disinfection form.)
(C. 3.)
METROPOLITAN BOROUGH OF ST. PANCRAS.
Public Health Department.
London County Council (General Powers) Act, 1904.
Verminous Parts of Houses.
Certificate of Medical Officer of Health.
This is to Certify that part of the house at
namely
is infested with vermin and requires stripping, purifying, and cleaning.
Medical Officer of Health.
To the Owner or Occupier,
Whereas by a certificate made by the Medical Officer of Health of the Metropolitan
Borough of St. Pancras (the Council of the said Borough being the
sanitary authority in and for the said Borough of St. Pancras in the County of
London) the said Medical Officer of Health has certified that part of the house
at
namely is
infested with vermin and requires stripping, purifying, and cleansing.