London's Pulse: Medical Officer of Health reports 1848-1972

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City of London 1914

[Report of the Medical Officer of Health for London, City of ]

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The following information is required to be supplied on the certificate by each carrier
loading the consignment:—
Loaded at
(Date.) (Place.)
on
(Name of vessel or car numbers and initials.)
; and, if unloaded at any
(Signature of officer or agent of carrier making indorsement.)
place prior to arrival in the United States, unloaded __
(Date.)
at. , by the
(Place.) (Name of carrier.)
and reloaded
(Signature of officer or agent of carrier making indorsement.)
at
(Date.) (Place.)
on by the
(Name of vessel or car numbers and initials.) (Name of carrier).
(Signature of officer or agent of carrier making indorsement.)