Paperback
1901 · Burlington, Iowa
by C. E. Barnes, (Dr.)
Burlington, Iowa: City of Burlington, 1901. One Page,Folded, 8" x 5 3/8", printed one side "Contagious Diseases - Certificate for Re-Admittance, Burlington, Iowa 188....", that side left blank. Verso in manuscript black ink- " Burlington, Ia. Sept. 20. '01 This will certify that I have this day vaccinated Horace W(?) Arnold W(?) Arthur W(?) Anna W(?) C. E. Barnes". In different ink follows "Good". Very Good, 4 small holes, small ink blot. . One Page,Folded. Very Good. 8" x 5 3/8".
(Inventory #: 008951)