Part 82, page 355
FBI 164-81, Vault Part 82 p. 355, Photograph, serial SE 164-81-1A (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-82/pages/355
Transcript
The scan is the source; the transcript is machine-generated from it.
INTERNATIONAL CERTIFICATES OF VACCINATION
AS APPROVED BY THE WORLD HEALTH ORGANIZATION
CERTIFICATS INTERNATIONAUX DE VACCINATION APPROUVES PAR L'ORGANISATION MONDIALE DE LA SANTE
TRAVELER'S NAME—Nom du voyageur
[handwritten] [guess: Wilberd] C. Twigg Jr.
ADDRESS (Number—Numéro) (Street—Rue) ADRESSE [handwritten] [guess: Fleet] [guess: Health] — (City—Ville)
U.S.[guess: A.] [guess: Inc.] (County—Département) (State—État)
U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE
[U.S. Government seal]
FOR SALE BY SUPERINTENDENT OF DOCUMENTS GOVERNMENT PRINTING OFFICE · WASHINGTON 25, D. C. $2.50 PER 100
PHS 731 Rev. 1-57
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REMARKS CONCERNING VACCINATIONS—REMARQUES CONCERNANT LES VACCINATIONS
[Table columns, mostly blank or redacted] Date | Name | [Physician's signature and address] | [This information is to assist any physician called upon to treat the traveler. / Cette information est pour aider le médecin qui pour être appelé pour un examen en cas de maladie.] | Blood group / Groupe sanguin | Rh type / Rh type | [Name and address of person to notify in case of emergency / Nom et adresse de la personne à prévenir en cas d'urgence]
[Fields appear blank]
14
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b6 b7C
b6 b7C