1

(L.)

(Discharge from Hospital,) "THE CONTAGIOUS DISEASES ORDINANCE, 1882."

In pursuance of the above-mentioned Ordinance, I hereby discharge A.B. of

, from this Hospital (add according to the fact.] and certify that she is now free from a Contagious Disease.

Dated this

day of

Hospital.

18

(Signed)

at the

G.H., Visiting Surgeon.

(M.)

(Certificate on discharge from imprisonment.) "THE CONTAGIOUS DISEASES ORDINANCE, 1882." Whereas under the above-mentioned Ordinance A.B. ot

was on the

offence of

offence in

day of

convicted of the and has since been imprisoned for that and is now discharged from imprisonment therein: Now in pursuance of the said Ordinance 1 hereby certify that she is now free from a Contagions Disease.

Dated this

day of

18

(Signed) R.O.,

Visiting Surgeon.

(N.)

(Certificate on last foregoing notice or copy.) "THE CONTAGIOUS DISEASES ORDINANCE, 1882."

In pursuance of the within-mentioned Ordinance, I hereby certify that the within-named woman is now free from a Contagious Disease,

Dated this

day of

(0.)

18

(Signed) E.F..

Visiting Surgeon,

(Application to be relieved from examination.) "THE CONTAGIOUS DISEASES ORDINANCE, 1882."

To L.M., Esq., Registrar General.

I, A.B, of

, being in pursuance of the above- mentioned Ordinance, subject to a periodical Medical Examination on my own submission [ar under your order, as the case may ba], dated the

do hereby apply to

be relieved therefrom.

Dated this

day of

day of

Witness, G. W,

(P.)

18

(Signed)

A.B.

(Notification in Gazette that a house is declared an Unregistered Brothal,)

"THE CONTAGIOUS DISEASES ORDINANCE, 1882."

It is hereby notified that the house [or part of a house] herein- after mentioned, that is to say, [describe the same] was, on the day of

18 , parauance to section 23 of the above Ordinance, declared by me under my hand to be an Unregistered Brothel.

(R.)

Registrar General.

(Certificate of Hospital charges.)

THE CONTAGIOUS DISEASES ORDINANCE, 1882."

In pursuance of the above-mentioned Ordinance, Í do hereby certify that

of Registered Brothel No. has been an Inmate of Certified Hospital of

• to the

] from the day of

day of and that the charges hereto marked A. are in accordance with the scale of charges fixed by me with the approval of His Excellency the Governor pursuant to Section 39 of the above- mentioned Ordinance.

Dated this

day of

18

Inspector of Hospitals.

494

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