Shelton, Wash. U.S.A. April 16, 1899.
I hereby certify that JOSEPH R. GERMAIN is unfit for further service as an effective in a tropical climate and therefore cannot advise him to return to his sanitary duties in Hong Kong.
STATE OF WASHINGTON
County of Mason.
Subscribed in my presence and sworn to before me, by the said Will Beach M.D.
On this 16th day of April, 1899.
JARiley Notary Public in and for the State of Washington, residing at Shelton.