CO129-559-4 Quarantine and Prevention of Disease Ordinance 1936 4-2-1936 - 4-2-1936 — Page 29

37

32

To be printed at the back.

INSTRUCTIONS.

1. This undertaking is to be forwarded by the Health Officer to the Health Officer of the area containing the address of the person giving the undertaking. The slip is to be handed to the said person.

2. The Health Officer of such area will every day, as he sees such

person, initial the space below.

First day

Second day

Third day

Date.

Initials.