INTERNATIONAL CERTIFICATE of INOCULATION and VACCINATION As approved by WORLD HEALTH ORGANIZATION and THE PAN AMERICAN SANITARY ORGANIZATION TRAVELER'S NAME Louise H. Marr 27 Calle Sol oeste (NUMBER) (STREET) ADDRESS Mayaguez (CITY TOWN, OR VILLAGE) Puerto RICO (COUNTY) (STATE) DATE OF BIRTH SEX TRAVELER'S SIGNATURE Louise H. Marr HEALTH DOB 22-5- VISIO 1952 2 2 c 798 STATE OF DE SAL GOUR GRATIS * FEDERAL SECURITY BOSTON PUBLIC HEALTH SERVICE 0 ERIO AGENCY G DEPARTMENT FOR SALE BY THE SUPERINTENDENT OF DOCUMENTS, U.S. GOVERNMENT PRINTING OFFICE WASHINGTON 25, D. C. - PRICE $1.25 PER 100 COPIES Gral, in AMEO Salud P6h.ina PHS-731 (IHR) Rev. 12-48