Form
Collection object
1993.0364
H. 33.8 W. 21.9
Form, printed in black on blue paper with ms additions; printed on four sides of folded sheet. "Notice of Requirement of Vaccination" under "The Vaccination (Ireland) Acts, 1863 & 1879". First side informs the parents of Patrick Ryan of their duty to have him vaccinated before he is 3 months old, i.e. before 28th Feb. 1880; form gives place, Newport, and times for vaccination stations, and is signed 28-11-79 by Henry Dwyer? Registrar of births and deaths for Newport District. Second side, not completed, has space for certification by practitioner and space for certification that child is unfit to be vaccinated. Third side "Certificate of Insusceptibility of Successful Vaccination". Fourth side, address and list of penalties under the acts; "Printed by Alexander Thom, 87 and 88 Abbey-street, Dublin" at bottom. Paper spotted white in places, and bottom left torn.
Alexander & Co Thom (printer)