RECORD OF APPLICATION AND CERTIFICATE TO PRACTICE
VETERINARY MEDICINE OR SURGERY.
Application for Certificate to Practice Veterinary Medicine or Surgery under Five Years’ Former Practice
To the Clerk of the Circuit Court of
In compliance
with Section Five (5) of An Act entitled “An Act to define Veterinary Medicine
or Surgery, and regulating the practice of Veterinary Surgery or any branch
thereof in the State of
Respectfully submitted, ___Martin M. Burch_____________
FREEHOLDERS’ AFFIDAVIT
State of
The undersigned __Burdette B. Goodale, Abraham Stevens, J. W. Goodale, Eugene Burch, and W. S. Chandler_ being duly sworn, on their oaths, say that affiants are resident freeholders of the County in which the within named applicant for a certificate resides, and are well acquainted with such applicant and have been for _Five_ years, and say that said applicant has to our personal knowledge practiced Veterinary Medicine and Surgery in aforesaid State for the period of five years immediately preceding this application.
(Signatures appear of those listed above.)
Signed in my presence and sworn to before me, this _22nd _ day of _April_ 1903
__H. C. Allman, Notary Public__
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VETERINARIAN’S CERTIFICATE
State of
In
accordance with an Act of the Legislature approved by the Governor of the State
of
Witness my hand and seal of the Circuit Court of said County, this _22nd _
Day of _April_ 1903
Fred Schneider, Clerk of the Court
Steuben County, Indiana
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