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 Steuben County, Indiana:

            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 Indiana,” approved March 11, 1901.  I hereby apply for a certificate to practice Veterinary Medicine or Surgery in the State of Indiana.  I have practiced Veterinary Medicine and Surgery for five years immediately preceding this application, at the following places, to wit:  __In Steuben County, Indiana_.

           

                                                                                                                        Respectfully submitted, ___James Merite_

 

 

FREEHOLDERS’ AFFIDAVIT

 

State of Indiana, Steuben County, ss:

            The undersigned __John Anderson, Michael Ryan, Herman F. Carpenter, Charles H. Jackson, and J. A. Waller__ 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 _29th _ day of _June_ 1901

 

                                                                                                                                                            __Fred Schneider, Clerk______

                                                                                                                                                            __Steuben Circuit Court______

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VETERINARIAN’S CERTIFICATE

 

State of Indiana, Steuben County, ss:

            In accordance with an Act of the Legislature approved by the Governor of the State of Indiana on March 11, 1901, and the presentation of evidence of fulfillment of the requirements of said act, I hereby issue certificate to __James Merite_

to practice Veterinary Medicine or Surgery, or any branch thereof in the State of Indiana.

 

                                                                                                            Witness my hand and seal of the Circuit Court of said County, this _29th _

                                                                                                                        Day of _June_ 1901

 

                                                                                                                                                            Fred Schneider, Clerk of the Court

                                                                                                                                                            Steuben County, Indiana

 

 

 

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