MEDICAL INSPECTION OF SCHOOLS 

 CERTIFICATE FOR FREE TREATMENT, PHILADELPHIA 



Form 6 D. D. 



CITY OF PHILADELPHIA 

 DEPARTMENT OF PUBLIC HEALTH AND CHARITIES 



BUREAU OF HEALTH 



DIVISION OF SCHOOL INSPECTION 



DENTAL DISPENSARY 



ROOM 706. CITY HALL 



Philadelphia, 191 



THIS IS TO CERTIFY that 



age Residence 



School Section 



Grade is in need of dental treatment and the pa- 

 rents are unable to pay for the same. 



INSPECTOR 



PRINCIPAL 



PRESENT THIS CERTIFICATE AT ROOM 706. CITY HALL. Office Hour.: 

 Monday to Friday, 9 A. M. to 4 P. M. Saturday. 9 A. M. to 12 Noon. 



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