216 CLINICAL BACTERIOLOGY 



county [borough or burgh] of on the 



day of 191 , and which animal belonged to 



of , does not show that the animal was affected with 



tuberculosis [or shows that the animal was affected with tuberculosis 

 (not being advanced tuberculosis within the meaning of the Tubercu- 

 losis Order of 1913)] [or shows that the animal was suffering from 

 advanced tuberculosis within the meaning of the Tuberculosis Order 

 of 1913]. 



(Signed) A.B. 



Dated 191 . 



