ILilAN'OlS STATE BBE-KBEPE3RS' ASSOCIATION 13 



No. 



CERTIFICATE OF 



Illinois State^ Foul Brood Inspector of Apiaries. 



Da;te .....' .191. 



I have this day inspected the Apiary of:— 



Mr 



P. O . 



No. of colonies in Apiary 



fin cellar Lfoss . 

 Outside Loss . 



iUas. Comb 

 Ubs. Extracted. 



No. colonies apparently healthy 



No. colonies diseased 



Name of disease 



Date bees to be treated. '. . . 



No. colonies or hives to be burned. 

 Subscriber for , . 



Remarks 



Foul Brood Inspector of Illinois 



