PROPOSED  LAW  REGULATING  PHARMACY,  ETC.  567 
SCHEDULE  B. 
DATE, 
NAME. 
PLAGE  OF  BUSINESS. 
QUALIFICATIONS. 
REMAEKS. 
1870. 
Jan.  10. 
A.  B. 
329  Broadway  ,N.Y. 
In  business  within 
this  State  prior  to 
the  passage  of 
the  Pharmacy  and 
Poison  Act,  18 
Jan.  11. 
C.  D. 
Athens,  Greene 
Co.,  N.  Y. 
Graduate  in  Phar- 
macy of  Maryland 
College,  of  class 
1862-63. 
Died  June  11,  1870. 
Jan.  20. 
E.  F. 
280  Fulton  Street, 
Brooklyn,  N.  Y. 
Practisingassistant 
in  pharmacy,  ex- 
amined by  Phar- 
maceutical Board 
of  this  State  on 
day  of  1870. 
July  8,  1870.  Re- 
moved to  and  car- 
ries on  business  on 
his  own  account  at 
48  John  St.  Ithaca, 
N.  Y.  ;  has  passed 
examination  of  Col- 
lege  01  Pharmacy  oi 
the  city  of  N.  York, 
June,  1870. 
Jan.  29. 
G.  H. 
Middletown,  N.  Y. 
With  A.  B.,  city 
of  New  York. 
Registered  assist- 
ant in  Pharmacy. 
Graduate  of  the 
Mass.  College  ol 
Pharmacy,  Class 
1868-69. 
September  1,  1870. 
Commenced  busi- 
ness on  his  own 
account,  136  Lake 
Street,  Buflfalo,N.Y. 
SCHEDULE  0. 
Declaration  hy  a  person  applying  to  become  Registered  Pharmacist  under  the  Phar- 
macy and  Poison  Act,  18 
To  the  Registrar  of  Pharmacists  of  the  State  of  I, 
doing  business  (or  about  to  commence  business)  at  in  the  County 
of  State  of  hereby  declare,  that  I  kept  open  shop  for 
dispensing  and  compounding  the  prescriptions  of  medical  practitioners  at 
in  the  County  of  and  State  of  on  or  be- 
fore the  day  of  18     ;  or  am  a  graduate  of  the 
College  of  Pharmacy,  Class  18    ;  or  am  a  graduate  of  the  [foreign  in- 
stitution], my  diploma  having  been  acknowledged  and  endorsed  by  the  Phar- 
maceutical Board  of  the  State  of  on  [date]  ;  or  am  a  practising 
assistant  in  pharmacy,  holding  a  certificate  of  qualification  by  the  Pharmaceu- 
tical Board  of  this  State,  dated                   (as  the  case  may  be). 
(Signed.)  Name. 
Dated  this                   day  of  186 
Affidavit. 
