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Modelo S.C. 138

[[underlined]] ATESTADO DE SAUDE PARA TEMPORARIOS [[/underlined]]
[[underlined]] CERTIFICATE OF HEALTH FOR TEMPORARY VISITORS. [[/underlined]]

Atesto que examinei o Sr./a Sra. [[handwritten]] Col. B. O. Davis, Jr.[[/handwritten]]
I certify that I have examined Mr., Mrs., or Miss
idade age[[handwritten]] 39 [[/handwritten]] nacionalidade nationality [[handwritten]] American [[/handwritten]] profissão profession [[handwritten]] Air Force Officer [[/handwritten]]

e que o mesmo/ a mesma não apresenta sintomas ou manifestações de
and that he or she does not present symptoms or manifestations of

lepra, tuberculose, tracoma, elefantiase, doenca venerea em período contagiante,
leprosy, tuberculosis, tracoma, elephantiasis, venereal disease in a contagious period,

cancer, afeccao mental, e nao e alcolista ou toxicomano/toxicomana 
cancer, mental affection, and that he or she is not an alcoholic or drug addict.

[[handwritten]] Washington D.C. [[/handwritten]] de [[handwritten]] May 16 [[/handwritten]] de 19 [[handwritten]] 52 [[/handwritten]]
(place) (date)

[[handwritten]] Leslie Upton M.D. [[/handwritten]]
(ASSINATURA DO MEDICO)
Signature of Doctor
[[stamp]] LESLIE UPTON
Captain, MC [[/stamp]]

(visto consular)
(consular visa)

[[stamp]] CONSULADO DOS ESTADOS UNIDOS DO BRASIL *BALTIMORE* VISTO 2 0 -5- 1952 GRATIS [[/STAMP]]

REGULAMENTO DE IMIGRAÇÃO-DEC. N. 3.010 DE 1938.