Vaccination certificate titled "Federal-Provincial Brucellosis Control Program, Ontario Calfhood Vaccination Certificate." Form PHA 128-4M Books - 66 - 4043. Form is filled in with blue ink. Form records the following information: Owner's name: Orville Brown; Address: Stittsville; Farm Location: Lot 24, Con. 5, Township Goulbourn, Co. Carleton; Breed: W245197; Date of Birth: Aug. 15/66; Sex: F; Description (Name, Registration Number): B & W; Breed: Holstein; Date of Vaccination: May 18/67; Vaccine Batch No.: 700-1; Expiration Date: Feb.11/68." A typewritten paragraph that appears below the registration information reads: "I certify that this is a true record of the Brucella Calfhood Vaccination of the above animal in accordance with the Federal-Provincial Brucellosis Control Program on the date indicated." The form is signed by the veterinarian who issued the vaccine.
