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A valuable assistant to every man: or, The American clerk's magazine. Containing the most useful and necessary forms of writings, which commonly occur between man and man ... By Samuel Freeman, Esq; compiler of the Town officer, Probate auxiliary, and Massachusetts justice. Published according to act of Congress.
Freeman, Samuel, 1743-1831.Date: --1795- Archives and manuscripts
Blank form recommending that a Sister be sent to nurse in a particular case
Date: c.1841Reference: SA/QNI/W.1/7Part of: Queen's Nursing Institute- Archives and manuscripts
Printed form [blank]: Lies diese Seite aumerksam under folge den gegebenen Answeigen! [psychological test]
Date: Early 20th centuryReference: MS.7963/2Part of: Nagelschmidt, Steffa (1882-1962), child psychologist- Books
Test forms and blanks used at Carnegie Institute of Technology / [Walter Van Dyke Bingham, editor].
Date: 1923- Books
Admit to Divine Service in the chapel, on Sunday, the day of [blank]. [Blank] Governor. This ticket can only be made use of on the morning or afternoon agreeably to the date, and must be delivered to the messenger at the chapel door, and no money is to be given to any of the servants of the establishment.
Millbank Prison (London, England)Date: [1820 or 1821?]- Books
Patient passport : for ageing well / written and compiled by Dr Mike Youle, Dr Fiona Burns, Amanda Evans, Dr Sara Madge, Neal Marshall and David Steiner.
Youle, MichaelDate: 2016- Pictures
A blank cartouche held by a putto with compasses, lacking the portrait of the painter Jacques Rousseau. Line engraving by M. Aubert, 1752, after P. Villebois.
Villebois, P., active approximately 1752.Date: [1752]Reference: 2952303i- Books
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The inquisition taken at [blank] the [blank] day of [blank] in the [blank] yeere of the raigne of our soueraigne lord, Iames by the grace of God, of England, France and Ireland king ... and of Scotland the [blank] : before [blank] deputies vnto [blank] esquire, clarke of the market of His Maiesties most honourable houshold, within the verge, as well within liberties as without, by the oathes of [blank] honest and discreet men, of the price of graine, victuals, horsemeat, lodgings, and other things, rated and taxed, in maner and forme following.
Date: [1622?]- Archives and manuscripts
Blank Form for the Inquiry into the Alleged Darkening of the Hair of the English in the Present and Recent Generations
Date: c1887Reference: GALTON/2/4/18/12/1Part of: Galton Papers- Books
Consent to treatment / Medical Defence Union.
Medical Defence UnionDate: 1997- Books
Light up lives : support organ donation and tell your family about your wish / Department of Health.
Hong Kong. Department of HealthDate: 2012- Books
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Instructions by the Commissioners of His Majesty's Customs in America, to [blank] who is appointed [blank] of the Customs at the port of [blank] in America.
Great Britain. Commissioners of Customs in America.Date: 1768?]- Books
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Regium Genuense Archi-Gymnasium. In Dei Nomine, qui est Sapientia aeterna, et Augustissimi Regis. Nos praeses, et doctores amplissimi [blank] Collegj omnibus, et singulis praesentes litteras, et hoc Doctoratus in [blank] privilegium inspecturis, salutem.
Università di Genova.Date: 1817- 3-D Objects
A blank sheet of paper.
Date: [19--]Reference: 2907953iPart of: Adamson Collection- Pictures
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Aesculapius pays tribute to Edward Jenner for introducing vaccination. Etching by J. Gerstner after I.J. Weidlich, 1801.
Weidlich, Ignaz Joseph, 1753-1815.Date: 1801Reference: 11290i- Books
An agreement, made and entered into this [blank] day of [blank] one thousand eight hundred and [blank] between [blank] of the one part, and [blank] of the other part as follows: : The said [blank] for [blank] executors and administrators, [blank] hereby agree, to and with the said Governor, to provide, furnish, and supply, with all possible dispatch, ... the several articles and things of the quality and descriptions hereinafter particularized.
Millbank Prison (London, England)Date: [1820 or 1821?]- Books
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It is agreed between the masters, seamen and mariners of the [blank] master, now bound [blank] That in consideration of the sums as monthly, or other wages affixed to our names, we the said seamen and mariners will perform a voyage from [blank] to [blank] and back to [blank] promising hereby to obey the lawful orders and commands of the said master ...
Date: [1784?]- Pictures
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Saint Mary (the Blessed Virgin). Etching.
Reference: 10205i- Pictures
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Prevention and treatment of syphilis and gonorrhoea. Colour lithograph, ca. 1950.
Date: [1950?]Reference: 576143i- Pictures
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Prevention and treatment of syphilis and gonorrhoea, and their effect on the children of people infected. Colour lithograph, ca. 1950.
Date: [1950?]Reference: 576146i- Books
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By the Honorable John Penn, Esquire, lieutenant governor and commander in chief of the province of Pennsylvania ... To all to whom these presents shall come, or may concern; Greeting: Whereas [blank] prayed my licence to trade with the nations or tribes of Indians ... I do therefore hereby authorize and impower the said [blank] ... Given under my hand, and seal at arms, at Philadelphia, the [blank] day of [blank] 1765 ... By His Honour's command, [blank]
Pennsylvania. Lietutenant Governor (1763-1771 : Penn)Date: 1765]- Archives and manuscripts
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Blank specimen Order for the Reception of a Private Patient form under 16 & 17 Vict c 96 and 25 & 26 Vict cIII, printed for the Retreat
Date: 1862Reference: RET 1/5/5/2/1/15Part of: The Retreat Archive- Books
To the Governor of the Penitentiary, Millbank, Westminster. : London, [blank] 182[blank]. Sir, [blank] do hereby tender to supply the Penitentiary, at the prices hereinafter-mentioned, with such of the following articles to which such prices are annexed.
Millbank Prison (London, England)Date: [1820]- Pictures
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A girl setting off on a walk along a country road, leaving behind cigarette butts, cigarettes and smoke-rings; representing the smoke-free status of a group of school students. Colour lithograph for Stivoro (Stichting Volksgezondheid en Roken), ca. 2000.
Date: [2000?]Reference: 2066197i- Pictures
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Prevention of venereal diseases: the feet of a man standing on the letters VD on a blue ground are approached by the feet of a woman who places the toes of one foot on the letters VD. Colour lithograph, ca. 1964.
Date: [1964?]Reference: 576150i