Christi eiusque Matris Pietate servata : provisores salutis clodiae : si parte di questa città, per la iddio gratia, libera d'ogni mal contagioso gl'infrascritti per andar ... / Ioan. Bapt. Vianellus Not. Dep.

Health pass (fede di sanità) enabling the bearer to pass freely despite there being quarantines and heavy restrictions on travel due to plague. There is a woodcut above the main body of text of a pietà, St. Felix, St. Fortunatus and the arms of Venice and Chioggia. Details of the person concerned would be entered by hand in the space below the text (in this case Marcantonio Zezza).