Miscellaneous Licenses Porter County, Indiana, Part 22

Author: Porter County, Indiana Clerk's Office
Publication date: 1838
Publisher:
Number of Pages:


USA > Indiana > Porter County > Miscellaneous Licenses Porter County, Indiana > Part 22


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approved March 8, 1897, a WVment .M. D.,


of the County of


Partir


in the State of Indiana, whose


post office address is.


Valparaiso Indiana


has made application for a certificate authorizing a license to practice Medicine, Surgery


and Obstetrics in said State, and upon evidence presented it appears that ... he is the


legal possessor of a. ..


Ligues


issued to the person named therein ; that .he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of. Porter County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana.


IN WITNESS WHEREOF, the said Board of Medical"Registration and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by. its official seal at Indianapolis, this. 12 day


SE


of.


189.2


President. i.


1) laurier: M. secretary.


PHYSICIAN'S CERTIFICATE


FROM THE


State Board of Medical Registration and Examination


TO


Edwardif Walsh M. D.


Box 708


FILED.


FEB28,9 42 AM 190E


c. S. PEIRCE


CLK. P. C. S. CT.


Filed 190


Clerk. County.


WM. B, BURFORD PRINT, IND'PLS.


1)


Form No. 6


No. 8023.


Physician's Certificate.


STATE BOARD OF MEDICAL REGISTRATION AND EXAMINATION : OF THE STATE OF INDIANA.


This is to Certify, That, pursuant to the provisions of "An Act regulating the practice of Medicine, Surgery and Obstetrics; providing for the issuing of licenses to practice; providing for the appointment of a State Board of Medical Registration and Examination and defining their duties; defining certain misdemeanors and providing penalties, and repealing all laws in conflict therewith and certain acts therein specified,"


approved March 8, 1897, Edward J. Walch M. D .;


of the County of


Porter


in the State of Indiana, whose


post office address is


Valparaiso, Indiana.


has made application for a certificate authorizing a license to practice Medicine, Surgery and Obstetrics in said State, and upon evidence presented it appears that he is the


legal possessor of a


Diploma firm


Much Medical College.


Chicago,


Illinois


issued to the person named thereiny that ..... he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of: Porter


County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana.


IN WITNESS WHEREOF, the said Board of Medical Registration and Examination, has caused this Certificate to be granted and signed by its President and Secretary, and attested by


SE its official seal at Indianapolis, this 25th day


of. February .... 190 5


W. a. Spingion.


President.


Um J. Gott.


Secretary.


PHYSICIAN'S CERTIFICATE FROM THE


State Board of Medical Registration and Examination


TO Clark Le Roy Narrow M. D.


DEC22, 3,44 PM 1005


Filed


189


E. L. WILSON


CLK .- P .- C .- CT.


Clerk .. County.


Wyn. B. Burford, Printer, indianapons


10KSJ COSTA


Form No. 6.


No. 5902


Physician's Certificate.


STATE BOARD OF MEDICAL REGISTRATION AND EXAMINATION OF THE STATE OF INDIANA.


This is to Certify, That, pursuant to the provisions of "An Act regulating the practice of Medicine, Surgery and Obstetrics ; providing for the issuing of licenses to practice ; providing for the appointment of a State Board of Medical Registration and 1 Examination and defining their duties ; defining certain misdemeanors and providing penalties, and repealing all laws in conflict therewith and certain acts therein specified,". approved March 8, 1897, Clark Le Roy Warren M. D.


of the County of


Porter


:in the State of Indiana, whose


post office address is.


Chesterton


has made application for a certificate authorizing a license to practice Medicine, Surgery and Obstetrics in said State, and upon evidence presented it appears that he is the


legal possessor of a diploma from Chich medical College


of Chicago, Illinois, dated May 26, 1897


issued to the person named therein ; that ...... he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of. Porter County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana.


IN WITNESS WHEREOF, the said Board of Medical Registration and Examination has caused this Certificate to be granted SEAL INDIANA AMIJATI and signed by its President and Secretary, and attested by its official seal at Indianapolis, this. 28 day STATE


of. november 1899


On a Plugin President.


,


argon A.s. Secretary.


Charleso Luierforia


PHYSICIAN'S CERTIFICATE FROM THE.


State Board of Medical Registration and Examination


TO


60 Decrighton D.


JUL31, 9.40 PM 1001 E. L. WILSON CLK. P. C. CT.


Filed 189


Clerk.


County.


y 'n. B Burford, Printer, Indianapona Recorded 35


CEM7608A08 31ATE


EEL


Form No. 6.


No ...


6311


Physician's Certificate.


STATE BOARD OF MEDICAL REGISTRATION AND EXAMINATION OF THE STATE OF INDIANA.


This is to Certify, That, pursuant to the provisions of "An Act regulating the practice. of Medicine, Surgery and Obstetrics ; providing for the issuing of licenses to practice ; providing for the appointment of a State Board of Medical Registration and Examination and defining their duties ; defining certain misdemeanors and providing penalties, and repealing all laws in conflict therewith and certain acts therein specified,", approved March 8, 1897,


Charles O Wier fong


M. D.


of the County of Porter


in the Statelbf Indiana, whose


post office address is. Chesterton


has made application for a certificate authorizing a license to practice Medicine, Surgery and Obstetrics in said State, and upon evidence presented it appears that he is the tegat possessor of & qualifications shown by an examination before this Brand


issued to the person named therein ; that he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of. Carter County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana.


STATE BOARDOFR


SEAL


IN WITNESS WHEREOF, the said Board of Medical Registration and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal at Indianapolis, this. 9 dlay of July 180/


W Zsolt Wine


President.


burger: Il Secretary.


Physician's Application -FOR-


LICENSE.


a. & Willing


Applicant.


DIPLOMA CLAUSE.


Date of Diploma,


1866


Name of College, Auch medical College


Filed


NOV23 1889


188


OP Orapien


Sehrorter Circuit Court


Clerk.


Wm. B. Burford, Printer, Indianapolis.


PHYSICIAN'S APPLICATION FOR LICENSE.


( DIPLOMA CLAUSE.)


STATE OF INDIANA, Porter County,)


(SCT:


Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared a. J. Willing who


now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885; and said applicant being duly sworn, on oath says that ... he is a regular graduate of Rush Medical College of Chicago


in the State of


Ollenini


the same being a reputable medical


college, and that _he holds a diploma dated


, 1866 , duly


issued to hlu by the proper authorities of said college ...


1


Subscribed and sworn to by said applicant before me, this


1889


26ch


day


of


november


Witness, my hand and seal of said Court.


J. R. Drafiez


CLERK.


STATE OF INDIANA,


SCT:


Poster


County


The undersigned, Clerk of the Circuit Court within and for said County and State. acertificate from the board of hearts of sevenshowing


hereby certifies that the diploma referred to in the annexed application and affidavit was insul Lot above dati hamuldate.


duly exhibited to him by said affiant at the time such application was made.


REVEL


( Witness, said Clerk and seul of said Court, this.


26 ct


day


of


november


, 1889


q. Q.Draping


-


CLERK.


>PHYSICIAN'S * APPLICATIONK


-FOR- =LIGENSE.


Mary A. Willing


APPLICANT.


DIPLOMA


CLAUSE.


FILED.


JUN1 1,9.40 AM 1896


E. L. WILSON CLK. P. C. CT.


Filed 188


Clerk.


BAKER & THORNTON, PRINTERS, INDIANAPOLIS, IND.


Physician's Application for License.


(DIPLOMA CLAUSE.)


State of Indiana,


Panten


County, sct:


· Before me, Clerk of the. Circuit Court within and for said County and State, personally appeared many tt. Helling


who now applies .for a license to practice Medicine, Surgery and Obstetrics, under an act of the General Assembly of the State of Indiana, approved April 11, 1885, and said applicant being duly sworn, on oath says thatShe is a regular graduate of Ahastanemia medical CalleyaChicago.del


the same being a reputable Medical College, and the diploma granted by said College, he now exhibits to the Clerk of the Circuit Court of the County first aforesaid.


Many M. Chilling


Subscribed and sworn to before me, this day of


1896, and I certify that said affiant exhibited to me the diploma referred to in this affidavit. 6.2. Hilson. Clerk.


PHYSICIAN'S CERTIFICATE FROM THE


State Board of Medical Registration and Examination


TO


I. R Wilson M. D.


JUL 27, 5:06 PM 1807


E. L. WILSON CLK. P. C. CT.


Filed


189


Clerk


County.


WX. B. BURFORD, PRINTER, INDIANAPOLIS


No. 34021


Form No. 6. .


Physician's Certificate.


STATE BOARD OF MEDICAL REGISTRATION AND EXAMINATION OF THE STATE OF INDIANA.


This is to Certify, That, pursuant to the provisions of " An Act regulating the practice of Medicine, Surgery and Obstetrics ; providing for the issuing of licenses to practice ; providing for the appointment of a State Board of Medical Registration and Examination and defining their duties ; defining certain misdemeanors and providing penalties, and repealing all laws in conflict therewith and certain acts therein specified,"


approved March 8, 1897,


A. Q. Milano


M. D .;


Corte


in the State of Indiana, whose


of the County of


post office address is


Kolon Indiang


has made application for a certificate authorizing a license to practice Medicine, Surgery and Obstetrics in said State, and upon evidence presented it appears that he is the


legal possessor of a.


Licenco


issued to the person named therein .; that he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of. Porter County, is entitled to a


license to practice Medicine, Surgery and Obstetrics in the State of Indiana.


1.1 SEAL


IN WITNESS WHEREOF, the said Board of Medical Registration and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal at. Indianapolis, this. 12 .day


of.


Kily


1897


M. Plaster med,


President.


Secretary.


->PHYSICIAN'S * APPLICATIONK


-FOR- =LIGENSE.


Dr. Joseph Pass Wilson


APPLICANT.


DIPLOMA + CLAUSE,


Filed


8-29-183


till Clerk.


BAKER & THORNTON, PRINTERS, INDIANAPOLIS, IND.


Physician's Application for License.


(DIPLOMA CLAUSE.)


State of Indiana, Porter


County, sci:


Before me, Clerk of the Circuit Court within and for said County and State, personally appeared Sec. xx.


who now applies for a license to practice Medicine, Surgery and Obstetrics, under an act of the General Assembly of the State of Indiana, approved April 11, 1885, and said applicant being duly sworn, on oath says that he is a regular graduate of. Storth- Western Theoerich medical school of Chicago lee


the same being a'reputable Medical College, and the diploma granted by said College, he now exhibits to the Clerk of the Circuit Court of the County first aforesaid.


1


Subscribed and sworn to before me, this


29th day of Сних 1880 and I certify that said affiant exhibited


to me the diploma referred to in this affidavit.


..


Physician's Application FOR LICENSE.


Oliver Wood


Applicant.


DIPLOMA CLAUSE.


Date of Diploma, Jul 21


1887


Name of College,


Bennett Zudem


AUG 2 7 1885


Filed Check Porter thread Chay 188.


Clerk.


Wm. B. Burford, Printer, Indianapolis


PHYSICIAN'S APPLICATION FOR LICENSE.


(DIPLOMA CLAUSE.)


STATE OF INDIANA, County,)


sct:


Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared who now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885, and said applicant being duly sworn, on oath says that he is a regular graduate of Derult Elledeau College


in the State of the same being a reputable medical college, and that _he holds a diploma dated Vicky 2/ 2, 187, duly


issued to h/ .. by the proper authorities of said college.


Oliver &, bool


Subscribed and sworn to by said applicant before me this


1881


day


of


WITNESS my hand and seal of said Court.


P. AnDie.


CLERK.


STATE OF INDIANA,


sct:


Pietro


County,)


The undersigned, Clerk of the Circuit Court within and for said County and State, hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by suid affiant at the time such application was made.


WITNESS said Clerk and seal of said Court, this.


day of.


angus, 1885


Q. Q. Draper


CLERK.


11


PHYSICIAN'S CERTIFICATE FROM THE State Board of Medical Registration and Examination


TO O. S. Word M. D.


FILED.


JUL 19,10.37 AM 1897


E. L. WILSON


CLK. P. C. CT.


Filed


189


Clerk


County.


wymn. B Barford, Printer, Indianapons


Form No. 6.


No. 3670-


Physician's Certificate.


STATE BOARD OF MEDICAL REGISTRATION AND EXAMINATION OF THE STATE OF INDIANA.


This is to Certify, That, pursuant to the provisions of "An Act regulating the practice of Medicine, Surgery and Obstetrics ; providing for the issuing of licenses to practice ; providing for the appointment of a State Board of Medical Registration and Examination and defining their duties ; defining certain misdemeanors and providing penalties, and repealing all laws in conflict therewith and certain acts therein specified,". approved March 8, 1897, OS brood M. D.,


Goster


in the State of Indiana, whose of the County of:


post office address is.


Valparaiso


Indiana


has made application for a certificate authorizing a license to practice Medicine, Surgery


and Obstetrics in said State, and upon evidence presented it appears that he is the legal possessor of a. Ligence


issued to the person named therein ; that . he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of. Porter County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana.


IN WITNESS WHEREOF, the said Board of Medical Registration and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal at Indianapolis, this. dlay


of


1897,


President.


.Secretary.


PHYSICIAN'S * APPLICATIONK -FOR- =LIGENSE,


APPLICANT.


DIPLOMA + CLAUSE.


FILED


APR 8 1895


Filed


8.6.0 Avecl.


188


Clerk-Porter Circuit Court __ _ Clerk.


BAKER & THORNTON, PRINTERS, INDIANAPOLIS, IND.


1 4


41.


Physician's Application for License.


(DIPLOMA CLAUSE.)


Porta


County, sci:


State of Indiana,


Before me, Clerk of the Circuit Court within and for said County and. State, personally


appeared


who now applies for a license to practice Medicine, Surgery and Obstetrics, under an act of the General Assembly of the State of Indiana, approved April 11, 1885, and said applicant being duly


sworn, on oath says that he is a regular graduate of. The medical Depoh of the University of Famesville College


the same being a reputable Medical College, and the diploma granted by said College, he now exhibits to the Clerk of the Circuit Court of the County first aforesaid.


Odvin J. John. .


Subscribed and sworn to before me, this


Eigth.


day of


Afteril


188, and I certify that said affiant exhibited


to me the diploma referred to in this affidavit. El. OMbill Clerk.


Physician's Application FOR


LICENSE.


Wa John


Applicant.


DIPLOMA CLAUSE.


Date of Diploma, February 28 1899 Name of College, Medical College of Saciam


Filed Vogelyzoch 188.6


Clerk.


Wm. B. Burford, Printer, Indianapolis


PHYSICIAN'S APPLICATION FOR LICENSE.


(DIPLOMA CLAUSE.)


STATE OF INDIANA,


Porter


County,


sct:


Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared. IN a John


: who


now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885, and said applicant being duly sworn, on oath says that ... he is a regular graduate of Medical College of Indiaria


in the State of


Didiana


the same being a, reputable medical college, and that he holds a diploma dated February 28th , 1870, duly


issued to hheby the proper authorities of said college.


CIRCUIT


1 KM1 20% day Subscribed and sworn to by said applicant before me this


of lucy


, 188.6


CO


WITNESS my hand and seal of said Court.


-


G. Orafun .


CLERK.


STATE OF INDIANA,


sct :


County,)


The undersigned, Clerk of the Circuit Court within and for said County and State, hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by suid affiant at the time such application was made.


WITNESS said Clerk and seal of said Court, this.


day of.


July


1885


& P. Draken


25c


1K


CLERK.


(PHYSICIAN'S APPLICATION


-FOR- =LICENSE .=


Charlo E- Young


PPLICANT.


TEN YEAR CLAUSE.


Card


Filed Detteaber 16 185 ICH Dragien Cleric.


Wm. B. Burford, Printer, Indianapolis.


PHYSICIAN'S APPLICATION - FORE


I LICENSE. Y -


(TEN YEAR CLAUSE.)


State of Indiana,


Porter


ounty, set:


BEFORE ME, Clerk of the Circuit Court within and for said County and State, personally appeared Charles & Young


who now makes application for License to practice Medicine, Surgery and Obstetrics under an Act of the General Assembly of the State of Indianu, entitled, "An Act regulating the practice of Medicine, Surgery and Obstetrics, providing for the issuing of Licenses to practice, etc.," approved April 11, 1885, and said applicant being duly sworn, on oath says that _he has resided and practiced Medicine, Surgery and Obstetrics in the State of Indiana continuously for at least ten years immediately preceding the date of the taking effect of said Act. The places or locations in which_he practiced during said period of ten years, together with the date and length of time in each locality, are as follows:


On the fallof 1873 I practiced in marshal and It for sph legs Incleaned and continuously until the spring of1877; i from 1877 until spring of 1885, in LaPorte baciate Boadicina, and since June Ist1885 in Porter County Sudicia wetil the recent date,


.. .


-s countries


Charles, te youre)


Subscribed and sworn to before me, this. 16th P _ day


of- September 18.5


Witness, My hand and Seal of said Court,


Ja. Drabien, Clerk. By af Laudenbach


-


:


AFFIDAVIT -OF-


HOUSEHOLDER OR FREEHOLDER


Jeary , Young


Affiant.


---


врати Е. Принд nicensee.


TEN YEAR CLAUSE.


Filed. Detunter 19


188 5


Die Drafun


un Clerk.


Wm. B. Burford, Printer, Indianapolis,


AFFIDAVIT OF HOUSEHOLDER OR FREEHOLDER.


STATE OF INDIANA,


SS: Poster COUNTY,


Before Alle, Clerk of the Circuit Court within and for said County and State personally appeared. Heury & Young 1 _who,


being duly sworn, on oath says that he is a resident Householder or Freeholder of said


County, and acquainted with. Charles E. Young


an applicant for a License to practice Medicine, Surgery and Obstetrics, under the provis- ions of an Act entitled, ' An Act regulating the practice of Medicine, Surgery and Obstetrics, etc.," :. Approved April 11, 1885, and that to his knowledge said applicant has resided and practiced Medicine, Surgery and Obstetrics in the State of Indiana, continuously for at least ten years immediately preceding the date of the taking effect of said Act., That the places or localities in which_he practiced during said period of ten years, together with the date and length of time in each locality, are as follows:


He commenced practicing in Marchal beauty. in the State of Indiana of the year 1874; and practiced medicine, Surgery. Obstiface' continuously in Marshal and the Jaseph bounties until the


Race of 1878; in the from 1878 eurtil the Morning of 1885 The practiced Medicine, Obsteknier and Surgery in La Parte leacute continuously and suisse the thing


af 1885. he has been practicing is texter beauty.


Henry of young


Subscribed and sworn to before me, this. 19th day of


1885, and I certify that said affiant is a reputable Householder Or Freeholder of said a reputable House holder or Free holder


Many of said county,


In Witness Whereof, I hereunto subscribe my hand. and.


affix the seal of said. Court.


& Ri herapien


Clerk.


1


AFFIDAVIT -OF-


HOUSEHOLDER OR FREEHOLDER


Affiant.


Chiar & Young Licensee.


TEN YEAR CLAUSE.


FILED SEP 2/ 1880 Q. Q. Drapier Clerk Porter Cheuit Court.


4


Filed


188


(


Clerk.


Wm. B. Burford, Printer, Indianapolis,


AFFIDAVIT OF HOUSEHOLDER OR FREEHOLDER.


STATE OF INDIANA,


SS: Porter COUNTY,


Before Ale, Clerk of the Circuit Court within and for said. County and. State


personally appeared. Charles Mr Bonham __ who,


:


being duly sworn, on oath says that he is a resident Householder or Freeholder of said


County, and acquainted with.


an applicant for a License to practice Medicine, Surgery and Obstetrics, under the provis- ions of an Act entitled, ' An Act regulating the practice of Medicine, Surgery and Obstetrics, etc.," .Approved April 11, 1885, and that to his knowledge said applicant has resided and practiced Medicine, Surgery and Obstetrics in the State of Indiana, continuously for at least ten years immediately preceding the date of the taking effect of said Act. That the -


places or localities in which_he practiced during said period of ten years, together with the date and length of time in each locality, are as follows:


on marshall and Salone counting from 1873 to 1877: and now 1897 te 1885 thespring of in Laporte county; and from the strong of 1885 to the present date in Porter County, all in the state of Sachant charthe,


and said Char E. Youg haspractice


medicine continuing we said state since 1873.


6. W. Bankam


Subscribed and sworn to before me, this. 2/3Z day of September


188.5., and I certify that said affiant is a reputable Householder or Freeholder of said Countu.


In Witness Whereaf, 1 hereunto subscribe my hand and.


affix the seal of said. Court.


I. Q. Oray. 1


Clerk.


-


COCK


Chicago


109 6mladiiam ST


Marc Laver to


APPLICATION OF A kase & young


FOR . HUNTER'S LICENSE.


FILED


MARI14 1907. Clerk, Porter Circuit Court


FILED


190


C. S. PEIRCE, CLERK.


APPLICATION FOR HUNTER'S LICENSE.


To the Clerk of the Porter Circuit Court:


Pursuant to the requirements of section 13 of an Act of the General Assembly of the State of Indiana, approved March 2, 1901, and amended at the session of 1903, for the Protection and Preservation of Game, I, the undersigned, a non- and 1905. resident of the State of Indiana, hereby apply for license under said act.


My name is Дениебренд


3


My occupation is that of a


55441monar


My place of residence is


City of.


Chugago, County of


Cook


State of


DESCRIPTION OF APPLICANT: Age 38 years; height 5 feet 8 1/2 inches;


weight. 197 pounds; complexion .. ; color of hair .: Black


color of eyes.


Distinctive Marks Slan ou l'finger


State of


County of. Coax


I,.


do solemnly swear that


the above and foregoing statement is true.


Subscribed and sworn to before me this.


1 3th day of March 1907


LEWitless my hand and official seal.


COUR


Michael H. Zeven


Notary Public.


NOTICE .- The above application must be sworn to before a notary public and forwarded to C. S. Peirce, Clerk of the Circuit Court, Valparaiso, Indiana, accompanied with an unmounted photographic print of the applicant, not. larger than 2x3 inches, and also a draft, certified check or post office money order for $25.60, the fee for such license. License will then be issued and forwarded to address of applicant. $15.50


1


SABE


S ROVEDOS ME


PHYSICIAN'S CERTIFICATE


FROM THE


State Board of Medical Registration and Examination


TO


Simon. young.


JUN- 9,2.39 PM1033 E. L. WILSON C.K. . P. C. S. CT ..


Filed


190.


Clerk


County.


WM. B. BURFORD PRINT, IND'PLS.


No. 6684.


Physician's Certificate on Examination.


THIS IS TO CERTIFY, That, pursuant to the provisions of "An act regulating the practice of Medicine, Surgery and Obstetrics, providing for the issuing of licenses to practice, providing for the appointment of a State Board of Medical Registration and Examination and defining their duties, defining certain misdemeanors and providing penalties and repealing all laws in conflict therewith and certain acts therein specified," approved March 8, 1897. Amended March 3, 1899, and March 11, 1901.


Simon & Young. M. D., of the County of Porter in the State of Indiana, whose post office address is Valparaiso has made application for a certificate authorizing a license to practice Medicine, Surgery and Obstetrics in said State, and upon evidence presented by hanit appears that .he is the legal possessor of a Diploma issued by the


Harvey medical College of Chicago Illinois, dated June 26-1902


the said College being in good standing with this Board, and ...... he has complied with


.the law in all respects and has taken the examination required by this Board upon the following subjects, viz:


Anatomy, Physiology, Gynecology, Obstetrics, Theory and Practice of Medicine, Materia Medica and Therapeutics, Chemistry, Surgery, Histology, Pathology, Bacteriology, Hygiene, Medical Jurisprudence, Opthalmology, Otology, Rhinology, Laryngology and Dermatology;


and has obtained the necessary per cent. required on the foregoing branches, and upon the presentation of this certificate to the Clerk of. Porter .County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana. IN WITNESS WHEREOF, the said Board of Medical Registration and Examination hus caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal at Indianapolis, this 3 day


BOARD SEAL INDIANA


of February 1903 M.C. Thebesten m &


President.


WThrott Who 3 Secretary. .


Amos Hausbank


Sale of Medicine Porta Reality Amos Fairbanks having This Day produced to one the readers reift for four dollars of Eighty live cuits he is Surely authorized to kup a Javan i hist Chester Township untill The first monday of September not


Givin under My hand and Mi adoptie seal of the Porter. Circuit Court This 9 any of June AS 1840.


@ Mario


Vicinse to


State of Chidiaria}


William I Morte having this


day produce to me the Pralines sheikh for The Juin of tu dottan is surely/ authorized to heel a Javun in Mistokiste Township one Mar from the fourth day of March eightune hundred and Thirty Nine


ginio vinduer My hand and the adopted deal of the Sorter avait Court at my office in talkparain Sub 13th day of Munch co $ 1839


comen


Willing & Wards. Viense to Iluje aFarino


Citate of Indiana Porter County


com


S


na


Milley I Word having This any produced to mi the Streaming nieufett for the sum of two Dollars in hereby a Morzea to Meet a Javiny for The Term of one year from The Lh day of March 1839


given under my hand and The adopted seal of The Gather Circuit Court at my office in Valparaiso This 12th day of March @ $ 1839. G. M. Turnur. COM treIt, il am felel. ,btn


Ly Camellia


vernet to


Find Minchandis


State of condiana Porter County.


Jeremiah Hamel having


this day produceds to me The County Marines. result for The sum of Eighty three Conti he is kirby authorized to bude muchandige yo the Down of Valparaiso and County afordand for two Dieren of months from this date


I Giorn under my hand and The adopted Deal of the Foto County Circuit Court This With day of ourbir Ad 1839


Bili Jusmer Ch


Court


Vending Vicino


State of Mediación 3 Doitw Acounty. SS


This day produced to mithe county Inany Receipt for the Sea of five dollars he is thereyou (Gjorde of the Board of Commission of Portes County freny anthony to Vend foreign Merchanding in the Town of Valparaiso for the Form of owe year from the je Jun 1841.


Give huden My hand and the Real of the Board of leominipioner of Porto levviny at my office in Waysacting on the 11" day of prie 184%.


0


0,


yVM Harrison


Pending Viewed


State of Indiana Porter County


Pr Yl Harrison,


Having producent to In The County Cheating Receipt for the time of five Dollars. They are hereby anthonyes to Vind Foreign Mere handige. in the Town of for the terms of one year from the fifth way of March, in the year of our Lord, and? thousand eight hundred and thirty nine,


Summe wurden my hand , and . the adopted deal of the Porte. Cuenta Court, at Any Office in the town of Valparaiso on the 8" day of Marchal0, 1839.


u diaree


county


finans


20


State of Indiana. Perthe County


Nathan Gang, having This day produced to help The County Treasurer Receipt, for The Puno of five dollars, he is there fore howby anth- orazed to Vend Foreign Auchandie in the


Down of Valparaiso, for the leme of one rar from the 3't day of Septeunaw . 5. 1938 DEem J autun deal of the Rules Current County


0. on the 1 day of dept. 18038,


County


nellana 6Cours 09


State of Indiana 3 S. Aaron Hall having Water County


this day finodurch to ane. the bounty creararing Receipt for the Luci of fim Dollars. "He is handy anthonyes and important to Find foreign Merchandise in the Flow of Valparaiso for the Jews of one year from the first day of Many in the year of our Lord, and Moniand eight hundred and Thirty nine. inen iiden my hand, and the adopted Real of the Inte Circuit


Mento 30


1


0


cuent


County on the 12 day May a.D. 1835,


IMPROVED STOCK


* STATE * OF INDIANA.


COUNTY *


Clerk of the Circuit Court within and for said Bounty and State do hereby Certify, thaton the 15 day of november 1907


M. R. Williams agf


filed in the Clerk's Office of aforesaid County and Rate the following sworn Statement to wit.


Description Sedligree. Elvira Urehaus Wegners . That he is the owner of_


improved stock sire, age_14 years, 15 2/ handshigh weight 11 75 lbs, Color, Bay siredby Rxd Stav


hely had willers 1749 1st down the gordon


State of Indiana\ s.S. Portio County.)


N


Beforeme estewee. Clerk of the Circuit Court in and for said County and Statepersonally appearat 11. R. Williams and being by me duly sworn on his oath says that he is the owner of the apresaid mamed improved stock site and that the foregoing description and Pedigree is true as he verily Believes


M. R. Williams


Subscribed and sworn to Before me this_ 15th


dayof nov_1907 since Black And that said sworn statement complies with the Laws of the State of Indiana to Encourage the Breeding of improved stock,and he is hereby authorized to keep such sire for w County, Indiana, and charge such fee for service as the owner of the dam may aggree to pay. Witness my handsand the seal of said Court this 75 day of Nov 1907




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