MySource:Scotishmariner/Physician's Statement of Examination of Applicant for Marriage License

This is to certify that I, Aaron Burman M.D. am a duly licensed physician of the State of New York and do hereby make the following statement pursuant to Section 13-a of the Domestic Relations Law of the State of New York: Upon the basis of a complement fixation test for syphilis, upon a specimen taken on April 8, 1949 reported by Bureau of Laboratories Dept of Health of 766 Irving Avenue Syracuse, NY under the date of April 11, 1949 and a physical examination performed by me on April 8th, 1949, it is my opinion that Lucille Brown of 139 Doblon Court whose signature appears below, is not infected with syphilis in a communicable stage. signed Aaron Burman M.D. 537 E. Genessee St.