Form of bill of health

Such bills of health shall be in the form in the Schedule hereto with such alterations and additions as may be necessary in consequence of any notice or notices given as aforesaid by the Senior Medical Officer. Quarantine 5 SCHEDULE [Rule 4] BILL OF HEALTH To all to whom these presents shall come Comptroller of Customs, send greeting WHEREAS the called the whose Master is is about to sail from the Port of on this day of in the year of Our Lord two thousand and bound for and other places beyond the Seas with persons on board including the said Master and Passengers. NOW KNOW ye that I the said Comptroller of Customs do hereby make it known to all men that at the time of granting these presents no Plague, Rodent Plague, Epidemic Cholera, 6 Quarantine Typhus, Leprosy, Yellow Fever, or Smallpox (Alastrim), exists in or in the neighbourhood of the Town or Port of In testimony whereof I have hereunto set my hand and the Seal of the Customs on the day and year aforesaid at in Belize. Seal of Customs Comptroller of Customs.