Published for
THE BOY SCOUTS OF AMERICA
200 FIFTH AVENUE
NEW YORK
GARDEN CITY, NEW YORK
DOUBLEDAY, PAGE & COMPANY
1911
COPYRIGHT 1911
BY BOY SCOUTS OF AMERICA


BOY SCOUT CERTIFICATE

This is to certify that _________

of ___________ State of _________

Street and City or Town address

Age_____ Height_____ Weigh_____

is a member of ________ Patrol, of Troop No. _____

________________