This record should be produced at each meeting of the committee.

7. At the completion of the analysis a certificate in the form given below should be forwarded to the person from whom the sample was received, and a duplicate copy sent to the State Board of Health.

Certificate.

To whom it may concern.

I, __________________, a member of the Committee of Public Analysts, appointed by the State Board of Health of New Jersey under the provisions of an Act entitled “An Act to prevent the adulteration of food and drugs,” approved March 25th, 1881, do hereby certify that I received from __________________, on the _____ day of _____________, 188__, a sample of _____________, sealed as require by the rules of said Board, and bearing the following marks, to wit: _________________________________________________________________________________________

I carefully mixed said samples and have analysed the same, and hereby certify and declare the results of my analysis to be as follows:_________________________________________________________________________________________

____________________[Signature.]

Exceptions.

The following exceptions are adopted:—