§ 116.104 FORM OF CERTIFICATE.

The certificate of fitness shall be issued by the Health Officer and shall be in the form of an identification card. The card shall:

   (A)   State the purpose for which it has been issued;

   (B)   State the date it is issued and the date of expiration;

   (C)   Contain information as may be necessary to identify the person to whom it is issued;

   (D)   Have affixed one print of the photograph of the person to whom it is issued;

   (E)   Have the signature of the person to whom it is issued;

   (F)   Have printed thereon in bold type the following: "This certificate identifies, but does not recommend, the bearer";

   (G)   Contain anything else that the Health Officer considers necessary and proper to effect the purposes of this section.

('68 Code, § 39.05)