[Handwritten text in italics.]

These may certify that
Israel Keith Esq. has diligently
attended an entire course of my
Anatomical Lectures & Demonstrations; to-
-gether with Physiological & Surgical obser-
-vations at the dissecting Theatre in the
American Hospital, BOSTON: whereby
he has had an opportunity of acquiring
an accurate knowledge in the structure
of the human body.

John Warren F.M.S. [Fellow. Medical. Society.?]
March 28th