[OFFICIAL FORM G.]

For the month of.

..and.

189...

[OFFICIAL FORM H.
1.]

PERMIT-HOLDER'S BI-MONTHLY REPORT OF REQUESTS AND

on oath state that the requests for liquors herewith returned are all that were received and filed at my pharmacy (or place of business) under my permit during the months of............. .....and ........ 189.., that I have carefully preserved the same and that they were filled up, signed and attested at the date shown thereon as provided by law, that said requests were filled by delivering the quantity and kind of liquors required and that no liquors have been sold or dispensed under color of my permit during said months except as shown by the requests herewith returned, and that I have faithfully observed and complied with the conditions of my bond and oath taken by me thereon endorsed, and with all the laws relating to my duties in the premises.

no liquors have been sold, dispensed or disposed of by me, in any manner, during the months of........

except as

shown by the requests attested by me, filed herewith and included in the report of the said....

.....

sworn, depose and say that I am clerk for......

no liquors have been sold, dispensed or disposed of by me, during the months of......

....and....

and that

in any manner,

.....except as

shown by the requests attested by me, filed herewith and included in the report of the said......

The foregoing statement (was or were) subscribed to in my presence, as indicated therein, and sworn to before me by the said...

and said....

A GENERAL REPLY.

To the numerous inquiries as to the proper fulfillment of a registered pharmacist's duties in regard to the sale of POISONS, we direct your attention to chapter 18, laws of 1897, as now amended.

Notice first, that all poisons must be distinctly labeled, as follows: (See section 2593.)

Before selling or delivering any poisons, the box, vessel, or paper in which the poison is contained, and also the outside
wrapper or cover, must be labeled with the name of the article, and the word "POISON," and the name and place of business
of the person or firm selling it.

Second, that the sale of poisons is delegated solely to rcgistered pharmacists. (See section 2588).

No one except a registered pharmacist can lawfully sell poisons of ANY KIND. the only exception being concentrated lye
and pottash, which can be sold by any person, when it is properly labeled, as above stated. (See section 2588).

Third, the sale of all poisons enumerated in schedule "A," and all others not enumerated in schedule "B," must be
registered in the "POISON REGISTER." The poisons enumerated in schedule "B" need not be registered when sold.
Fourth, the purchaser's signature is not required by law on the "POISON REGISTER," only his name; but the dispenser
(the one selling) may require it, before selling or delivering, if he thinks it advisable.

CERTIFICATE.

IOWA COMMISSIONERS OF PHARMACY.
OFFICE OF THE SECRETARY,
STATE CAPITOL, DES MOINES, IOWA.

I, Charles W. Phillips, Secretary of the Commissioners of Pharmacy for the state of Iowa, hereby certify that the foregoing abstract of the state pharmacy register is copied from the original register on file in this office, and that the same is true and correct.

In testimony whereof, I have hereunto set my hand and affixed the seal of the commission this 1st day of October, A. D. 1901.

CHARLES W. PHILLIPS. Secretary of the Commission.