Created by gemini-2.0-flash on 2025-05-06

Here's a description of the image based on the information provided:

The image is a document from the Health Department of Fitchburg, Massachusetts, specifically the Dairy Division, related to a milk sample examination. The document is likely a printed form, as indicated by the fill-in-the-blank format.

Key elements include:

• Heading: "Health Department" and "Dairy Division" are prominently displayed at the top, along with the location (Fitchburg, Mass.) and the office address.

• Notification: A statement informs the recipient that a milk sample obtained from them has been examined.

• Examination Results: Fields are provided to record the results of the milk analysis, including "Total Solids," "Fat," "Bacteria count per C.C.," and "Temperature." The document notes the legal standard for total solids, fat, and cream.

• Remarks: A space is provided for any additional comments or remarks related to the milk analysis.

• Signature and Date: The document includes spaces for the "Inspector of Milk" to sign and for the "Date of Examination." A date is indicated with "191" that most likely represents 1910's.

• City Seal: A seal of the city of Fitchburg appears on the left of the document, containing the text "Fitchburg. A Town. Feb. 3, 1764. A City. Mar. 8, 1872."

• Other text: On the bottom left corner there is text that read "See Other Side".

Overall, the document is a formal notification from the Health Department regarding the quality of milk, ensuring it meets the legal standards for sale and consumption.

Created by gemini-2.0-flash-lite on 2025-05-06

The image is a document from the Fitchburg, Massachusetts Health Department's Dairy Division. It's a form informing someone that a sample of milk they provided has been examined.

Here's a breakdown of what the image shows:

• Header: "HEALTH DEPARTMENT" followed by "FITCHBURG, MASS." and "DAIRY DIVISION", and "OFFICE AND LABORATORY, CITY HALL."
• Information: A notification stating a milk sample obtained from an individual has been examined.
• Results Section:
  • Lines for the "Total Solids" percentage, "Fat" percentage, and blanks to write them in
  • Statement that the "legal standard is Total Solids 12.15%, Fat 3.35%, Cream 15.00% fat."
  • Lines for "Bacteria count per C.C."
  • Line for "Temperature"
  • Line for "Remarks"
• Footer: Includes a space for the "Inspector of Milk", a space for the date of the examination and a note, "(SEE OTHER SIDE)".
• City Seal: Contains the words "FITCHBURG", the dates "FEB. 3, 1764" and "A CITY. MAR. 8, 1872" around an illustration of the town.
• Date: An indication of the year "191"
• Rule 11: A small note that seems to be handwritten.

The document appears to be from the early 20th century, given the style and language. It highlights the importance of public health and monitoring of milk quality during that era.