WALCOTT, JERSEY JOE SIGNED MEDICAL FORM (SIGNED 3 TIMES)

Jersey Joe Walcott was born on January 31, 1914 in Merchantville, N.J. He won the World Heavyweight Title from Ezzard Charles on July 18, 1951. He retired after being knocked out by Rocky Marciano for the Heavyweight Title on May 15, 1953. His final record was 50-18-1 with 30 KO's. Presented here is his medical form from 7/18/61 which he has signed 3 times.
Jersey Joe Walcott has signed this 7" x 8 1/2" medical form 3 times, twice in black ink and once in blue. It was dated 7-18-61. The results from his tests are also included. The form has 2 horizonatal creases across, not affecting the signatures. There are staple holes in the top left hand corner and a small hole on the left side of the page, not affecting the signatures. Otherwise no rips or tears.