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[[preprinted]]
Sick Certificate of The Blandensburg Union.

[[line]]
City or Town: ^[[Hyattsville]]
State: ^[[Md]]
Month: ^[[Dec]]
Date: ^[[1st]]
Year: ^[[1923]]

This certifies that ^[[Dorothy Johnson]] is sick with ^[[Pleuritis]], and under my professional care.

^[[?]] [[/signature]] , M.D.

Was taken ^[[Dec. 2nd]]

^[[Walter R. Davis]] Chairman of the Sick.
[[preprinted]]