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

City or Town: ^[[Washington]]
State: ^[[D.C.]]
Month: ^[[8]]
Date: ^[[27]]
Year:  ^[[23]]

This certifies that ^[[Josephine Hipp]] is sick with ^[[contusions of head, face and body]], and under my professional care.

^[[E. J. Horgan]], M.D.

Was taken ^[[Aug. 20, 23]]

^[[W. R. Davis]], Chairman of the Sick.
[[preprinted]]