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

City or Town: ^[[Wash]]
State: ^[[D.C.]]
Month: ^[[April]]
Date: ^[[11]]
Year: ^[[1923]]

This certifies that ^[[Ms. Mary Berry]] is sick with ^[[La Grippe[[?]] ]], and under my professional care.

^[[Hamilton S. Martin]], M.D.

Was taken ^[[April 2, 1923]]

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