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

City or Town: ^[[Hyattsville]]
State: ^[[Md.]]
Month: ^[[Jany 22]]
Date: ^[[22]]
Year: ^[[1926]]

This certifies that ^[[Mrs. Emma [[Freeman?]] is sick with ^[[La Gripp.]] , and under my professional care.

^[[R.A. Bennett.]], M.D.

Was taken ^[[Jany 5/26]]

[[signature line]] Chairman of the Sick.
[[/preprinted]]