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

City or Town: ^[[Washington]]
State: ^[[DC]]
Month: ^[[Dec.]]
Date: ^[[30,]]
Year: ^[[1925.]]

This certifies that ^[[Mrs. Rula M Welch]] is sick with ^[[Congestive Lungs Pleurisy]] , and under my professional care.

^[[ [[?]] W Willister[[guess]] ]], M.D.

Was taken ^[[Dec 30/25]]

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