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

City or Town: ^[[Washington]] 
State: ^[[D.C.]] 
Month: ^[[12]]
Date: ^[[9,]]
Year: ^[[1925]]

This certifies that ^[[Mr Lizzini Gant]] is sick with ^[[La-Grippe]], and under my professional care.

^[[R.W. Price]], M.D.

Was taken ^[[Dec 2, 1925]]

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