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

City or Town: ^[[Berwyn]]
State: ^[[Md]]
Month: ^[[December]]
Date: ^[[26]]
Year: ^[[1925]]

This certifies that ^[[Alice Hickens]] is sick with ^[[infected finger & hand]], and under my professional care.

^[[W. Allen Dirffety[[guess]] ]], M.D.

Was taken ^[[November 20, 1925.]]

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