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

City or Town: ^[[Hyattsville]]
State: ^[[Md.]]
Month: ^[[Oct]]
Date: ^[[6]]
Year: ^[[1925]]

^[[Albertine]]

This certifies that ^[[Tena Parker.]] is sick 
with ^[[Grip,]] , and under my professional care.

[[signature]] ^[[H. T. Willis]] , [[/signature]] M. D.

Was taken ^[[Oct 6]]

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