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[[preprinted]]
Sick Certificate of the Bladensburg Union.

City or Town: ^[[North Brentwood]]
State: ^[[Md.]]
Month: ^[[Dec.]]
Date: ^[[16th]]
Year: ^[[1930]]

This certifies that ^[[Mrs Elsie Buchannon]] is sick with ^[[Gastritis & Toximid]], and under my professional care.

^[[Carroll A. Brooks]], M.D.
[[double line]]

Chairman of Sick ^[[W. R Davis.]]
Was Taken ^[[Dec, 9 1930]]
[[/preprinted]]