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

City or Town: ^[[Hyattsville]]
State: ^[[Md.]]
Month: ^[[May]]
Date: ^[[8]]
Year: ^[[1930]]

This certifies that ^[[Beaulah Hill]] is sick
with ^[[sub acute appendicitis]], and under my professional care.

[[signature]] ^[[E S Jones]] [[/signature]] , M.D.
^[[Freedmen's Hospital]]
[[double line]]

^[[Wash DC. 5/8/30]]

Chairman of Sick [[signature]] ^[[W. R. Davis.]] [[/signature]]
Was Taken ^[[Apr. 15, 1930]]
[[/preprinted]]

Transcription Notes:
Seriously, the information is all there and presented as the form is printed. Why would anyone just change to suit their version of what is appropriate??? I don't understand!!