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

City or Town: ^[[Hyattsville]]
State: ^[[Md]]
Month: ^[[Oct]]
Date: ^[[9]]
Year: ^[[1931]]

This certifies that ^[[Laura Jackson]] is sick with ^[[sprained hip]], and under my professional care.

^[[H. T. Willis]], M.D.
[[double line]]

Chairman of Sick ^[[Oct. 1, 1931]]

Was Taken ^[[Walter R. Davis.]]
[[/preprinted]]