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[[preprinted]]
Sick Certificate of the Bladensburg Union.
City or Town: State: Month: Date: Year:
^[[Washington D.C 2 -1 - 24]]
This certifies that ^[[Mr John H. Williams]] is sick
with ^[[L a - Grippe]], and under my professional care.
[[signature]] ^[[ [[?]] W. Price]] [[/signature]] , M.D.
[[double line]]
Was Taken ^[[Jan 15, 1924]]
^[[W. R. Davis.]] Chairman of the Sick.
[[/preprinted]]