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There are (71) Seventy one Insane, remaining at this date, there were (2) two admitted, (2) two discharged, and (1) one died, during the month. There are (58) fifty eight, Old persons, remaining at this date, (1) one admitted, and (1) one died, during the month, — and there are (194) one hundred and ninety four, patients remaining at this date, there were (9) nine admitted, (32) thirty-two discharged and (4) four died during the month.

I am General
With much respect
Your Obedt Servant
J.J. De Lamater
Surgeon in Chief Dist Va
Bureau R.F. and A Lands