Blue paper dated Jan 17th 1868. I hereby certify that L. Valentine of Sp Hawk is unable to follow his usual employment. Signed H. L. Atkinson. M.D. Also signed by Lorens Valentine, declaring himself on the Sick Funds of the Court.societies, aof, correspondence, ancient order of foresters no 3770 collection - medical certificate, court king of the forest, lorens valentine, h l atkinson