It was common practice at the time to provide personal references directly to individuals to use as they chose.
This reference would have enabled Nurse Luly to achieve almost any position she applied for at that time.
Hand written reference on personal stationery
Inscriptions & markings
The Reference reads: 'Sister Gwen Luly was a Theatre Sister at the Alfred Hospital from May 1922 to February 1926. A fact that speaks for itself as to her surgical and nursing capabilities. She is without doubt one of the finest nurses we have ever had on our staff and I can most highly recommend her for any position requiring nursing and surgical skill of a high grade - James Buchanan'