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Printed form for the Court Surgeon to list the names of people who are under his care and those who are declared off the funds on the dates mentioned. Dated Dec 12 1877. Names are W Hall, Wm Veale, J Heller, A B Lake and Wm Phillips. No signature of Court Surgeon. Printed by J. Brockley, Printer, Stationer, &c, Williamson Street, Sandhurst.
