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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 June 13 1877. Names are Lake, Morow, Coath, Simonds, Richards, Dunken and Jackson. Signature of Court Surgeon illegible. Printed by J. Brockley, Printer, Stationer, &c, Williamson Street, Sandhurst.
