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Printed form dated Sep 6 1876 from H. L. Atkinson, Court Surgeon naming Members who came under his care during the past fortnight and those declared off the funds. Readable names are: Richards, A B Lake, Cain, Jackson?, Veale, Horn, Hall, C Weifs. Signed by H. Atkinson. Form printed by J. Brockley, Printer, Stationer, & c, Williamson Street, Sandhurst.
