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Printed form dated Nov 28 1877 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: W Veale, I H(K)eller. Signed by H. Atkinson. Form printed by J. Brockley, Printer, Stationer, & c, Williamson Street, Sandhurst.
