Document - ANCIENT ORDER OF FORESTERS NO. 3770 COLLECTION: MEDICAL CERTIFICATE

Physical description

White piece of note paper from Adolph Witt. - To the Officers and Bretheren of Court King of the Forest No. 3770. I hereby declare myself of the Sick Funds of the Court, considering myself able to follow my employment, as witness my hand this day of April 13. 1868. Signed Adolph Witt.. Also signed by H. L. Atkinson, M.D.

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