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Dr Sir

Since my Last to you Mr. Sutton
is so much worse that I must
Request of you to come down
in the morning Early as possible
his whole complaint appears to be
in his bowels, with a Discharge
upwards of something Black
Similar to Sut in its appearance

in haste yours

James .S. Cole


PS. Since writing the above I have been
been told by two passengers that the
Complaint Must be the black Vomit.
you will please delay no time
as I am Sure he cannot Survive
Many hours without Relief

JS.C.

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