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Dear Sir
My wife has been upwards of four
Months Some intermissions of perhaps ten days at a
time, afflicted with pains Simular to those of
Child bearing her youngest child ten months old
if you think you can give any relief you will
please to Send the medecin by my man phillip the
bearer of this with direction and I will Settle with
you for it when I come to town
I am with Respect your friend
Alexander Hord
February ye 17th 1821 Dr Carmical & Son