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Dr Sir
It is the request of Doctr Clayton
that you would come up to Mr.
William Skinkers immideatily --
his Son John Skinker has by a
fall from a Horse received a
Very Severe injoury on the head -
the Doctr. thinks a fracture of the
Skull -- he lies in a State of
Stupufaction -- -- perhaps Trepaning
Will be Necessary -- If you can not
Come please Send Some Surgical
Gentl in Whom you have Confidence
Please do not delay
your &c
W O: Brown
Feby 4- 1824
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Permit the Bearer to pass the
Bridge for Wm. Skinker
Doctr. Carmichael
Fred