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[unclear]a 3rd Sept. 1821
Doct.r E. H. Carmich [ael]
Dear Sir
I have taken all
the medicin that you left which has
had the anticipated effect. I am now clear
of fever but a little debilitated and want
appetite - perhaps some other medicin will
be necessaryif so I shall send to Fredg to
Yours Respectfully
John P Williams