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Dear Sir
I wish you to Come to see [me] Immed [iately]
on receipt of this. I have had a very severe
Cholick which has follen from my stomach
to my side I suppose it must have been
produced by eating after so long being empty
Your attendance will confer an everlasting favorOh Sir Your mo: Obt. Servt
James Carter
Carmichael Jr.
Fredericksburg
Dr.D.R. Welford
