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16th April 1820
Gentlemen
Mrs. Julian has laboured
under a most severe attack of
the astma for the last fortnight
she has taken during the time
anti billious Pills, Magneasia
Peppermint, Ether, and Laudanum
and still continues to have it;
she wishes you to send up
something for her, she has not
bein Blooded, since the attack
in consequence, of her being
blooded but a short time be
fore she left TownYrs Respectfully
Sam H. Skinker