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


Permit the Bearer to pass the
Bridge for Wm. Skinker
Doctr. Carmichael