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Name C.B.- Tolay miss EduaL (Pres 104s. hat'lot michigaroline H.J. 14
Principal or Agent x nurse x X assum
Address
836 Subject Bldg
because
Chicago (104 Mili Ave)
Date
Date
Date
Referred to
Subject
Referred to-
Date
Rec'd.
Number.
Ans'd.
Rec'd.
Number.
Ans'd.
9/19/14
4-15-4-5-3
9/19/14
6/20/18
8-3-4-3
6/22/18
2/19/15
11
2/19/15
5/21/20
10+06
5/26/20
6/12/15
8-6-2-0
6/12/15
8/24/20
4-15-4-5
8
126/20
2/1/15
8-2-2-2-2
2/1/15
7/9/20
"
71 1/3/20
12-1-0-1
8/21/16
"
9/22/20
9/13/16
11
9/14/16
12/7/17
9/30/20
12/6/17
8-3-2-2
4-10-434
4-15-4-6
but with
12/29/20
11/28/17
meigo
(4-15-6-0-2
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