138 
B 
NAME AND ADDRESS. 
No. 
Name. 
Addresp, 
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a£u£A.bi *. 1 
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■> G'l-i-O-iKA ■ /Sftr ^p<n<y* 
B * * j&vi-u.'yuit&^u- , 
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t C^-Z^urisi-i-*- / rTT^^Ai L-^ rutlUa 
2 77/YiPf^i^ . 
:? j&ZlJii- /io^Uw^^i L ^YTT \ 
i 1-^Ptua-cL 
5 \('^ cli 0 
;fl 7 7 7 
^ • JL&7i7r-lsCtl4\*\ v 
vpzlt-kj ct£J ^t -_ ru-*- 
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PTZc&Jz-‘' iP^e. uhiZ5~t~ • 4 
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(lYaY*- ~> s’- ■ - 77 / " ” 
a 
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xfyiXi^t^ 3 ^- C&'t&tsl*- • Tu^t ltTc 
Date of Commencement and Termination of Treatment. 139 
<U M-i . ^ 
Fh ^ <J S 
Amount Amount 
of Bill. of Bill. 
(XT. '<'“• 24sU~~! • 
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V xLSf. ■ 
j TTe. ■ -> f 
y $u7r- ■ ?U*/.1^ §^-f eo-***^*- ■cajJ • 
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Y y f. /i/W Y ± c£^~- 
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-Uy^77j^c<r /U. c/^£> t £ Mi ££i r ' 
l^l~ . 7Vf^<y ?/ / ^/. 't/Y&Zu*<*■{ 
^ (n*>yi±<XCU3 ‘YtM*-! .<• &/• 
■ 7fu* £ajCi<fJ XfjtM) <f 
aTj-ct^S^ 7 -1 i e^n-'/vUfjT. j ap&tff ■ -r 
. yJc*\7tL t7c«ui,i£7i4^r 7ti.£ic~cf~r r >- . 
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fat- /t(oiy>^ 
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