This fourteen-page pamphlet was as supplement document distributed by the United States Sanitary Commission in 1863.  The pamphlet summarizes conclusions made by the Sanitary Commission’s 4^th Report dated December 15, 1862.  Topics within the document include issues concerning nurse wellness, discharged soldiers’ pay, “through” tickets for the railroad, and soldier relief stations.

The pamphlet measures 8 ½” by 5 ½” and the binding is fragile due to age, papers are now loosely fitted.  There is a distinct fold line down the middle of all pages.  Handwritten notes are present on both the front and last page.  On the back of the last page “SANITARY COMMISSION/ SUPPLEMENT TO 59.” is stamped in the upper right corner.  [mk] [ph:L]

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