TE~TH Bl E '~1 -\l REPORT

OJ' T Iii:

Tru~tm, Superintendent. Stt\\iUd, )latron. and Treasurer

UI' Tllll Iowa Hospital for the Insane

FOH THE PERI OU E ' DIN(, ,I l ' NE :lo. l~!•l.

a'RINTI II BT 01\Vl, II OP T Iii Ur.'-t:IIAI, A~:-t:.1&111 Y,

DE!'- )lOt.:-.Es: 0, B , KA(;'AJ,t , ~TA 11: l'Ul!-i I HI, 1~111. •

IOWA HOSPITAi, FOR Tirn INSANE. l lNDEl'ENDENC'E. IOWA, Angust H, 18!)1. f

To la'Ji ffa·cellency, IloRAOE Boras, 0overn<>,· of tli.e State of Iowa: DEAR SIR-I ha"e the honor to transmit to you on behalf of the Board of Trustees of the Iowa Ilospital for the Insane at Independence, their tenth biennial repoL·t, together with the report of the Superintendent, Dr. Gorshom II. Hill, and of the Steward, Charles L. Thomas, and of the Treasurer, George W. Bemis, for the same period. I am with respect, yonr obedient servaut, W1LJ,TAM E. Ro~1<;M0Nu, Secreta,·y. OFFICERS Of THE HOSPITAL.

BOARD OF TRUSTEES.

JOHN L. WHITL~:Y, M. D., P11£sw•;~T, 0:11Jge. Wll~LlAM E. RUSF,MONU, Sia;cnr.·rAm, hidepe11dn1cr. R. A. UUNKELBERG, M. D., Dr1n·rr. CHARLES W. FILLMORE, Petcr.wn. Chm·lcs City. ALMON G. CASE.

GEORGE W. HEMlS,

RESIDENT OFFI<.:Jrns.

GERSHOM H. IIILL, M. D., S1iprri11te1ulc11t. M.. NELSON VOLDENG, M. D., First Assistaut Phy.~fri1m. J OHN C. DOOUTTLE, M. D., - Sccoml Assistant Physicia11. 11. WILL BURNARD, M. D., 1' ltird Assi.,trrnt Phy~ician. Btewarrl. CHARLES L. THOMAS, 1lfatro11. LUCY M. URAY. f 0

2.8

22 15 1 ap

I IIE(;t:PT£01' ROO'I. ll AT'l'ENOANT'8 110(1'1. 2 l'TJ-:WAHO'H Ol>"t'ICE. ir, HT011 >1 no,a,. a SlTl'btH'\TEl'll}.l''l''t! Ot·•·•cE. 10 IHONil'l1 llOOM. 4 ~fl:1JICAL OFt'ICJ-J. 17 ORY JLOOM. ii JHl'PEN!!AILY. lk llOll,F. ll HOOM. II AHWI'. l'IIY!ll(JIAN'S 1100M. lO OAR IIOUHfl. 'i (H'f"JCl::ll'H K11'ClltlN. 20 "MOKJ: HTACK. II '<'r£WAHH'H HOOM. 21 OAROMETEII. !J TAll,Oll l-lllOP. 22 OllEE1' HOOSl'J. 10 SEWINO IIOOM. 2:J COAr, H ()USK. 3 l I JlATfl HOOMH. !U t"llF.!111 AIR TOWEil. 12 JHNJ:-lO ROOMF!. 26 COLD STORAGE. 1:J WATEII CU)SETS. 27 WELL,

THE IOWA HOSPITALFORTH[INSANE:. AT - I NOE.PENDENG E. IOWA . "'Off; :=S!:: ·----=~- sl "I ~ '4' <) le'\ :t .~~ ~ I I ~ :.;~, ! ;t '\ ~ t,-. CV,0.ft)A/1/) ;:' -t: $- r:,. t· 8Dugci 1 g □ g □, • D D D D D OORM/70/fY D.AY /If ()OM l),A, ~0CM :::: ~ l 18°88'888888 Stco1<0 Sro\f l't.AN r, ....srSTO'\.,, Ji•~ l'LAN J I O• CO'TTAGE l L-, co~;AGt .; CJor;-u clDTHii

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1·/fCCM ROOM

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OORUITO'IY 0

ATflND~

GROVE HALL,

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GP-OVE: HALL, Fl RST rLOOR . TRUSTEES' REPORT.

To HoN. HORACE Borns, Governor of Iowa:

DEAR Sm-The trustees of tbe hospital for tbe insane at Indepen­ dence herewith present their report of the conditiou of the hospital for the period ending J unc 30, 1891. Albert Reynolds, M. D., of Clinton, was a member of this board for eight years, and was re-elected by the last general assembly to serve another term, but resigned on account of the p1·essing duties of his profession. He was tbe first superintendent of this hospital, and filled that office most acceptably for more than eight yearn. On account of his acquaintance with the instit9tion from iti; infancy, and a thorough knowledge of its methods of operation ho was pecnliarly qualified to discharge the duties of a tnu,tee. Dur­ ing the last two )'ears of his membership be served as our secretary. Your appointment of Hon. Almon G. Case, of Chal'les City, to fill the vacancy, was a very fortunate one for the institution. HaY­ ing been one of tbe building commissioners for years, he was quite familiar with the history of the hospital. Hon. Lewis Il. Smith, who was a member of the bo:it'd nf trnstees fo1· twelve years retired by expiration of his tPrm of office, au

SATI\ ITY 01' l'ATll{Nfl!. "not b;ascertuined, :-.lutll bc.• suppo1·tcd ut the l'xpcns(• of the Blute... Tho number of patients of this kind is increusing from ye1ir to Tlic pruportio11 of pafa'llts who were born in Iowu iA increiu1iug year. [n ,January, l ,;r,, three men chargc.•d to th1• state wore trun-;­ from yc•nr to year. m11l already the nnmher i11 larger thnn from any ferrcarly one hundred Auch pntic•nts each llt Mt. Pleasant und c·ordc•11ri11g tlw lust two year,-, three pcr110111, huve Leen 1u sent home. wh.v they arc charged to the 1-1tntc in;1tead of the c·ountil'" t'rm11 wa11 1111ulc• h~ th1• eo111mi,si11m• r:- of im;anity. They were refm,ed which they tlr<' sent. udrni,-1:1ion 0 11 acc•o1111t of the• crowded condition of tho hoRpital. In No. 4 ,ti,. man; horn in Illinois; thirty-four year,; old; has good my opinion, lowu ,-hould he 1,11pplicd with a larg<• furm containing ,·ommon 11chool education; a W m1leyun Methodist: hiM father it1 a <·1111toclial huildi11g1-1 for the frchlc 111in. self. What shall we do with him 1 His intervals of sanity have pt·ob- taken into consideration. ably been sufficiently lucid to enable him to gain a residence in MAINTENANCE OF PATIENTS. Minnesota, and at last in Iowa. No. 4,723, female; born in Iowa; age twenty; wife of a merchant; The patients in this hospital are supported in foul' ,vays. The no children. Admitted to the hospital last year, and recovered board of a few is paid at the hospital in advance; o~ otl1erll, the after a few months treatment. price is paid by the relatives or guardiami at tho end of each qua1· This case illustrates a number of state patients, in that she bad ter, or after the patient has been discharged froru the hospital, to spent most of her life in Iowa, but left tho state when she was mar­ the county treasurer; the cost of treating most of the patients in ried, but was brought to the home of hel' parents when ~he showed the hospital is paid out of the county treasury into the state tt·eas-• :,ign1:1 of mental derangement. She soon became too disorderly to ury; however, there are many state patients in tho hospital whoRe be cared for hy 1'elatives, so was adjudged insane and sent to this expenses are paid directly from tho state treasury. The current hospital, although her residence was in a distant state. The palli­ expenses of the hospital are met by rnquisitions upon the lltatc

atino-e circumstance in this case was the fact that her husband was treasury, which are made quarterly. able to, and did, pay her board. When persons get sick or insane it is not unusual for them to re­ INCREASED I>ROVISlON FOR TUE INSANE, turn to their old homes; if, however, they are sent to the hospital I believe it is the duty of the board of trustees of this hospital to for the insane, their board is charged to the state at large if they again urge upon the legislature the rightfulness and the necessity have no leoal,.. settlement in any county in the state of Iowa. 2 18 HOSPITAL AT rnDEPEXDENCE. [BlO 1801.] REPORT OF THE SUPERlNTJ<:NDENT. 19 of making provision for all the insane who can not best be cared third, that an appropriation be made, and that commissioners be for in their own homes, in state hospitals. appointed by the hventy-fomth general assembly, to locate, adopt Those who make the care of the insane a study should not encour­ plans, and proceed to erect a hospital for the insane for the accom­ aae the erection of county asylums, nor shonlcl the trustees make modation of northwestern Iowa. u:e of the Jaw which enables them to relieve the crowded condition of the ho8pital by compollin_g county authorities to remove chrnoic STATE HOSPl'rAr, FOR El'JLEPTICS. cases, if they can possibly avoid it. . It is generally understood that chronic epilepsy is incurable; In Illinois, New Yo1·k and many other states where the oxpen­ nevertheless, this disease demands treatment. Small fol'tunes arc ment of keepin~ the in11ane in county institutions ~as been thoroughly sometimes expended in paying traveling doctors their fees, and in tried, the conclusion is 1·eachcd that the method 1s alto_g-ether unsat- payment for medicines which are advertised in the newspapers naa isfactory and must be abandoned. . tiure cure for ''falling sickness." The people of this state do not know to what extent insan_e per­ I would recommend the establishment of such an institution in sons aro kept in county poor-houses, nor l_1ow deplorab~e _th~u· con­ Iowa as soon as practicable. Some states already have them, and dition is, becan~e the law docs not prov1de for the v1s1tat10n of physicians in other states are advocating this method of caring for county establishments by persons qua.lified to determine w~1at a.nd epileptics. how much should be done to prnmote the comfort and happmess of Such a hospital should consist in a i;,ystcm of cotta:zes, not alone the insane. for epileptics who are insane, but for children who need special Somo pei·son~ in every com:nnuity, who do not happe~ to ha_ve care as well as treatment; they should be separated from other any relatives who are insa11c and have not had opportnmty to to­ children in their homes and at school. Snch an institution should vesti_gato this question from a humane standpnint, jump at the con­ also provide fo1· adults, who, on account of their infirmity and spas­ clusion that if tho insane 1·equire permanent caro at the expense of modic attacks, are unfit to be in business, or to frequent the ­ the county, and if competent judges a1·e of the opinion that the un­ oughfares, or to mingle freely in society. soundness cannot be cured, then the expense of treatment should By such au arrangement a perfect classification could be made. be reduced to a minimum, thilt food and shelter are all their condi­ The most approved surgical operations could be afforded, pay tion requires. patients could have special appa1·tments, stable and capable epilep­ Somo county supervisors, and some who sha1·e in forming the tics could be placed together, and faolated from others who have policy of 8tate affairs believe that the cheapest management is the become almost totally demented, and to a great extent helpless. best. Thus the institution for the feeble-minded and tho hospitals for In public business they practice poor economy. They do not ap­ the insane could ·be relie,ed of a large number with advantage to p,•1;;d.i:te ~n tl·e f:~.:Jt The slanghter house, tog:etber with a stock yard, still remains in APPROPRIATIONS DESIRED. the vicinity of the cottages, and according to plan the location For tile t.o drain fo.rm •.....•...... •· •· •···· ·· • •·· •···· •· •· •· • •• 500.00 must now bo changed to a moro remote part of tbe farm. The Por Improving the grounds...... •...... •...... •• ...... 2.()(1().00 For" J)erma.nont Bio.ugh tor bouse ....•...... • •· • • ... • • • • • • • • • • • • 2.000.00' structure no,v serdng in this department, although important and l•'or a paint nnd l>lncksmllb shop...... • • • • .... • •· • •·· • • • • • • • • • •· ... • 3,000.00 in constant use, is inadequate. For c11Jargln11 tbo cow barn ...... ' .. • • • • •. •· • • • • • • • • • • • · · · · · · · · · · · · · • · • • · 1,500.00 For'"' electric light ~y&Lnn...... • •• ...... 10,000.00 For rcpnlr lLn 1891.) REPORT OF THE 8LPERI::--TE:-.DENT. 23

APPROPRIATIONS DESIRED. The :-laughter house, together with a tltock y::ml, :still remains in the , icinity of the cottage:,, and according to plan tho locatio11 For tile to drain farm ...... I 500.00 Fo r lmprS. plnco for the storuge of iron material is quite indispensable. The Dr. Fisher, of Boston, says: '' Life in tho open air, with prop­ first ..tory would be used for blacksmithin,r, and the second for ''erly ree:ulated combiuation of work, exercise and amusement, is painting. Now the turpentine, the oils, and tho varnishes are kept "the most important element in the treatment of all forms of in­ in tlw basement (If the huspital. They are combrn,tible and should " sanity. .All except the physicall_y disabled and sick should ]1ave be i;tored iu a detached building. Again, paintiug can not be ru.p­ 1 i tlu.1t it ito uot large enough. We still 1,tack about one hundred tons are out on parol. of hay and much Htrnw outside; thito is poor economy. The pleasure grounds need not only to be '-pacious but attrac­ We arn milking more than 1:1ixty cows, and we believe it would tive, supplied with numerous atisfoctorily. the slaughter house were located on opposite sides of the institu­ The arguments in favo1· of making this improvement are too tion, bnt near at band. uumerous and pntcnt to require enumeration hero. 24 HOSPITAL AT IXUEPEXOEXCE. [BIO REPORT OF THE Sl'l'FRlYl'E"\ DEX l'. 25 Rl!:PAIR AND CONTINOE:-1T FlJND, The coundcuce of patients must lH' gained, thC'i1· hope inspired, Some of the_ repair~ which need to be mapitnl work, and c;eem to be adupted, and try them for a year the womon will be made perfect; without it, there are certain female 'l'hc uxporien<"e they get here will not be as u:.eful in general prac­ patienti; who cannot be furnished with such places in the wards n-1 tice llM that p:ained in a geno1·ul hospital, and yet if they mllke tht• their condition require:;. mo~t of the clinical opportunities afforded, the.) will be &rrcatl_v benolited. .If they eujoy the work uml suceoohonld ho ~~od judges of lrnmnn miturn i11 order to manage well n•ad medi(":tl booh and journtils, to work in tho pathologic·al not 0111) patients but l•mployes. They should be en:r \·igilant and laborntor_r or to write p:iper~ on profossio1rnl tmbje<'IH. abundant in resources. By mornl i,;ua-.inn they may compo1:1e rest­ less or excited patienti-, stimulate tho listlos~ and c•areles~, cheer l';\THOr,ouH'AL J,Alllll(ATOl(I". the cles1~ondent. In addition to the dutie:s which naturally fall to Although this hospital is not supplied with many <•xpenRi\'c in­ each oflicer, all are obliged to ll'>:Si:st in nnm"rous games and enter­ i.trumcnti, and nil the httest faeilities for doi11g pathological work, tninmeuts, also in devising employment for patients. yet we• c-ontinue the custom of making a post rn ortl'm examination .. 21; HOSPITAL AT l~DEPENJ>E~CE. (BIO JSIJI .] REPUllr OF THE SUl'ERD: n.~m:~r. 27 in a~rnm,t eve_l')' cafle of death. and mount, for microscopic ~tud 1,cctions of mmittin!! person'! to tho care of tbe institu­ Attendanb,, ns the name implie11, arc the persons who • • tion wcrn i;tnted, nlso the obli~ntions of n.11 t'1J omployes to tho . f I 8 mro~ ti 10_ compamons or t 10 patients; they have the care not only of tltl~ paticnr.... to tho relatives of pn.lients, to the public, to cnch other, patient--, but of tho wards which they occ•u py. and to the otliC'er~ of the ho,ipital. The siH•rednc.. s of the trust im Thef mil t!w patie~1ts in th~ morning; when necessnry, assist posecl uncl thl• honorableness of the Ycll'.1tio11, of attendants upon tho i11s:111e, ,n•re emphasiir.od. them 111 dre:.smg and m preparmg for meals·' th('y iservc the f oou,_1 ti~ k e c Irnrµ-e o f the bathing, encourage the patients to do vuriou.. Tho lecture,. by the ~up('rintenclent last wiuter wen• upon medi kmds of work and to behave in a reasonable manner. The uur,-e» cinci;. their goneral pro perties, nwthod1, of adminiAtrntion and their arc atten_dants who are well qualified to care for the sick; they iscrvc · effects; !tow to manage and how to improve the mental condition bot? durmg tho day and at night_ in tue infirmary waruppl,· the state of I . · "bl J owa Wit1 i :·cspons1 e perc;ons, . of both se~ct!, who c·an be employed na ,lttendants or compmuons for the 111r-1uue when relat·,·c, f · • 1 s pre er to On acconnt of tho proximity of Rush Park l'l\<'C tmck to thl· I1ave them kept and treated at home. ho-.pital. and the kindne.::s of C. W. William;:i, the owner, about When n~tenda11t1:1 .are m~mbers. of u school they feel that they one-half the 11rnle nnd one-fourth of the femnlc patients are per­ hnve ente1 eel a special callrng winch requires education- that ti mitted to wit11oss tho r1lc·es grntis. ·L e d . . . , . iey • r en~age. 1_n a ~·oc-ation winch does not consist chiefly in drud . Thi-i opportunity helps to break up the monotony of life here. cry or Ill mm1sterrng solely to the bodily comfort of their patientg ancl gi\·e:s u,i a convenient objec•ti\e point to ,·isit in summer time.

but more than all this, they have to deal with minds which are di:•_ For the mule patient111 at least. nothing but n circus woulteney; also n. C'liecrfnl disposition and a sympathetic any one else. 1Spmt are to be cnltivated. 'l'he ages, merits, nchievemcnts, drivers, owners and homes of As the demand for trained nurses and attendants increases tli the different horse.:: furnish a stock 1rnbject for conver~ation among <'<~mpensation will also inerease, so that persons of "cnlth·:ite; the male patients the year round. They ne,·er do any betting. mmds and benevolent hearts'' will oftener bo found in tbis noble 'l'he troupes which give evening entort11inmo11t1> in Indopondoncc qphere. usually visit the hospital and amuse us with matinees. .Musicians, elocutionists, lecturer,; and other friends living in AMU! :llaguzines an• at hand pitnl life are honorable and it is tlw nim of the -.npcrintcntll favorite. REPORT OF THE SUPERINrENI>E~T. ,,3() llOSPITAL AT INDEPENDENCE. [BlO 1891.] 31

Dr. M. N. Voldeng has been a member of the medical staff for four years, and daring the last one has held the office of firbt assist­ ant pl1ysician. Ile is energetic and self-reliant. Di·. J. C. Doolittle has served in the capacity of third and second assistant physician, one year each, with faithfulness and success. Dr. Il. W. Burnard joined the hospital staff at the beginning of TABLE I. this period, serving one year as an interne, and one, as third assist­ MOVEME:-11' OF POPl LATTO"N" ~•OR B1ENXIAI, PERIOO. ant physician. He has discharged his duties to my entire satisfac­

tion. TOTAl , FOJl Upon the resignation of W. 0. Ilamilton as stewa1·d, eighteen l!'llll!T YEA.II. r1m100.

months ago, Ohas. L. Thomas was elected to that important office. C Q He is well fitted for the place by many years of experience as cl s ;; ., ., 0 0 Q ~ ~ gardner, and I may say possesses every qualification which thi.e :a ;:: •• _s.<""';____:_;_c:a:...... ;._.:;._~ __:._E-4 :J:tt H ~ 1:k; 21<:l 32~ ~ 017 Mrs. Lucy Gray bas entered her fifteenth year as mah-on. Nnmb<1r trl'l\l<•d...... •..•.•.. ..•. 570 5!'!1 1,100 !>._'Ill 62:! 1,108 72-•1 ti:,u t.:l83 211 She has charge of the seamstresses, the dress makers, the cooks in lll~l•bargtid-Ueoo••orud . . . . . • ...... •,?l-1'.I 5 ! ~~I ,"16 i!2 1110 JIO JOI rmprovcd...... 4 , ~ 40 .,., 78 7~1 ~_;..• 1 101 four kitchens, the washers and ironer!'I in tho laundry, the chamber 1 29 !,~ 83 (16 100 m:is?~~e~.-::::::::: ,! :J -~I ~~ ~g MO maids, the house cleaning, the canning of fruit, and by frequent Total dl~cbargod and dh,d...... t :18 1J7 Z.6 142 lil:J 27:i 280 !?7U A vcra11:o d a II v- num b er...... •'15 ""''.•.,. """ovv ,..,...... ··oou, """',,..., •--''.!-11 •.•"'°.,u •, 810 visits to the wards keeps herself familial' with the needs of the Numb"r rcm1tl11ln1t .Tuno301h, JijOO, "'l3 lltld J UIIO :~.·;.; ....:.• _:_:"..:.' :..:." .:;;"..:..._..:.4-38=-_;;;:18"°,.,_,.:;;825:;;'.:._..:..◄ -l:..:.l .:._:.;;;:JSO;::__:::."";::______patients. She is equal to every emergency, and does hol' duty well, To you, gentlemen of tho board of trnstees, I feel under great obligations. TABLE l!. The devotion manifested by you to the welfare of this hospital, MOVEMENT OF POPULATIO:-{ FROM TIIE BEOINNING, and the unselfish maunt::r in which JOU have left your homes and your business at the appointed times, to look after the pecuniary cl interests of the state and the comfort of.your unfortunate fellow cit­ MO.Vl!Jllr■.NT or POl'Uf,A'l'fOK FIWlll NAY 1st, 1870, ., TO JUNE 30TB, 1801. cii a izens who arc collected here, deserve admiration. The per diem 0 :a"' e: 'i received is in no case an equivalent. l•'ln;t admls~lon from counties ...... 2,t:18 a,~ The satisfaction of knowing that a state charity, established and Readmission~...... • ...... 001 1,=1 Tra.n.,forrod from bosplta.1 at Mt. l'lea.~nn~ ...... u :i 108 251 Tot.al nclmls•lou-...... 2,842 2,172 5,014 conducted on so large a scale, is operated honestly and humanely, Numbor dl'luhargod-Reoo,•ored ...... 5:l1l 481 1,020 Tmprovod ...... ROl MO 1.a.~ is your cl1ief compensation. Unlm~rovod ...... ~, 376 o:w most heartily thank you for the thorough manner in which yon med ...... r,01 370 877 I Total E~<'E. [Lill) 33 32 1 91.] "' ~Jf! -=ti

=~ ri§l: •-~ 1- o,., I I-!:. -;: ·u..,., --~r. Ji~e ,- TABLE IV. --~ ..: •-- ...... ,~~ ¥j~I'; -=~ ,.j I• ~ ...; L~ '!."'41 gc! Ni'7 gii: ~ :'ii uu,bcr· n.d111lt tccl unt••~., ...... , .... , .. ... , , ...... , , •... ·· ..•• 1 :u~-.. m>1kh11!'1 :IJk~ I '!"'"II;:;:; II.\: maktu.;:u 1,10, 0 Number admitted twlce...... • •••. .•••••• 101 ,naklns; C 1'/umbcr admitted three t101r.s • •• ••••••• •• •••• •••• . •••••••••.. um :,,; - --e Suml>,•r ntllnlttutl lour tlmrn1 ...... :ti 11111kl11K I 1:~ ·4..,"1 ~~ :"iumb, r 11dmltted dn, limes...... II maklni; r., /. :"iumlK r 11dmltted 1lx times...... • •• •• •• •• • ••••• ll m11kln1: U i:.i '\'umllOl 1ulmltln'j"~ :?!!I J.7· I ric:; ~i;; ,,,~ r11rec to"lx month~ ••..•.••• • •• •••. . . •• UM HI '. 7r, ...J 4!17 ii: 1--::; !-l;fx:tot1\"()\'.0fJlOlllh-. ••••·• • • ...... W.: ',!.::,·, I~~ ,1,~_! 11_;.i,I ~~-·. ::> l\no to iwo) can,. . • .. • • • • • • • . • .. •• • . • . • . ,,. , .,.. 0. I .-o to three ycal"fl. • .•• • . ' • •. •.•• •• :!:• f.'I GO bl :UII :.. 1 hrco to flv,i Yl'RMI, •• • • • • • ...... •• • • • .u 11:1 11"'1 If.! lll~I ,,:- 0 l'lvo ,,. 1 11 y,•u.rR •• • • •• • •• ... ••• •• • ••• ;t:, ~7' I 111 0-1 107 44! Over w11 yeal"I!. • •• • • • It! 7ll 6'i ~ r" :r.,o I-< :,: I nkuown. . .. • .. .. • ... 2-", G4 ul l!li 2, IH!i ;..; ToULI ______1-" ,o:?0___ 1.&'>4 WO ~7,' ti 6.0U ;,: :.,.~ 0 ;,: ",,. ..:.

.,•> HOSPITAL AT INDEPENDENCE. [BtO REPORT OF TUE SUPERINTE:NDENT. 35

TABLE YIII.

T.A.BLE YI. HESIO!>~OE OF PATIENTS ADMITTED ANll REl!AlNl:-iG

l'llOM TIIE SUOWl'iG 'l'LIF. AOE O~' '_flfOSE ADMCTTEll. D01\1,_0 l'El\tOD. llE!ICAlNINO. ------,.. ll ►:OIN'>l'1 ,:~.,,, Jlr.,mcr . •• ...... • • • .... • ...... ;\l 3.~ !ill 11 2 10 1:J 10 Jlom11• .. .. • • • • • • .. • . • .. • • ...... :i:1 :JI!: 60 1 t I ....~ . 1 on,rthlrty and under forty ...... ••··::::::::::::::::::::: ll8 !>.i'l nm·hllllllll • • ...... • ...... • . .. .. 711 'j'jl ll',;I H 8 11 rn 1 o,cr forty and undor 0rty ...... · ...... · · .... · 1\ll r.:i:i over 0tty and under sixty .... · ...... "· .... · ...... 4111 •~,, Buenn \"lstu~ .. .• . • . . . .•• . • ...... 2.i 1~ 1:J a 2 f; ~ Butler ...... •. 4:J :!,", 711 a ,; 10 7 0 {)Hor -,li.ty and under ~e,•onty .. · · ...... · ..... :· ·:::: :.:.·_. :. :.:_:.. : :_ :.:. :. :_:.:_:_·.·.:. :·:···· :. _ 2~• -.,.-1:i:•1 <'nlhonn ...... :.!l lfi ao a .& 'i' g 2' u,--ur !-,,oventy ...... •· .. .. •· •············· ···· · · ~ .. 111 011 l'urroll ...... • . .. .. :!Ii 27 ti-I I 4 5 H 'ft.)t("ll., . .... -~···· ...... ··•· .. Ct•rro C.ordo...... :,1 :u G7 a , 10 a 7 Cht•rokt'P ...... , ...... :.?,Iii 14 :ro :J •l A 7 r, t:hk•k;,~nw...... t\i t7 101 0 6 15 ~I 2 Ch"' . . .. • .. • . • ...... l:J 10 2J !i 2 I' , 4 1 ~::i·J~~:\: . .-:.: ..::.:::.:::::::::::::: i~1 1:i, rm J J~ t M 2~ TABLE Yll. <"'rawrord .. .. • ...... ·!4 14 1 :l>i 11 J 2 1 5 Jh•laware •• ...... k7 50 14!4 n II' 11 O n 1 N A'I' I \'l'l'\' OJ- PEHSO:-(S A O~llTTED. Jll<•klnson . •• .. .. • ...... II Hi 14 ...... :! '' 11u l:>uq "" ...... • • .. • ...... WH lfli :rrnl :!J · ..:i1 .. 4~ !?'JI ii\ Emmet. . .. • ...... • ...... • .. H 10 I& ...... 4 4 2 a = --- --1 ~. 1 1 tt~t\~i;·.:.::::::::::>::::::::::: [~ :w ~1 i ~: Jg 11 lg Greouc ...... 61 :11 t\2 ...... Ii k JO NATl\'lT\'. 'g ;ii NAT[\'IT\'. \ 1 I ! ~ tt li:·1111dy ...... :!.I :JO i>l 4 n !l 1 ti ~ 2'2 ~ ~ llumllU>n ...... • 37 ;I:!1 Iii! I 4 8 12 •• l11111N><.·k...... 15 i :!'2 l II I ;i . -=---....""- · - --- 10' 11,() llunlln...... 45 41, llll II 10 ~ JO 3!1 Wlscon~ln...... · .... · ~ ~l11ln.o ...... - , .. · .... ·..---"'I ...... ••'i 1·.1 Mlnncsote...... · · .. · .. · J 7~1 llowllrd ...... • ...... :12 :JO 112 2 0 ~ 4 New Hamp,ll ro ...... ti IOI low:,...... 1.,.., llurnholI 12:1 0 7 16" 11 . i:i Kus~uth ..., ...... • . 20 10 :m· 4 2 o· 4 1 Oonm•ctlcut • ...... · .. · · .. · · .. · 117 5:l8, C'olorado ...... ·.. • 1 New York ...... ·· .... · .. ·...... 2 27 California...... • .. · ...... · • .. · · .. ".. ·• Linn ...... • ...... 13.'; !l.~ 2:'l' 21 11 3:'I' J8 21 Now Jor~t'y...... • :1-14 Oam,da...... 1n 1511 Lyon ...... • ...... 4 !l 1al a 1 7 al t ?eun,.ylvanlt,...... 36 :J ~;ngland...... !il\l 171 \hnshall ...... 67• au 100 . . . . . 2 2 2 Dolaw:,ro...... 1J 201 lrelaud...... 7, 31i ,1111s...... l 1, ...... 1 ...... Maryland...... ·... 4 zi Scotland...... 10 mtuhull...... il2 :I:! &I 7 t g ""7"".7""'j4 Vlrglnt11...... · · ;, ·w:,les...... •• ...... l l ;!31 :\l1mn11a...... •• 27 24 fil ...... 7 7 .. . . . 7 'i 2 O~t•f'n) 11.. • • • • • • • . • . • • . • ...... • • • . . . . 4 'i 11 J l 2 ..... ' O'llrlen ...... J:J 7 20 :i, l •I 2 "";'1 ...... ~ ~i;u:'d:~H~o::.:.:::::::::::· ..... i1 rtr~w:~'ci~~~~:::::::.:::::.:::::: ~ 1 South Ollrollno...... " \ I\ Gormany ...... ~Ill Gm P1tlap:o...... 14 12 211 4 4 8 ii ~ ~ Mlchlgnn.. =:...... • · , · Worth ...... • .. . 11 41 20 2 4 U II 2 i Woodbury ...... as r,:1 OJ 2 H ' JU 2 Ja ir, Wrlp:ht...... H IO'I a:J 4 4 8 4 2 II V"n Hur1•11...... 1 ...... 11 ...... , ...... :-into nt l:1rgo...... 2.~7 9-i 381 :14 15' 40 H 2>I 7'l Total ...... • ...... • .. .. 2,8421 2,J7'J 5.014 32lt . :i,.ol 017 40 :1110 s:~1 REPORT OF THE SUPFRINTRIS D:EN1'. 36 HOSPITAL AT I~DEPENDbNCE. [lllO 1591.) 37

TABLE X.

BU','llAL ruox TUB P t:llU) D. DEOI), '-I NO.

~ TABLE IX. ;; "e ;;; :i z 0 E--< :;:J ~ ~ OOCIJPATlON OP PATIENTS AO\HTTEO l>ULUNG BIENNIAL PERl Oll. \,'O!'liC,E'ITAJ.- }lcr, d ltnry.••..••. . .••.....•.. .••••...... ••. •·•• 71 J~-t ]IOfo,•th" muntnl o nrnnlzatlo n ...... 20 40 H1~EAE.F.S or :'\Slt\'Ot·~ ~Y~T•~- 11'0. \)u,rf'U .....••.•...... •...... ••••...... ••.• :1 2 l\ a 3 h ~-M'fl_N._--!-- 11'0• -11 E11ll••11•Y · · · · · ·, · •· · · · · · · · · · · · · · · · ·· · · · · · · · ·· · · · · •· · • :?>< J~ 4tl 213 100 ;ua .. Orot,~ t'l'rl'hrlll l(,slon •• •••••.•.•.•••. ,, ...... II • •• •• II at Ci :111 Apiarist ...... •••...... ••••... .•. . . " No OC<•upatlon •...... ••• ••.• ...... •.. 1 Ccrobml mcnl11111tb. .• • ...... I • • •••• I 0 1 JU Auctlon,-er ...... • ...... • .• .. •. . . . ·····1Palnt<•r . ..•..•.••••.....•...... •.•. •.... I O,·robro•-11l11nl mo:nln1tll IA , ••• • •••••••••••• • ••• , I 1 .,2 ff I() llrlkCr ...... •...... •• . · 1Lawyor...... ••...... •...... J .. JO lllacksmlth...... •...... II l:'hotoi:rnpher .• ...... •...... •••• \tlC1pll.l \.Y, ,,,o,o• •• • •••••• • •••••••••• • •••••••••••• 1:i .....i ' 6 ~un or h~Rt ➔troko ...... , ...... :?.? JJook-kl•('pOr ...... •• ...... a Phy~l,•lan ...... • ...... •...... llls,·ns~ or tnlddlo ear ...... ·;, .. ...2 .. ... ii .. 'I :1 c,o.rpeolt'r ...... 11 l'rear-hcr ...... •. •I Injtlr}" to ht•lld,.. .• • . ••• •...... l~1311I 1(1 ·~1111 ()lcrk ...... •...... I Prlnll'r ...... •. •...... •.••••• 4 Ju ,1r1· to ,1,l1u• ...... •...•..•..•...... • •• ...... a I 4 8 . li1 1 Uommer<'l11I traveler...... ••• . . . . • . • :? Rnllro11d conducwr. ••••...•.....•.•• •• I Io nry to e,3,·t • • ...... ••••• ••••••••• • a...... a 10 I II ~ye;::·:::::::::::::::::::::::::::::::::: ::: : ~~l~i~keopor ::: :::: ::.::::::.:: :::·:::: n1-.r.A-.fM l!'li Gt;:\F.1tAr.r- ElocutlonlMl ...... •.... . •...... sho1•m11kor . • ...• ...... , ...... ~}~1i;tii1•s-- ::::::::::::•: ..::•:•:: :::::: ::.: :::::::: ~ .....~ H1 1:::1 i\:I Ill Expre,-s lll(Pnt...... 1SpN,ulat.or ...... • ...... •·· · l1<•1e1>er...... •••.•.... l .Tallor ...... •· J,oss or sleep.... •• . . . .. •••• •• • . .•.•• • • ••••••••• 1 :1 4 :-, , !I Laboron< ,uid lu.boror~• son~ ...... 57 Telegrapher ..••••...... •...... • •. • • •· Opium habit.... ••...... •...... •• .••...... •... l 4 r, ~: 11 ::.? !\11\.t-iOtl ...... '7. 1.'en.(•l,l~r ....• ...... -. • • , • ... • •. - , . -. lllft'Ull)f'f:LUl'U • • • , •. • . ••.•• , , . .• , , . . .••.• .... . , •• , . 2... ll,tl J!\l•tnl'lll'll llt!!IIHllon . . • ...... • ...... 2 !! tn rn Compo~ltor...... • •. .. .•. . . . . • 1 :-01 known. • ...... •... ..•...... • ... 12.·. P111•riicml ('OIIClltlon. • •• • •.•••••• ..• •••.... rn 1r-_.,,:: :::: HH )4!1 Oomestlc . • ...... •• ...... •• •. •...... • !?ll \Wtv,•s 1111d daui:hters or rarml!rs •• •• 40 l'N.•10111:cd laclnl 1011 . • • • •••••••.• •· ••• •.•• •• •. • 2 lf1 lh llalrdrt'.ser ...... •...... • I Wh c• 11nd d11111thter,; or laborer; •.. . .. 12 'l'uo ftnquent on•1:11anch~...... r, f. .: :::. ·n ;11 IIOubekoeper ...... • ...... 23 Wh c• nod dllul(htcrs of 111echanl<•s .... Jl c1hnns:P or J1rt1 ...... • .... . • ...... , ., 711 71 \lllllnor ...... • ...... • ...... '\ WI v1•• 1Lnd dau~hters of 111cr~bnnt~ . ~ln~~~•.1 It II ;rJI 117 so O<'cup11l1011...... •. . •..•..... 2 IWl\1•• 1111d <111111:htcl"" or prore.q~fouul 7 1•~~;},'~:~·1·; ·· ...... ··· ···· .. ······ ··· ·1 :::'i ····r,s '-ca.mstrc~~ ...... ,...... 4 n1t•n . • ...... •••...... •..• ...... •••• 16 I11s1111JJOl111m,•11t ...... •••• •••• • a a • 12 rn 'l'cncllllr ...... ••• ...... II WI\ -,s ,rnd daui;ht.<•r~ or trndc,mcn •• "',Plrtualt,m.. .. .•••...•.. ••.••••••.•. .•••• •• .• .• . .. • •••• .. . 8 ff H Htenogmphor...... •...... 111 1~olh:to11-.. exc•ttl'Jnt•nt...... • ...... 4 ':' •ii r.:! M JO'; Wnshorwomno...... •...... 'l'ornl ...... •···· •· ···· •·· · Prlf:l,t ...... • 1 I ••••. I 1:l Hi :u ~b11nker...... ••...... •.. . . •. I G! Id.. ··•· , ...... •·· ...... , .. ,...... r, 13 2~ :JI? ,I llMi \I nrr-.v arnrl r•xr•ltl'Jnl'nl. . ••• •• •• ••••• ••• • ••• • •• •• l\ l O :1<1 :SI H7 {Jj~~i;:1~11otr'nn1>11nlon ••• •••.•.••••.. .•••• .••. .•• •·••·.• • •••••• 4 t~, HI r II men ••••••••, ••.••• .• •••.•.. ••.• • • •••• . • •.•. 1 3 n , 111 rhnngu of l,unm •••..•...... • •.•••••. , .... ••• •.• ,. . . . . •. •• •• .• ... •• • D 15 ·:t >01111• I I,· tmuhln...... , • • . .• • . • •• •• 4 JOI 11 G7 M lri!! ._''1"''''j•lntNI1 111ft•(•l1011 ...... , a...... Bl 42 j11 b.\ 0 00 0 P.~~~:•1\a:} ;;~{1ii1~·;u;;;,;,~:,;i::.~·::.:.::. :~:::::::: ·····B·• · I ···•• j(J Jii1 ,(; i}; i..o,,rtynndwuut...... •...... •. . ... t :J 3 ;)) !!t 4~ 1':XJJ05lHl' u.ud o\·c•rwork...... 16 Jl r. -;• 80 JN ,;"'i)°'""'h· mPntnl labor ...... • . • • . . • . . . . . • •• ·i o t 7I :JO 4,1 •J I It ry 11 tc...... , ...... , . •. . , . , . . 2 2 " !; 1111,, 'j ( I\IISI uuk11uw11 ...... , ., ...... ~ ~ ~,__!!!!! :JH.:; ~ 1'cttnl...... •... :12"" ~•l flt7 2.l;t:! '2.ti'.! ri.OJ• HOSPITAL AT INVEPENDENCE. 38 l 91.J 1n:PORT OF THE ~UPERI~ n:xm:.NT. 39

TABLE XI. TABLE XIII. < AUSE OF DF.ATli OUIU:SG BIE:-i:-iIAL PF.IUOO. !-IIOV. l:\G 'l'IIE CI\"IJ, CO~WITIOX o•· TllO~F, .\mllTTEJl ll'Cnt:-i(; TllE DH::-.­ ~· I.\L P 1:1non. 1 I~ IJ Il 'A~c~u~L~~~»=r1~g~h~t"'s~·d=1s~c~11Se=-..-.- ..- .-.•- .-.-..- .-.-..- •.-.-.- .•-.-.- .•-.- ••-.-.- ..-.-.· .·.-.-..-.-.-.-.-.- ..-.- ..-.-.-.- •.-.+l~ ~~·2~ ~~,-i, si~~:r(l(1 ·:::::··:::::·: ::··:::·:.:·:::: :··. ::::·::::: ...... ~ 11~1 )~~, ~ 1 ~r.:.:~:r ;."oiientrig,: :·. :·.-.: ·::. '. :·.: ·.-.-.:: ·:. ·.: ·.: :: ·.:: :·:. :·:: :·:: :: '.::::: :: :: : : : : :: : : '. : ; ~ \\!dnWt~l ...... •••• ••·•• ...... • .:.:::::::::::: ••••• :?',! 21) ,ll C'eN.'brltl~ ...... • •• . . • •• •. . • ••• . . . • • . • . . . . • . • . . . • •• ...... • • . • • . • . • . . . • . . . . • • •• • 1 1 J ►J\or,•,•cl ...... • ...... •·•· ....•.. , .•• , ...... , 0 11 Cerebral ht!morrhngo .••••...... , . . . • . • • • . . . • •• . . • • • . • ...... • . . • • • • • • • . • • •• • •• • 2 1 3 J)e..er1,d by "lfeoi hu•h1rnd ...... ; 7 ~ 1 I nl.nown •••.•...••.•....•• •·•·· •·•• , ....••..• ••········ ••.••••.... _ _!__3, __., ~;~~::!~ l~~~~~:~1!~1:~~~:: ·: :: :: ::: :: :: :: : :: :: .: :: :::::: :::::::::: ::: .:::::::. ::: .. ii 11\I J '1\1tul...... , •.• •..•. , ,. ,., ...... •• ••••...... ~.1 :?l,\l Ill, l'bronk bronchltl, . . . . . • . . • ••• . . . • •• •• •. • . ••••. .• . • • . . . ••• • . .. ••• . •• • .• • ••. 2 ~ 1•:mpyoma ...... •. . . . .·.•.••....•...... ••...•.•....••••.•. •·.. •• . • . 1 . •··1 l ~:xhnnstlon from molant•holla...... •• ...... 2 1 :s Exhtlu"itlOn from u.cu~ manta ...... ,. . . 5 t ti Exhau,Uon rrom t·hoN.>a . . .• . .•. . ••••.•• •••• ••••...• ••••.. •• •• •. •. • .• .. 1 1 Exlutu~tlon from deltrJum grave...... J J !!' TABLE .XIV. l<:ryAtpelas t>lllegmonouM ...... •...... ,...... • ...... l . .. t 1-'lbrold phthbl~...... • ...... •.... J, 1 JII:Olff~~ 01' r: rH1 l'A1'IO'J ()I,' 1'110!-IE Al>MIT1'J-:T) l)l' ltl:OW OJE:"INIAT, PERTOT>. fl~~l~~:.ri~::rs~~::.::::::, .. :.: :: ::::: ::: ::: :: : : .: :: ::::: :•: :: ::: ::: ::::::::...... j~: •• l~ Jlcnrl fall u r1•...... • • ...... • .... • • • • • • • • • • • •. ii t 1,n. grlpJ)('...... •...... ••. • :? ~llllary tubC'roulo•ls...•.•....••• •..•••••...••••....•••.•••...... ••... •···· •··· • • 4 '1e nlnglth; Klmph•...... • .•... ..•...... •...... •...... 4 11 r, \faruYlnuH...... ••• . . •.. •. .. .. • ...••••...... •. •• ...... ••.. ...••.• .. 2 2 t Ple12n•sy...... •·• •...•.••. •······ ···••••• ··•· •············•••······· · ·•• 11···· 1 I~ Ij Il Pent>11rtlltl, hcmorrlrag,•...... , •. .• . • • •• . • l . . .. 1 l lolll'J!C •••. ...••••. .•• ••- - •.- ••-.- ••- .-••-.- ••-.- ••- ,-.,-,-. - •.- . -.-••-.- ••.!-::::..r,_ l 6 t'ulmnnary (1•dcmn...... J • • • • 1 IJJgl, JCChool . . •. . • •. ,.. •••• •. • • . • ..... •• •••.• •• . . • . • .• • •• 16 l, :ti l'yothora .. . . . • . . . . . • • • . . . . . • . . . . • . • . . . • . • • • • . . . • • • . .•••••.. , • . • ...... • . . I J Oood ,•un)mo11 r.t:.•hool ..•...... , ...... , ...... , .••• GIi ';\l Ht! Puln1onary h1Jmorrha1:c...... •.•... .•••.•• •• ...... ••••••.••••••..•..•• .. •. 1'.... J Poor 1X)mmnn whool • • • ••• .. . • . . • .... • ••• • • . . .• ~'OIi )Ti ill!tl 1>no11 n1onltt~...... 2 . . . • 2 :\ont•...... • • • • • • • • • • • • • • • • • • • • • ••••••••••• , • • • • 1:1 , :!O U~gt::::: g~ r:t~.?i" ·· :: :: : : : : : :: :: :: :: :: : ·:: :.: ·: ::: ·. :. :: .: : : : : ::: :.. ::: :: :: :: : : ~' ·· · i } l 11a'!C,·rtalm'! !llill tll7 11 111 1 ~?i 1i1:1r~ . 'u~.U~n. :: .: ::::: ::: :· :: :::: ::: :: ::: :::: :::::::: :::: ::: ::::.: :::::·· :::: II ~ i Strn111tulatt·d bt•rnla .••••... ••• •. ..•••••.. .•.•••.. ..• ....•••• .... •••.•.. ••• •... l .••• 1 ' l'uh<'r·cular 11c11to11ttls. •• . • ...... • . . . . . • . . . . • . •• . • •. . . • •. • . . . . .• . . . . • •• • . •• 1 •••. I 'rutwrcular menlngltl~...... • ...... • • ...... •···· ... • •· •· •1 :I O \ ..al\'u)ar dl~&.-'-t' ...... •...... • ...•...... • .... ---2 •••• ·• TABLE XY. 'l'otal ...... • ...... • ...... • • . . . . . • . •• . • ...... • • • • . . • • • . •. •. 83 1:.. 14') ... HCJWl:-i(, ltELH.tOCh BEl,JU' OP PATJE'.'11'8 AO,IIT'l''f:J) nrm"ic.. !'~:mun.

TABLE xn. 11ENOMl1'ATION8.

JU-:..'{Jlllc'\OF, I'.'i TJO~PITAL OF ·rnoim WIIO HAVE ItF.OOVEIEI> Olt DIJ,;n. 1'om1111 Clallhullo ...... ,. .. , ••••.. , ...... !ti l,utl,11r11n ...... , ...• 61 Metho,Jlst ...... •··········••• ••• , ••.••• ••••····· •••••• .. •. :n t•rost•:y tertu.n ...... •...... •...... ••...... ••...•...... ••••... llnptl•t ...... , ...... •··• ...... I~ Oo11gr1?K11tlor111llst ...... 10 :t tir.~~m~~: ::: :: ::· :: :: :: :: :: :: :: ::::::::: ::.:: :: :: .: : : :::::::: :: :: :: :: :: :: :: :: C a 1 a 'Phr1•e rrionllu; or kgs...... , . . . .• ...... • 50 5·> :tirx~:~~1iir·:·:·:·.-:::: :: :: :: :: :: :: :: :: :: :: :: :::: ::::: :::::::: ::: :: :: :: :::::::: ft 'l'hr1•0 to six mont hR. . . ••••..•.... . •• . . . . . •• . . . . • ...... •• • . . . . . • ...... • . .• . •• . 57 1H Aclv(•ntl~L ...... •·· ...... ••••••·· ·••• •··••••••••• 4 ~Ix to t wcl ,·e \\·t:t•k,...... • ...... • ...... • ...... • . . . . ••. 5..'I Ji JJrollurhur . •..• . ..• ...... , ... . a ~ ~ah·at!o11 Army •••• •. •. •• •.. •••.••...... ••• •••. • ...... I ...... ¥~,i 'fo \1~~1;,c:~';;N'. ·:.. :: :: ·. ·. :·. ·:. ·:.. ·.: ·.: ::. .: : : : ·:: :::: :: : : : :: :: : : : : : ::·:: :: :: : : ::. ~ 'ft l'unkPr •••• ... •...... , :1 Three to On, ycnrs.... , ...... •.•.....••...... •...... Ull 15 llutch Rc•form •...... •...•. ,. .. •. . ••...... , •...... •••.•..•.•...•, 6 ····a 1 llna-.cortalrwd ...••.•....••.•....•..•..•.•....•. , ..•....•..•• .. , •. , .... 7H !\(I ;u bi:~"r ~-~";~I::,t'.'::::: ::·::::::::::::::·:::: .:: :: .. :::::::. :::::::· :.:::::: ::. :::. l ; ~one .•••..••. .••...... ••• • •···••··•·•• ······•·•· •·••••·••·· 13 Total . . . . . • . ...••.....••...• , ...... •. ...••••...... , . , . • . . . . . • ...... ---­200 U() 'r utlLl ...... ' ...•.•...... •....• .. 40 HOSPlTAL AT INDEP~DENCE. [RlO REPORT OF THE St:l'ERt::-.TEXl>E~T. 41

TABLE XVI. TABLE "'\.\ III.

-.noWISG IIEREDITARY 1'E:-;DE:\OY 1:-; THOSE AD)llTTE)) DCHl~G TIIE ,fi0 \\1:-(; nn: FIIU~l 01' l'\'..,A'.'

1 ;; f 5 3 1 ~-1 l~ I·~ ------+-:;:; ~·--'--,,+-..:;::: r':--,0..,, J11111la. neut•· 11lmph1...... · • ... ••• .... • ··· ... • " ...... ~I Ii'. Mirnln, acuto ,lclirlou• ...... "'"" •• ,, tl~~-~I ~ Mnnla, chr1111lu.... -...... • ...... " •" ·· ••, all 100 iiNt~J~·/:::::::::::· _:_:~ ;; :;;!;;;;; ;: ~:~; ::!i ~ ~;;;;~~~!~;!iii!~~~~!:!~~~;~:~~ ii ii~~ l~ J u 1 ,tt!hLt,<:hOIIIL. hl•UIC &lru))IC ...... •· · •...... "' "• ... • '· "' ••" 6 Brother nnd M1'4tcr . . . • . • ...... •• . . • • . 1 'i ~ 1 4 ,1.,111n,•holht. 1t1·u1,• n1ill1111s ...... • • ••• .... • • ... •• • ..... • •·· ...... ~ !21 211 :\hll1111eholl11, ,•hrtml1•...... • • ..... ·· ...... • •• • ...... _1,~I a J>mnonlln, 11rl111ar) ...... •· • ..... ··• • ·• ...... " ...... ~~ •~ I n u1, 111 la. fftM·••••du.r.s...... • .• • • ...... • ...... • ••• . •.•.•.•• 1 ~wi~i ~~l ~~t~;~:-:-:-~~:::/:-)-:i;{:iii~;;\;i\Iiii\iiiiij!i;~~ii~ iiii .... -~ ! :? Jlt.-mt'ntla, •1•111le...... •· •· .. •· l:1 :!II U ~ ather and gru11dCa.thn...... • ...... •.. J Parnnnla ...... · • • ..... ······ ...... ,,!;I ~ l:! J-:/1lleµlk J11.,.11lty ...... · • •! 1, ;: I I! 1oroh l11 l ' ltl:'il; T in: I ...... PERIOD. 3 With no hereditary hl•tory ...... •...... • . .• ...... • ... 234 ~'00 1'otn1 ...... --a:.;1---;;; 617 ,.; •~ lb.7"" a s lb. s ._,:s:i.,. 8.:,. = . -~a, 8. . .. MONTU. - - ..= . &Ji i-z ~.. if• t~ :i i'& :,2'E 1 .... ijrac f ~ ed 'IIT'l'J::ll JH RI:-.(, TUF. l'El![Oll WIIO II.\ \'E OH 11.\VE 11.\() ~~ ~-;, ~= t"'a1 ~ ~ ::.! ~ ~=- ~"3 !z'o. UELA'l'IVES IN 'l'llll-\ HOSPITAi,, AND llEGREE OP IU-:1,ATIO:\SlllP. :s..-:~c..L.::!::: 4d<:':__ ~- I a'i~I .luly ...... 1211 101l Z~I 10-~\ r,K 12i 17 174 ◄ Ii Alll(llijl ...... IIR 100 ::~• 1111 m 1211 IV 17H aiw 47 .: ::l!Ml r.;; 1:!11 Jl;t< ,fit< H 11:, 112 :.?".!7 1 j 2~:1 G!! 1'10 ~ 175 a;,. .(If 1\.ELA.TlOSRBll", ~~i:.~r::.~.~~: . :·:·:::·:::·::::·::::::::::.:::::: 127 116 '"~, 6 ":'\i,, 1·mt,er . . ..•..•...... •...... 1!!11 H» ~:t! r.~ 12."l 17 •~..? :IMO lo :, fl() IH 101 :t~ ;.,; lh~, 111hl'r •• •.•• . . 1i.,io: .... " ...... 111 ~u r.1 ◄ tt 1-•l,_ ~~,.,- -..- .-.-...... ····································. ·········· J Jnnunry ...... Ill rsl•11 r,, :::, 4:1 14 F1Uh1·1 uud 1laujlhtcr ...... •....•••..•...... • ...... •• .. • a 1-•ot>ruu,r}· ...... •••· ••• •·· 1:r.1 h.>"° 2'.•?t 1:::1 r.:i J:11 ,. l'i~ '~"'au., ~:, I ::a:.? 1:~1 r,1 1:r! ,. 17"1 3UO ,I~ ~1Rr.-J1 ...... • ...... ~· II.II ~!I ~l~:l:::~ ~~~ r~::.:o;;;· ··::: :: :::: ·:::: :: :::: ::: .:: :: :: :::::::::: :.::::: :::::: ·: :.:: :. :. : : I AJ1rll...... IH Kl 22'i .J~l ;i;I lMJ ,~ ai;:, 1, ;\!otlll'r anrl d1Lu1thter • ...... • ...... • ...... " \l11y ...... , ...... 1:1-'1 114 z,2 1:,1 r,K I I~ 1:1 ,~ aK."", 41J '"'IHI Jlmtlwrs ...... , ...... ~ ..11111 ♦-. ••••••• •• • •••• •• •• ••• • • •• •• • •• • ••• 1110 1:l>< :.:.'IH J lj !Kl 1·12 I'! w.14 H :--it~tt·~ ·•••·••·•······•••• •·····•••• ··· •.••.....•.....•.. ••. ....••....••...... 2 .Jul} ...... l.';.11 IJI) l7i ll-.' ,:, 1 Aui,:11,t . ....•.•.....•••.....•.•..•.•.• • ••···• 1101u o 1:.01:ci '!'ill 43!) fl;! 1!11 ··•••~ I.I ,.•l() ./1 fl~•~\\: ;[.~cl':~~1~1\~\~~~-:. ·::: ::: :: :: : :·:::::: ·:::: :: :: : :: . :: :: : , : ·:::: ·:: ·:::: ·:: .'. :: : . : :: . ~l!Jltl'mbcr...... , .... , .•• 11:1 117, !WO J~r2 '"IIOI 1a.;121 I 1m ;1~ ◄ :! Unt•h• 1,11d uh tt'...... <>,·tol,cr...... !'.I~ llH -~.i Hlll Ill IW -I~ rn:, ,I'll .a·.! Aunt n1,cl nlt.'<·t• ....•...... •••...... •...... •...... •...... , ~<•veml>er ...... •..•, • • • • • HIil Itri :n,lm !WI,~... ·17~ 17".! :N ◄ .. ;, Uu,-.hand and wire...... 4 I>t.•t•tlmbcr ••...... • . • • • 11>() i-., :_tt.. ; -41i r~ 13."• •·? ,-- .,~ .,:. UouslnR ...... •...... ···•··...... •...... •...... • ...... •• . ... " a •~111. 42>< Gra11d111otlwr aud grondson ...... J1111u11ry ...... Jf,O 100, ~I;(), hi J;~J 4:1 1;:1 811:\ H IIIO JOO ~Ii/I 118'. Ill rno 42 t72 :1111 ,1!, 1·utnl...... • .. • .. • • • . • • ... • • • 2-, \~~!~'.~.1'.?.:::::: .. :· :::::·.: :::::: ::· ·:: :·::· ::: : 170 IJH :!"'4 j.11) ,~, 1:1.'i H 17,1 ;r.11 AJ>rll...... It,() J!.'O =~I() uo ,.,. 13.', 44 I.U :11•1 4G JI() J:JO .r.!0 -1-14 ":'2 1:i.; I.\ :II!>! ·1,~ ~':.i:·.:::::: :·:::: ·:: ::::.:.:: ...... : ·:: :::::: :: :. 11-..·, 120 ;M,i UO Ml ◄ :, '"°INO :!AA I~ AVCrl\l(C ror bll'lllllnl period...... 147 ios: :u,~1 421 1 00 rn1 H 1111 ai.7 ,:, r REl'OR'I' l)F 'l'llE STl-:WARU. 42 llOSPlTAL AT DIDEPE~DE~CF:. [lilO 1891.]

TABLE XX. :."IA1'JVJTY OP l'ARE!lo1'-; o•• l'A1' 1ENTS AD:lll'l''l'F.D lllTRl:'W TIIE IHE~:,;r.\L STE\\ \Rl>'S REPOHT. PERIOU. ,: 1 1°rhihlt of ~ptrwl . 11,pl"l)Jl1ialln11.1 1,11 the awual .Oumbl11.

I 00:0,.Tl:'.\tH.:-iT l'll:-iD, 8~:.'i~~~'j,·,•1i~·.·t!il'1i;~~·:.~·-···--·····•""""······ ·········· ..... ······ ...... ···1 ;~. Hoth tor1•l1tn born...... · · · · · '· .. · · · • • • · · · · ·' • • • ' · ' ·' ·" · · " ·" • · · • •· • · •· ·" •· •· •• %1 1u:u1 trTi!. Unk """''' •••••••••••• ::: .• :::: : :: : :::: :: : : :::: :. :: : : :::•:::: :: :::::::• :: :: :: : •. :: :: :: 3:J 1 2GG,-•,_ Totul.. , • ..••••. , ...... , ••.•• ~ Joly I, nalaueo on h1'nd ••• ,. •• •• • ••••••••••••••••••••• • July 10, l'rorn nppro11rlatl1111" uf '\'went) -:-1!Cer H. From "Jllll1'>Jrrlu.tlon• of ·1•,.,. .,1,·-'l'hlnl Ocncrnl A,.,_,,mhly , ..••.• , ...... , • I, ISO.ti

•Janunry U. From appr.. 11rh1tlun,. or 'l',.,ml)- Thlnl Oe111•ml A11!11•mhl)' ...... , ...... , ••• 1 •H lfi April tJ ••rom 11ppro1>rh,U1111s or l'w1•111y-1'hlr

1"11$7 211, Wtn, M11n.hnll, rc1111lrlnlt' IJullt•u ...... ,! 21 ~ \V• • J. tt. n;.ortLI\, tua n11cl corf',,4 \,0U,1 rs ...... ••••. 600.l•J :tll, 7!1 ,lune 211. Fl•l11·r UrO'\., 1•c1n1•111 ...... •:. H , llr11l111 r,I. 1011 bow!R.... ,... •••••. • ••• , ••• , • ,. 12:,.uu Augo•t II~ Jl.'0.10 Sept••mher ao. t,oo. :-.ctcutt. bric I.: •••• • , ••••••• •••••• I •o. ((>:I.I~ 31. l'ay•roll. luhor 011 ronwt<:ry ...... )larch 3!•~ April 21.1. Oba , G, lllpwell, tilat(1...... J. L . Mott, Iron Works, lutr&l.l rollur...... ,. 2:JG.2/1 )lay 17. ,?!IM.1!7• &lny l!O• •J. l,. Iott, lron \\'orks, hoJ)IK"nl, ''"'••··• •... 1;eo, Sct<'ltl k. ~u, lumrn-r...... , .••••••• , , 1 111•.r~, <1urJN 1utt_•r & ., r111IIHton1 ... . , •• ~,l;I :-eptombcr 2:/. {,<•nch k Smith, lnmlH:r ...... 44 HOSPITAL AT INDEPE~DE~WE. fBlO REPORT OF TllB STE\YARl>. 45

September 30. b'rank )la rte, labor ...... $ 210.00 TILE 1-'UND. September 30. Josselyn & Taylor. speclfkatlons ...... 10.00 September :JO. Geo. Hageman. labor and materI al...... 147.0I December IO. B. A. Stevens, cold storage pans...... 7.0.00 1"90. December 31. B., C. R. & N. R.. R. Co.. frehrbt ...... 77.9¼ t)ctobvr ~. Prom l\pproprlallon or Twonty-Thll•d GL•ncral December 31. D.S. Fl Held & Son. lumber...... 2'i8.97 A,,_~ombly ...... November 15. llleacham & Wright, cement...... 10'!.50 U!!ll. ,~. Prom appropriation· or TwN1ty-Tblrd Gent'rul December 31. n. w. Stookey, brlck...... 57.32 .l:UHII\TY December 31. Peter )lcAuthur, baul111g sand ...... 62.40 A"cmbly ...... , ...... 44.62 Jlecembor· :n. W. ~. Davis, labor...... 110.77 1801. EXPENDl'rUltE~. • ,Tunuary 20. Fuller & l•'ullor ('o., lead...... 65.82 u,oo. .foouary 28. Ir1i B. King, labor ...... ,..... 41.60 JOO.~ n,,tobL·r 10. Soule. llap;an~ & Funk, tile. etc...... I, .January 2.1. F. E. Tlopklnh, labor...... 52.00 20.30 O~tober 1(1. Fred R<1lsner, laying tile...... $ 6,87'd.« IAAI. 15. Fred Reisner, lnylng lllo ...... llahrnce on hand .fuly 1, 1~01...... •...... 8 . lt\UlllLrY

DIPROVING GROU11/DS. <"OAT, TJOUHE ~•1·:-0.

llECE:JPTS. llF.('&lrTS. 18\H. 1889. \prll 11. ~•1·om 11.pp,-oprlatlon of Twenty •Third Ge•uiri.t ,July 1. Ra lance on hand...... f b79.f)7 A~sembly ...... $ 2,000.00 .July 10. From appropriation of Twenty-Second General t 2,000.00 Assembly...... 1,000.00 1&00. KXPRNDITUUF.!<-., .Inly 0. l!'l'OID appropriation of 1'wenty•'.l.'hlrd General 1a. Sl!,ndi.rd l"emcrnt Co.• CClment ...... I 5-1.00 74.29 '\lay Assembly ...... LU. Pay-roll, labor...... 260.00 IS0J. \fay 10. Standard <'ement Co., cement...... 54.39 A prll 0. Pl'om approJ)rlaLlon or TwenLy•Thh-d General Juno 20 . o. w. natch, labor ...... U.87 Assembly ...... 4.25.'il .Juno .rune t'!l. John Artuq, ll\bor...... l8.'75 S 2,37g_67 .fnno 29. John Wllllamson, labor...... 35.2:i . lnno 20. o. II. Roblnqon. hauling stone...... 100.llO 1:1. B .. o., R. & N. R. R. ('O., Creight...... 51.60 1889. . run~ . lune :!.5• U. T. Pe1irson. lime ...... ___u_a_.GO_ 5()().00 .Juno :JO• .J. Welchmmnn, service•...... I IS .rune :JO. Angus :llcQueen, l1ibor...... 88.3.5 )lu.y 2"2. 0. H. Deering, surveying...... 4.00 Balance .July I. J!.'!11...... i 1,269.1' July Jl. Angus '\lcQueen, labor...... 18.:tl .July 17. Soule. llngans & Funk, lllo ...... 61.0;; F,LT:VA'l'OR I~UND. SepLCmber ao . .J. Weidemann. Horvloes...... 300.00 September :JO. J. Wddemunn. ,;on•lces ...... 100.00 October 4. F1•ed RL,bner. Lile layer...... 82.50 18111 l'iovcmtie1' 4. L1ll\o & 'rill, tile ...... 144.75 At>rll !l. From app1·oprl:,L1011 or Twcnty-Tlilrc\ Gc•neral No,·embcr 23. Fred Reisner, tile layer...... :12.25 .,~.... (."'lll1)ly ...... •...... •.. , · • 1.500.00 No,·embor 25. Ohas. Gan ti, brl<'k ...... 27.00 1,600.0IJ TlL•cemh<.'r 10. John Artus, labor...... , ...... rn,.oo £Xl'END1TU1tf!~. • Dol'cmbor ~'O .•1 . Cooley. st.one ...... 285.H 18\IJ. ~01iteml>er 10. Webster l'lty Rrlck & 1'1le Co.. t lie Junctions...... 4.00 Jnnuary 1:,. A. l). Guernsey, tmvollng c,xpo11fics ...... , 18.00 100.00 I8!J0. .Juno 12. Iowi.Stu.toPonltcntlary. cuthtono...... 10.00 •Tunuary t. Pay-1-011, h,bor ...... 118.53 .June 21. E,lward !Ile Donnell, stone ...... 1',l.00 July 3. Son lo, Tiugans & l'unk, tile ...... 51.l0 .runo 211. JI. P .•foho•ou. lrnul\ng u.nd 1,,hor ...... 7•1.0I . Juno ;JO. Fred Reisner. laying tile...... 23.10 '.\luy I'' 8., o. R. & N. n. n. Co., frolp;ht ...... :l'.!.~.00 March :JI. ,f. l\l. Marquette, hauling stone...... 'j;J.85 ,lune 20. Frank Marte. lnhor ...... 20:\.r,o l\lay 21. F.. Uus9, trPe~ ...... 13.00 .lune 2\1. W. N. Du.vb, labor ...... 'l'l.00 •June 20.. r. M. )larquetto, stone ...... il'i0.20 .Jun,• :!!J. Peter McArthur, ~and ...... IW.00 .]uno 29. Uhu~. Thomas. Sr., la.bor...... 62.00 .Jun(• !l!L Goo. Netcott. brl<'k ...... __ _ ---- O'J:J.l;J I! 2,470.01 •---- Bulunc·

H FCJ:l P'l'>I, I rhlblt of Slt:IMrd /f>r IJCar r.nd.,.11 J.,,.. .t_,, ts:~. ti,,.9, .July 10. f'rom "ll1>ro1>rl1Ltlon or Twenty-Second 0en!'ml 1n:c 1n1-r~ Al!'-l'lllbly ... • ...... • 2,000.00 U,00.0t From l>alnnco u11 bane! .July I, 1"••1 ... , ...... 1,0.'t.•>I Prom 1"rld ... • ... • .. • .... • ...... 1,lir.:?.U ti,110. 267.0t. .July 2. De1Lrhorn Foundry I 'o., het\ms...... $ • rom 11un1lry nrll<'I• s 11old ...... 4;11,0,1 20.lh .July O. H., I. It. & N, R II. Co., freight ...... l 'ru111 furm i;11wk, ,·t,,., 1-ohl...... 1.~111.r,, .July 211. Ana1nos~ penlknllnry. ~tone...... 50.0ll ---- September 5.• To 1>lyn & 'l'a~·lor. S-Ot\'lcc,,...... , .. .. '':? 00 • 1:JloY,(1,711 $ l~.,1!1.711 50.60 Septcmher ,. 'lnr,sh &. llolabor. ornamenh ...... ''\l'&!>.r>ITI nr.s, Scptcmlwr II. Edw11•r 7. '1lt<'h!'ll &. Hallmch, dt•,•orat!nir ...... t•or uudry J:rt>••e1·h•!:i. • .•. . .• . ... ··• ····' !!,t:U.:H 2.\7. to Octob.. r O. ~man & L.'lndl", M'CDNY. etc...... I or mt'dlcal ,111111llcs ••.....••...::: ·: ::::::::·::: ·•••·· ·· •··· •• • • !!,Ooi.:.'d 7.00 Oc1,oho1· II. American Exp1·css t'o., e~prc-~ ..... • ...... 1-,or S,K)gt 1go tuul 8tlit luucry...... : ······ ·• r..ii.~,, 00.•t Octoht•r 2:1. Edwnrd•. ~lcDo,111111 ,I. Leuch, lumh('r ...... ~•or Plothlop;...... ':".s:!I '.'0 I or llhrnry n111l d1't•l'1'1~r;:· " ..... • ...... , ...... l.o;JO.f\.\ 2.;,00,00 1·,l1 fllrnltu1·oand fur11IKhl~~·.·.·"· ...... • 5.ilO.O:, I.or rt'l'"lrs.•. ,. •• ...... • , ..... ::::::::: ·::.·:. :::::::::: ::' •.. . '' .•'' 6,tfll.~I) I or 1,arcl"·nrc ...... ::::· •• ·· U•:.•l.J;I HE('Ell'TS, l"ur 0011tln11c11cles . • ...... • ...... J,b.01 l'or wotcr. ·•· ····•• ·" · Ula.&i 10. From 1q1proprhltlun or 'l'wonty-S,•cond G1•11t"rnl .lul.\' t 1,500.00 a.Olli,h.f J\•~Pmbly ...... ---- ::::~ !~:1~•-:.:.::::: :. ::: .:::: ::: :: ::::. :: :: ::: ::::: :: :: :: :: .: : : :: :: :: :: :· 2,445.!!l $ 1/,00.00 J"or llght11 .. •...... •...... , .,,.~_' ::: ::::::::: :::: :: :• 3.H R.70 t:XPE~l>ITUlll\~. 10,tla!).~7 ::~~ !~f!;.-~ ·~~·.i·~~~~::::::: :::: :: :: :: ::::: ::: :. :::::: :: ·: :::::: :: :: 12,097.lt"J l~K\f. 1,0l;J.~9 July JO. Crt\110 Hros. MnouhlClltrlng t'o.. plpo ...... l Total .... , ...... I 101.966.7(1 ,)uly ZJ. n., ('. R. & N. Jl. It. Co., frolght ...... a..oo 240.00 Yutll'hrra for qmull'r t•ndlng ,Juno :io, 1~00, unptdd ...... ao,a11.:?a Scptoml>or 11. John II. McCOotl!'II ,I;, {'o., pipe C(l\'llrlllg ...... f IOI ,OIO.l>:J $Cp~cmbl·r ao. lllllhllWllY & Couichlln. labor, ('le ...... 03.M 118.:U lhl111,c1• on hand .I 11111• !JO, t!l'.IO...... • I 7,210i!6 ~o,·ember 1. )lllr•llllll Fl<'ld ,\. l'o.. duck ...... • l/i00.00

<'OXSERVA'r<>RY ism. I 2,000.00 .June ao. Nclth1•r rect!ln•d uor cxpondc

From 'rrlla.1mrer of !!llllC 0 12..~.oo 1:rom ho11rd a1Hl <'lot hlog pattl ·.;~· frhmds ot·;,~;j~;,~~··:: :: :· :· :::: !!,O'.l-1.r.1

I· ruin hlld 1 1,460.14 l'nnn :M-\lndry a1·th.• h•"' -..ohl · · · · .. · · .... · · · ·· · .. · · •· · · · · · · · · · .. • • • • 1117. 1!! I rom farm ,tock, t.,lc.. :-0Id .... · ...... · .... · · • .. · ·" .. · .. · • "·· ···························· ··········•··· U77.77 I 13!1,'i()f$1 I l;Jll,'iOO.l:1-1 48 HOSPITAL AT INDEPENDENCE. }j\11.) REPORT OF THE STEWARD. 49

EXPEllTOllES. Radishes, l:IO bu"h<'ls, ~. ,o cents ...... •.....•...... S 5:?.00 Rad Ishe-<, ho,...e, 18 bushels,@ 35 cents...... , ...... 6.00 For vouchers u npald June 30, 1890 ..•...... ••...... ••...•.•...••I 30.317.23 H.iJubarb, "7~ buAhels, ~ 6 cents ...... 1)8, 76 For meats and fish ...... • ...... 12,063.65 i\l!.00 Vor lJreadstuffs...... • ...... 6,453.0'? ~t:,;:i,1:, :u;~':~:'i~ ~o ;~~;~~.:::: :: :::::: :: :: :.::::: :::: .: :: :::. :::: :. :: :: :: ::: : ·::: :: 30.00 For !ruIt .. . .. • . •. . . • . • ...... • ...... • ...... • ...... • ...... 2,10..G.'i !-\weet corn, l,6 bushels, Iii 40 cents ...... • ...... ,o.oo For tea and coll'ee...... • ...... 4,171.~4 Sph1auh, 2.; bushels, i.t 30 cents ...... : ...... 7.60 For sugar and syrup...... 3,010.90 i,age. 40 bushels,@. 50 cents...... •...... 20.00 Forhutt.er!...... 7,239.70 <:qu1<-~h, winter, 1.2.~. fi!. 8 cents...... 100.00 ~·or eggs and cheese .....•...... , ...... • ...... 1,0IZ.89 Squwih, summer. Oi!I. @ JO cents ...... M.~ FOi sundry groce1·les ...... 2,031.78 Turnip,, IJOO bu•helR, @2S eeot•.. .. . , ...... 160.00 For medical supplies ...... • ...... 3,767.lO Toroat sold, 7...... 70.00 For rept,lrs...... 4,630.20 Hog,-,;lo.ught-ered, 58 ...... 711.Z For bardwaro...... 1,271.58 flogs ,old, 1211, *2,~ pounds...... , ....•. UTJ.20 For couU11gcncles...... • ...... 1.260.7,'i 1-lor-s,•s sold, 1 . • ...... • ...... 85.00 J,'or Wl\LC1' • • • • • •••.•••••.••.••••.•••••••• • ••.•••••••••••••••• , • • .. • • • • 1,416.07 Milk u~cd from dairy, '4,500 gallons ...... Cl,676.00 For farm ...... U,2Z7.&I PotD.toes sold ...... J.15() For soap...... 1,605.27 Use of farm tl'ams and driving horses ...... 27.7!') l•'or llgh ls ...... • ...... • .. . • . . . . • . . • ...... 2,698.70 VetLIS slau11:htered, 6 ...... 37.M For tuol ...... • ...... 10,◄~.64 Toto.I ...... , ...... · · ·· .. , ... ·· · · · , · ... , . , ...... , .. I 20,039.\'7 l?or salaries and wages ...... ---- 43,05!!.06 Totu.l ...... S 150,155.!7 EX-PENSE ORARGED TO FAIO,t:, 1890. Vouchers for c1ua.rter ending .fune30. l!IOJ, unpaid...... 28,10!.:JS a,6'1.00 S 131,051.00 1-lo&rd and pa.y of teamsters, gardeners ,md fo.t-m bands ...... i Hlacksmlthlna: ...... ata.1~ on hand .June 30.1801...... na:ancc Bulls purchased, I...... 00.00 l'ows purchased, II...... :na.oo PRODUOTS OF FAU)l A:NO OARDF.N. Corn purchased !or seed ...... J.7'6 Fel'd purchased ...... ,...... 810.60 For year endi1111 J1t1te ,'ll'J, 1800. Bogs purchased ...... , ...... 80.00 Asparllgu,;, 255 bunches.@ 6 C!'nts...... I 12.75 Bor~es purchased. 4 ...... 460.00 Apples, 12 bushels. (fr 76 cents ...... 9.00 Harnehs aud repall11 ...... , ...... 228.]~ .Bea.as, 170 bushels, (ii 2 dollars...... 3-10.00 Bay raised 11nd consumed ...... , ...... 1,000.00 Beets. :171, bushels. (Ii 45 conts...... •...... lfl8.7~ )laugeb ralbed and cou.. umed ...... 220.00 Del't greens, too bus!Jcls, (f, :io cents...... •...... ;J0,00 OtLts purchasl'd ...... 1J;,.J5 Deans, st.ring, l<4 bushels, (f, r,o cents...... , ...•...... •...... • •· ...... , • • ... • • • 42.00 U1Lts ml•cd and consumed ...... OIG.42 llco.ns, Limn, 7 bn•ltl'ls, r,, 2 dollars ...... , ...... •••••••• 14.00 Seeds and plunts 11urchaHed...... • ...... 31;.07 Cnrrots. 500 bushels."' 2.~ cents ...... , ...... •·.,. 12.'i.OO ;0.011 'laehl11nv pur<'lrnsed ...... , ...... 382.t<.~ 0l'ab-11pples, 3 bu8hcls. "' 50 cents...... •. . . .• ...... I.Ml l!ye pur~l11.. "cd ...... , ...... • •··•··· .. .. •····· ... . 27.114 Ourrauts, 2,500 quarts,(,/, 6 cents ...... •...... , • •· lii0.00 Post~ pu rehllHtlcr thousand ...... , ...... • • • , .. • • • • • • 80.00 Htrllw pnrcha,cd ...... , ...... 76.01 Grapes, 90011ou11ds.@ 7 cents...... , ...... , ...... 63.00 ltepalrl111( Wlll(ons 11ncl tnrmlng Implement.~...... JO(J.J6 llo1>s, 20 bu•hels, ([,' ,,o cents ...... • ...... , .. , ..... , • • 10.00 ('a1·rlsg<•~ purobflSet 40 cents. . . . •• ...... , ...... , • • ...... , .. 220.00 Prollt for yC'ar c11dln11 Juno 30, 1800 ...... Oats, 3,626 bushels.~ 17 cents ...... , ...... 616.42 I 20,0:JO.'i1 Onions, :i'.l;; bushels,@. 75 con ts ...... • Ua.'ia Onions, 560 bunches, fit 10 c(lnts ...... •...... 00.00 l'RODUO'l'S m' FARM A',D GAltrlEN. J,:>&5.'i;) Pota.tocs, G,l~l busheh,. "' 25 cents ...... /!'or uca1· cnEXCE. [BIO 51 50 43.00 :!l:lG.00 Ut•ut of hmd ...... , Be:rn11, "hltc, I h hu.c,hllffi, at '2.00, ...... , -z Ii-! 8:? . 61) llr1mA. al rlol{, c,.., bn•ho18, Ill M cents ...... !\Gll.O(J II!'> 00 ;..:~t ~~- ~1-~~~-:. :: .:: :::::.:. ::: :: : : : : : :::::. :·:. :: :: ::: :: : : : ·: :: :. : : : : ·::::: :: :: 5 :M.m • P,llr.7.NI 1•al1hag1•. U.R211 head~, at fl cont~ ...... l'r<>lll tor y~,n endlr,11, J u11t100. 11!91...... • ...... curr11nta. m.; ,,uarlB. at oonts...... ,~r" ."°(!) f l?l,U3.73 (·orn, ~wt,,~t, ~ hu;.hcl&, at :"'-.(J ccnu...... b,00 F,11;K-11lant,, lt11sbcJ•, al 1.00 ...... 1,1.{") CTrlll>4~. 1.400 1,oundi, tlL ti c.cnt~... . .• ...... •. .. . .•••. .. ..•. •••• .. . •• • •• ...... •• M ,t,J Hop,,, t(»'i i,ound~. nt :,0 ,•~nts...... , ...... 1,700 00 llllY, .:?.\ tonK, Ill~ 11() ...... 00.00 [,cttu•~. 800l1ushrl1. at 30 l't:.S, .f/,.",11 t,usht•ls, at >-0 et.•nt-8 • •.• ••.••••.•.••••.•••....••..••..•.....••.•.• 1 G7 ,l,Q l'nf'8ul1,v, !!'!.'\ huqht·I .... , 1Ll ao <~nt..s ••••.. .•.••...... •••••....•...•••.....••••..•. ':',!\I) l',•111.el'I, ~, al 1 ...... bn,holfl, tJ.~,0 ...... ~!'<() l"clltli, r,o l1l1-.\u,1 I-.. a.Lt 7."'t <.•t•nt-. ...••• ••• ••••.. ·••• •• .••...• •• ..••.••••..•.••••••••.••• Iii .All Jliu;11bcrrh"'• ~:~ ,,1111ru. 11,t I:! l'Cnt...... f0.0'• H,.,11,11,.,., 200 hu•ht1l1. ,u 40 conl.S...... • ...... ~-00 ltacll•h. horse. r,o hnshcls. at'-' oc·ntJo...... lthnharh. 7":'!\ hu1it·hcs. nt !\ c•ont-...... •...... •..•...... ••... ..•. rn, oo Ryo, ll3'i bnfil•••ls, e,l .',O ._.,,nu• ...... &o.00 l-1\l~tryJ,o hushf'lt1, ut 11.00...... 6.0 :-p\nach, 1:, l111•hcl•. al 40 1•,•11ts ...... Mf>/J s,,,lll~h. "Intel'. 1:\0 do11•n. Ill •1.~ ...... ,...... ll6 00 :-.,ua,,h. summl'r, II<'! bushol•. 111 ~cent• ...... 8-\.IJO Salll', ~() po11n1I~. at f,()c(•nl.8 ...... Ht.t i !--trawht•rrlos, :1,,.r, «1uarL111, n.t I:.! t•1•nl'°' ...... ••••·•••••••• •••••••••••• l\611.0l 'forna.U)(•:-,• ":00 husl1t•lt1. Kt loi() l"Crtl ■ • •• •• . • •• •• •••• •• •••. •• • . • . •• . •• •• . • . • • •••••• 100.00 Turn ip•, 41,0 hn~h~ls. at :!.i ,·1111t~ ...... :11ro tlal\essold,36 ...... 27,f,O Olllvci ~ll\11,thll•rr•I. 4 • ...... 2U ~•1 Clo"s slaughtered.,...... •...... fUk I::', Hogs sl1111gh t rrt•1l, l,J ...... l,2"1'1.20 llogR 110lcl, Ill\...... m, oo l tor,,P~ M>lfl, 2 ...•...... •....•.•.. •...... ••.••.....•...... • ....•...... ••. 6Z,0.00 ~1\lk from dairy, '-1.flllOl(sllon~ ...... ttyc11old,III bu•hl'b ...... ,o.~• . ' 1.000 00 1,_,,. ,,r far,n t t•lltU!-1 •••••••• • • . •••••••••••• ••••••• •••••••• ...... • 21.1'3. 'o

8,tJT.00 11,u, rtl iu11l 11ay nf 1.,,am•tOr-, ,,.rdo111•~ and !arm hand1...... :i Jr..l!O • lllacln,mlthlng ...... 1'111.80 l ',>WK p u N·ha.,ml. 6 ...... 58,\.11! c·orn 1,uttlu,~,1 ancl c<>n~un1o

52 HOSPITAL AT INDEPEND.l!..:N"CE. [810 lti91.] REPORT OF THE TREASURER. 53

OR:SA'lF.NTING GROt':SD FU:-iD-2:!o C:EXERAL ASSlllllDLY.

•1 11 ecrltwlt alwu,iuu rrctipt~ <111rt 1!Mbunir111tt1l<1 / or roc/1 mmtl./1 / or U10 IJC(lr rornmenr,110 Ju11r TREASURER'S REPORT. :.-,, J.'189. m111 c111linu J,me JO. 1890.

lh<. en. 1889. 1&9. .June ao. To balt,noe...... t ~711.67 .July By ordor,i paid.... I 610.0S TREASURER'S OFFICE, l .July 13. To requisition.. ... 1.000.00 OotOb()r By orders paid... . M3.r.5 INDEPENDENCE, IOWA, Juoe,-30, 18!)1. f No,•embor lly orders paid .. . 171.76 Total...... ~ J,~711.0, Deccmbor By orders paid. . . . 1150.75 To the TrWJtee8 of tlw Iowa Hospital for the Insane at Independr Ja11u1Lry'"'°°· lly ordor,i pl\ld... . :!80.U ence, Iowa: Fchru1.ry By ordors paid. . 113.63 The following report of the Treasurer of said Hospital, showin~ 1'0lllI...... I l,!>79.67 the receipts. and disbursements of the several funds coming into ORNAMEN'l'lNO OIWUNO PUND- :?:lo 0&N1'lUAL A8SE~ll3tN. his hands for the years commencing June 30, 1889, and ending An e.c/1UJ(I 8l101oino thr ,·crtlpta and dlsbtll"i!ClllCllld for «!ell 111m1tl, for Ilic /Jfennlal t)el'Wtl• J uoe 30, 1891, is 1·espectfully snbmittod. comnumcht{I June :Ml, 1!189. mid rn,t111u J,me :JI, 1891. GEo. W. BID.ns, DR. Ott Treasurer. 1800. 1800• July 31. 'l'o requisition .. t 74.!!!I . July. Uy 01•ders tmld .. ..I CURRENT EXPENSE FUND. 1891. 1801. April ta. To requisition . . 425.71 April. lly orders pllld .. , 'i3.8;'\ Exhibit from June JO, 188!!, ui June 30, 189(). June :10. To overdrawn...--- oo.:u ,June. By ordors paid.. . . ----(51.20 Balance on haui•wn ....I ----- Oll.:tt Uecelpts to June 30, 1890, from Steward...... 6,826.18 ------4 1as,s.'ill. ro By pa.yment or orders to June 30, 1890...... •...... 131,64.0.5:1 E'ILAltGJNO AND PLAOINO GALLERY IN CIIAPEr, }'UNn-2:!o OEN. ASSEMBl,V

Ba.lance on hand June 30, 1800 ...... •...... s 7,210.26 A11 cxhUJit g/u,wt11111·wct11ta (Ind dulm1-scmmts Jo,- «!cl, m-011/.h for the llfe,mm! ptrlod c-0111- menc!no J1me JO, 1889, amt cncltng Ju11e :kl, 1891. Exhibit from J1mc 80, 18SO, ui Jmu: 30, U!!Jl. Dn. On. .Balance on hand .Tuno 30, 1890 ...... I 7,210.26 ISliU, lRSU. Bccelpts to June 30, 1801, trom Treasurer or Stu.te...... 127,020.00 .July 13. To reqnL~ltlon .. I 2J.OO July. Uy ordor!! l)u.ld ... I 267.00 Receipts to .Tune 30, 1S91, Crom Steward ...... , ...... 5,,79.57 September. J3y ordors Pl\ld, , . 105.00 -----ll! 130,700.ts:J Ootobor. By orders pl\ld .... 2.036.20 By pa.ymont of ordors to June 30, 1801...... •...... •.... 131,051.09 18\IO. Balance on band June 30, 1801...... s 8,666.74 January. By orders paid .. , 00.84 Total...... a 2,500.00 CONTINGENT FUND.

.A.11 exhibit sltowino the rceclpt& and d18burdcments for =h month for the biennial pcr11Kl CONTINUINO OHANOES IN S'rEAM IlEAT[NO PUN0-2~0 0BNll:IUI, At1stmor,Y. commtnchl(I June 30, 1889, and cndbl(I June 3Q, 1891. All cxhil)it 8hoWlll{I rcectpta and d1.!/Jt1rdtlllt1tl8 for =I. lllOnlh for I/le lilc,mlal 1)('1'(1){! flllll· CR. DR. 111e11ct11g June ."JQ. 1889, ancl endlllU June 30, 18/11. 1889. 1889. July By orders paid.... S J,021.Ut June 30. To bu.lance...... I 266.7'2 On. en. 13. To requisition ... , 1,000.00 October 10. By orders paid.... 2'5.J0 July l681l. 1880. 1800. 1800. Ry orders p1Lld ..•. I 1,ljHI. 60 By order~ paid .... 603.45 ,/uly 13. To rcqulsl~lon ..I 1,500.00 Ootobor. .Tuly 81 . To requisition .... 2,616.73 April 11~.:11 2,213.28 Novomhor. By ordor>1 pl\ld .... October 13. To requisition .... 1,186.11 .July By orders paid .... 'l'otal...... , 1,500.00 1801. August By orders paid.... 86.37 Tot:11 ...... I 1,000.00 ,January 17. To requisition .... 1.44U6 October By orders pa.Id .... T.12.26 April 13. To requisition .... 66!.70 November By orders paid .... 367.6' 1891. ---- January By orders paid., .. 1,4#,00 Total ...... •..S 7,266.72 February By orders paid .... 169.42 393.28 1891. ----- June 30. By balance ...... a..J.28 June 3G. To balance...... S Total ...... a 7,266.72 54 HOSPITAi, AT J~l>EPE~DE~CK [RIO 'l'ILE rc"m. Afl uhU,11 Al&1'11L'l110 tJ,~ ,·rufp(8111111 cJla/,t,1'frmt nl1 for r11rl1 ,11011111 forl11t l,i( n11flll 1icnn,J rr,tn• ,,i,ncmu J1111r :,,1. /k'i9. nn,I tncJlnc, Juw :,,,. 1"91. OR . I~. Jl•tlO. Uy Ordl'l'II l)llld •.•.I lfill.l,f October O\'lober ll

E LEVA'rOH FU:-Ol). An cr/,U,il ahoui1111 "" tr.t:dp(I and cJ{atn,r,, "" "'•l••r t,U'I, .,, ..nth/ or Utt lrft11nfal Jxrfodrom­ ,,,rnc111u J1111• :,1, IRl'i9, """ t:llflillU Jllll'- :,,1, IWI. ll1t. Cu. lb111 , l•~I. lly order- puld ••••i .t•) April 11. To r11c1nlsltlou ...., l,:'lW.00 ,la11u11ry ,111111' lly or

COAL uot::-E Fll:SI>. , 111 trllll,il 1/1c,1t Ital/ t/1~ r,c,lpl~ crnd ,11,1,11,~r,nrtal~ /1w tad, 1111111th /111 tltr J.lrnnial 11t1k,,/ r,,,n. '11lt11rinu J11.11, /Ill, J669. 0,,.1 t:ntli1111 Junt :,,,. 16111. CK. Jl<\IJ, UNI. Hy orden, pal•! ...., :nu;o April 13. To ru<1ul-.(;6 30. lly bal1111c••... . •• •• 1,2ell.U Totnl ...... f :?.000.00 .Juno Total •.••. . .•••••t 2,000 oo ,Juno :JO. To hlllaoce...... I l~•.lt

STATE OF IOWA, I ,. Cot.:~,Y U)" Bl't'UA!-/A:s, f Fl! • I, Ceo. \V. Bemis, hoing fir11l duly :morn, do chipm;e and say, that the accompanJing !ltatemcnt of tho rercipts aml 1lisbur1cmentA madu hy me a;; trea,rnrer of the Iowa Jloi;pital for the l o•ane, :!t lodepooc.lunct•, Iowa, for the biennial p<•riod rommen<'inir ,Jmw 30. 1880, and en1llng Junu 30. 1891 , ,u·e lrue, as I ,·erily l~lie\"C C; KU. W . B1t:\l lt1, Tr,•mmrcr. SubKCribod in my 1>rcsN1cc and sworn to before mo l>y