THE LIBRARY OF THE UNIVERSITY OF GEORGIA u ANNUAL REPORT OF THE BOARD OF TRUSTEES OF THE Georgia State Sanitarium FOR THE TWELVE MOUTHS ENDING JANUARY 1st 1905 W if AUGUSTA GA Richards Shaver Co Printers and Lithographers 1905BOARD OF TRUSTEES Georgia State Sanitarium JOEL BRANHAM PresidentRome Ga THOS G LAWSON VicePresidentEatonton Ga RICHARD JOHNSON SecretaryClinton Ga JOHN X BRANTLEYBlackshear Ga JAS B BAIRD M D Atlanta Ga CHAS J MONTGOMERY M DAugusta Ga THOS M SWIFT Elberton Ga JNO L CULVER Culverton Ga W F BRUNNER M DSavannah Ga HENRY BANKSLaGrange Ga LIBRARIES IF tEn8V oCOMMITTEES OF THE BOARD OF TRUSTEES Georgia State Sanitarium PRUDENTIAL COMMITTEE Jno T Brantley Chairman Trios M Swift Richard Johnson Thos G Lawson FINANCE COMMITTEE Thos G Lawson Chairman Richard Johnson Thos M Swift Jno T Brantley COMMITTEE ON FARM AND OUTSIDE BUSINESS Jno L Culver Chairman Jas B Baird Henry Banks Chas J Montgomery COMMITTEE ON BUILDINGS MACHINERY AND REPAIRS Thos M Swift Chairman Chas J Montgomery James B Baird COMMITTEE ON SANITATION AND WELFARE OF PATIENTS Chas J Montgomery Chairman W F Brunner Henry Banks COMMITTEE ON DAIRIES AND HOGRAISING Henry Banks Chairman W F Brunner Jno L Culver COMMITTEE ON RULES REGULATIONS LAWS ETC Richard Johnson Chairman Jno L Culver Thos G Lawson COMMITTEE ON MEDICAL AND DISPENSARY SERVICE Jas B Baird Chairman Jno T Brantley W F Brunner The President of the Board of Trustees is exofflcio member of all CommitteesELECTIVE OFFICERS OF SANITARIUM T O POWELL M DSuperintendent and Resident Physician J M WHITAKER M DFirst Assistant Physician L M JONES M DAssistant Physician E M GREEN Jr M DAssistant Physician JNO W MOBLEY M D Assistant Physician N P WALKER M D Assistant T hysician R C SWINT M D Assistant Physician R V LAMAR M D Assistant Physician WM C PUMPELLY M D Pathologist J C RICHARD D D SDentist D S CARRINGTON Apothecary L J LAMARSteward G W HOLLINGSHEADAssistant Steward W H HUNTERStorekeeper H SJONES Secretary W A GILLESPIEBookKeeper MRS J M DARNELL Matron L H ANDREWSTreasurer T H DeSAUSSURE C E Engineer REV W D BRANNENChaplainAnnual Report OF THE BOARD OF TRUSTEES OF THE Georgia State Sanitarium For the Year Ending January 1st 190 MillEdgeviixe Ga January ist 1905 To His Excellency Joseph M Terrell Governor SirAs required by Section 1421 of the Code of Georgia the Board of Trustees of the Georgia State Sanitarium has the honor to submit herewith its SixtyFirst Annual Report of the conduct and management of same covering the year beginning January ist 1904 and ending January ist 1905 Forming part of this report are the reports to the Board of the Superintendent Steward Treasurer Engineer and other officers of the Sanitarium which give in detail the movement of its popu lation and the receipts and expenditures of all moneys appropriated to its support In the beginning of this report the Board desires to make its grateful acknowledgement of the generous support given it by your excellency in the discharge of its responsible duties The thanks of the Board are likewise tendered the General Assembly for the in creased appropriation for its maintenance FINANCES The expenditures for all purposes were35074682 daily average of patients 2880 making a per capita of 12179 6 Annual Report of the The average number of officers and employees was 475 patients 2880 making a total of 3355 and making the per capita on both combined 10454 The daily per capita was 3328 for the preceding year 3012 showing an increase of 0316 This increase is due to increased costs of clothing salaries and wages but mainly to unusual expenditures in the incidental account made necessary by the growing number of patients The laundry has been enlarged and additional machinery bought and installed therein one of the unfinished wings of the new building has been made ready for occupancy and another partly so covered ways have been built between the kitchen and main dining rooms of the old building so as to protect the patients in bad weather 60 automatic flushing closets have been installed all of which is in addition to the usual repairs These additions together with the increase in the ordinary expenses of the Sanitarium exhausted the surplus left over from last year as well as the appropriation for the current year and leaves an overdraft at the Treasurers hands of 515656 As against this there are supplies on hand amounting to 1484800 drugs amounting to 227300 and coal amounting to 800000 The Board estimates it will be able to take care of this overdraft from the income of the next two months Foreseeing the funds at its disposal would not warrant a further increase in the number of patients the Board in October last in structed the Superintendent to decline further patients except as vacancies should occur POPULATION 866 patients were received during the year 753 were discharged eloped or died leaving a net increase of 113 and making the pop ulation 2937 patients 3690 patients were under treatment during the year the daily average was 2880 an increase of no over last year The daily average of the past five years was as follows 1901 2573 l92 2635 1903 2696 1904 2770 1905 2880 which illustrates the steady growth of the Sanitarium 366 applications for admission are on file today The percent of recoveries based on the number of admissions was 40A The mortality shows an increase which is accounted for by the Superintendent in the large number of bedridden paralytics andGeorgia State Sanitarimn 7 senile imbeciles among the patients received whose physical condi tion did not enable them to withstand the mildest physical malady It seems a great pity that these classes of patients entirely harm less as they are should be brought here at all since there exists not the slightest chance of benefitting them The Board regrets to advise a heavy increase in the mortality from tuberculosis 121 deaths resulting from this cause alone mainly atmrngtheaegro patients The lack of proper facilities for the isolation of patients suffering from this dread disease and the imperative necessity for so doing if it is to be controlled and stamped out impels the Board to again renew its request for an ap propriation of 10000 to be expended in the erection and equip ment of four tubercular wards ESTIMATED COST 1906 AND 1907 The average number patients last year was 2880 an increase of no over the preceding year The average for 1905 is estimated at 2980 for 1906 3080 1907 3180 The average per capita cost for the past ten years is 11516 and with this as a basis for its calculation the Board estimates the minimum amounts needed for 3080 patients in 1906 to be 35467200 3180 patients in 1907 to be 36620800 Your excellency will bear in mind that these are minimum esti mates based upon actual experience lower than which it is not safe nor wise to go The Board believes however that the very end for which the Sanitarium was established is largely defeated by the rigid economy necessary to bring its cost to the State within the above limits It believes that in the zeal for economy sight is lost of the primary purpose of the institution namely the cure of insanity and that it would be derelict in its duty did it fail to utter its word of warning If the Sanitarium is designed to be merely an asylum a home for the insane where they are to be cared for at the least possible expense to the State well and good If however on the other hand it is designed not only as a home but a hospital as well where everything modern science can devise is brought to bear upon its patients in the effort to restore them to health and reason then its work assumes a different character The Board conceives this last to be the true purpose of the Sani tarium and it asks for an appropriation large enough to accomplish this purpose A larger medical staff is needed a school of research is needed more trained nurses are needed more means of diver y Annual Report of the sion are needed which under the present per capita are not possible Not including the Superintendent and Pathologist who are charged with other important and specific duties each physician now has an average of 412 patients under his care It can therefore be readily seen what a physical impossibility it is for them to give each patient in their care the close study they should have Every possible effort should be made to keep the Sanitarium fully abreast of the times The physicians should be encouraged to take post graduate courses and the staff should be large enough to grant such leaves of absence as are desired for this purpose If by the expenditure of a few more dollars the State can restore reason to a single one of her stricken citizens the end attained amply justifies the cost No institution of this magnitude should ever be without a sur plus in its treasury with which to meet any emergency which may arise and the appropriations to its support should be large enough to allow for the accumulation of one In the judgment of the Board a daily per capita of 35 cents should be allowed Figured upon this basis 3080 patients in 1906 will require 39454800 3180 patients in 1907 will require 40735800 and the Board respectfully asks for appropriations in these amounts CONVICT INSANE The convict insane now in the Sanitarium number 9 By act of the last General Assembly the care of this class of patients was transferred to the Prison Commission who thus far have failed to relieve the Sanitarium of them and in consequence of which they are still confined here to the hurt and detriment of the innocent insane In view of the action of the General Assembly the Board has declined to receive more patients of this class SCHOOL FOR DEFECTIVES Among the patients in the Sanitarium are 52 feeble minded or defective children under 16 years of age It is possible by means of careful training to educate a few of these and fit them in some measure for self support Other states have established training schools for this unfortunate class in the effort to give them their one and only chance and the Board sincerely hopes the day is not far distant when Georgia will follow their leadONE OF TWIN BUILDINGS NOW IN PROCESS OF ERECTION Georgia Slate Sanitarium 9 WATER SUPPLY The water supply of the Sanitarium calls for prompt action by the General Assembly It has two sources of supply the main one being from Camp Creek about one mile distant and the other from an artesian well on the ground The supply from the latter fur nished ample drinking water but no more The supply for all other purposes is drawn from Camp Creek At the time the pumping station was erected at the last named place in 1876 the supply was ample but in late years the clearing up of the lands on either side of the creek and the consequent filling of its bed with sand has caused a gradual diminution of the supply During the severe drouth last summer the flow ceased for several weeks the bed next to the pumping station being dry Water is drawn from the stream by perforated intake pipes laid in its bed which dis charge into a nearby well from which it is pumped tothe Sanita rium Because of this the supply did not cease altogether but it was so low that the pump could only be run a short while each day For six weeks it became necessary to cut the water off from the wards early each morning only turning it on again for one hour late in the afternoon The supply was too low to properly flush the closets and sewers and the dangerous sanitary condition of the wards can be surmised from this To add to the danger the water was discovered to be polluted as will be seen from the Patholo gists admirable report These dangers grave enough in themselves were slight com pared with the fire risk to which the Sanitarium was exposed If at this time a fire of any magnitude should have occurred its pos sible results are appalling to contemplate In view of these facts and knowing the creek supply must neces sarily continue to grow less the Board has caused diligent inquiry to be made for other sources of supply After giving them due consideration it has decided the best and most permanent supply is to be had from the Oconee River and has caused the Engineer to make a careful survey and an estimate as to the cost of reaching same and this estimate follows MiixedgeviixE Ga April 18th 1905 To the Honorable Board of Trustees Georgia State Sanitarium Milledgeville Ga GentlemenSupplementing my report of January 14th 1905 on the feasibility and the cost of obtaining a supply of water for 10 Amiual Report of the this institution from the Oconee River I beg to hand you the fol lowing detailed estimate of the cost of a complete pumping and fil tering plant located at the most desirable point i e just above the mouth of Tobler Creek This location is 20800 feet distant from the institution Pumping machinery for handling the raw water 3186 80 Pumping machinery for forcing the filtered water to Sanitarium 3919 00 1 new boiler and expense removal present plant 817 00 Pipe and fittings about boiler and pump including intake pipe 2543 7 Pipes and valves about clear water and coagulating basins 1411 00 Grading and excavation about pumping station 1641 20 Brick work 4609 50 Woodwork 978 70 Coagulating and settling basins 1524 00 Clear water basin 762 00 Filters complete 5566 00 12 pipe line 32285 00 House for Engineer 800 00 Telephone 300 00 Respectfully submitted T H DeSausSurh Engineer The estimated cost of the Engineer exclusive of the cost of site and the right of way for the mains from station to Sanitarium is 6034390 Including the items just mentioned the Board esti mates the total amount required will be not less than 6250000 For this purpose and to guard against any contingency which may arise the Board asks for an appropriation of 75000 00 or so much thereof as may be required such appropriation to be made immediately available IN CONCLUSION In closing this report the Board desires to place on record its appreciation of the faithful work of Dr T O Powell Superinten dent and his corps of assistants It is gratifying to note the har mony prevailing and to know that every member of the corps is enlisted heart and soul in his work The high rank of the Sanitarium among its sister institutions elsewhere attests the distinguished ability characterizing the adminGeorgia State Sanitarium ii istration of Dr Powell while the affectionate regard in which he is held by our entire people may be accepted as additional evi dence of his fidelity to his trust Respectfully submitted Joel Branham President Thos G Lawson VicePresident Richard Johnson Secretary Jno F Brantley James B Baird M D Chas J Montgomery M D Thos M Swift Jno Iv Culver W F Brunner M D Henry BanksAnnual Report of the Report of Superintendent For the Year Beginning January 1st 1904 and Ending January 1st 1905 Georgia State Sanitarium January ist 1905 To the Honorable Board of Trustees Georgia State Sanitarium GentlemenIn compliance with the law I herewith respect fully submit for your consideration the SixtyFirst Annual Report of this Institution giving a detailed account of its operation con duct and management in every particular for the past twelve months embracing a period from January ist 1904 to January ist 1905 together with the reports of the Steward Treasurer and other officers and such suggestions as I may deem advisable for the wel fare of the institution Also giving I hope a full and satisfactory detailed statistical account of the movement both of the white and colored population during the past twelve months and an itemized statement of all expenditures showing the amount of provisions clothing bedding etc purchased from whom and price paid On January ist 1904 there were white patients on hand 1957 and colored 867 There have been received since 559 whites and 307 colored making a total reception of 866 There have been discharged removed eloped and died 753 leaving in the institution January ist 1905 2937 f whom there are 116 whites and 25 colored on furlough not discharged The average number of patients under treatment during the year was 2880 while the total number receiving treatment was 3690 It will be seen that the average number receiving treatment was no more than last year We have 113 more patients on hand than at the close of last year The following tables will give in detail the movement of the white and colored population Georgia State Sanitarium 13 STATEMENTWHITE In relation to the number of white patients during the past year or from January 1st 1904 to January 1st 1905 There were patients on hand January 1st 1904 1957 White Male Lunatics 773 White Male Epileptics 116 White Male Idiots 40 929 White Female Lunatics 934 White Female Epileptics 66 White Female Idiots 28 1028 1957 There have been received during the year White Males 293 White Females 266 559 Total number under treatment 2 516 Of whom there have been Discharged restored 239 improved 7 removed 7 eloped 4 257 There have died White Males 107 White Females 100 207 464 Leaving on hand January 1st 1905 2052 CLASSIFICATION OF THE WHITES White Male Lunatics 823 White Male Epileptics 119 White Male Idiots 47 989 White Female Lunatics 949 White Female Epileptics 77 White Female Idiots 37 1063 2052 Of the white males who have died there were of pneumonia 1 marasmus 3 chronic enteritis 13 acute enteritis 5 acute dysentery q epilepsy 11 exhaustion of chronic mania 2 decubitus 1 tuber culosis 14 chronic nephritis 1 scalded 1 asphyxia 1 organic brain disease 3 tubercular enteritis 1 paresis 2 chronic exhaustion 1 exhaustion of acute mania 1 nervous exhaustion 1 mastoiditis 1 cerebral hemorrhage 9 erysipelas 1 gastroenteritis 1 typhoidma4 Annual Report of the larial fever i organic heart disease 3 pyaemia 1 typhoid fever 5 cerebral tumor i valvular heart disease 3 emphysema 1 inanition i senile exhaustion 5 acute bronchitis i acute indigestion 1 and exhaustion of terminal dementia 1 Total 107 Of the white females cerebral hemorrhage 7 pulmonary tuber culosis io chronic nephritis 2 pneumonia 1 general tuberculosis 9 acute gastroenteritis 1 exhaustion 2 organic heart disease 9 or ganic brain disease 7 maniacal exhaustion 3 chronic enteritis 5 chronic anemia 2 epilepsy 8 marasmus 2 angina pectoria i men ingitis 1 typhoid fever 2 asthenia 2 senile exhaustion 4 tubercu lar enteritis i septic peritonitis 1 appendicitis 3 carcinoma of breast 1 senility 4 uraemia 1 suicide 1 uterine cancer 1 ulcera tive enteritis 4 aortic incompetency 1 acute enteritis 1 influenza 1 pyaemia i and septicaemia 1 Total 100 STATEMENTCOLORED In relation to the number of colored patients received during the past year or from January 1st 1904 to January 1st 1905 There were patients on hand January 1st 1904 Colored Male Lunatics 389 Colored Male Epileptics 48 Colored Male Idiots 1 Colored Female Lunatics 407 Colored Male Epileptics 21 Colored Female Idiots 9 867 There have been received during the year Colored Male 143 Colored Females 164 307 Total number under treatment 1174 Of whom there have been Discharged restored 83 improved removed eloped 12 There have died Colored Males 88 Colored Females 103 m 289 January 1st 1905 leaving in the Institution 885 Georgia State Sanitarium 75 CLASSIFICATION OF THE COLORED Colored Male Lunatics 379 Colored Male Epileptics 51 Colored Male Idiots 15 445 Colored Female Lunatics 399 Colored Female Epileptics 29 Colored Female Idiots 12 440 885 Of the colored males who have died there were of epilepsy 7 organic heart disease 1 cerebral softening 2 status epilepticus 3 senile dementia 5 tuberculosis 29 chronic Brights disease 4 or ganic brain disease 4 pneumonia 3 maniacal exhaustion 1 cerebral hemorrhage 2 exhaustion 3 septicaemia 2 paresis 4 uraemia 2 chronic enteritis 3 senility 6 cellulitis i meningitis 1 inanition 3 arteroschlerosis 2 Total 88 Of the colored females tuberculosis 56 meningitis 2 pneumonia 2 exhaustion 2 chronic interstitial nephritis 5 epilepsy 2 penicious anemia 1 chronic enteritis 3 organic brain disease 6 maniacal ex haustion 1 cerebral hemorrhage 2 organic heart disease 2 fatty degeaeration of heart 2 acute enteritis 2 paresis 1 marasmus 1 abscess of lung 1 senility 3 aneurism of left cerebral artery 1 per itonitis 1 paranchymatous nephritis 1 dilitation of stomach i endocarditis 1 septicaemia 1 acute gastritis 1 decubitus 1 and carcinoma of stomach 1 Total 103 TABLE No 1 Showing the number of whites admitted during the year 1904 and their respective ages at the time of admission Males Females Total Under 15 years 4 8 12 15to20 18 20 38 20to25 32 30 62 25 to 30 37 22 59 30to35 29 33 62 35 to 40 21 26 47 40 to 45 29 19 48 45 to 50 22 29 51 50 to 55 19 23 42 55to60 21 15 36 60 to 70 30 21 51 70to80 14 15 29 Over 80 3 1 4 Unknown 14 4 jg Total 293 266 559 i6 Annual Report of the TABLE No 2 Showing duration of insanity before admission Males Females 1 to 3 months 3 to 6 6 to 9 it 9tol2 i 12 to 18 a 11 to 2 i ears 2 to 3 u 3 to 4 a 4 to 5 a 5 to 6 t 6 to 8 8 to 10 i 10 to 12 u 12 to 14 a 14 to 20 20 to 30 it Several ii 47 22 25 13 23 9 17 13 14 11 14 3 7 7 7 17 24 20 Total 293 39 29 17 11 19 8 15 22 13 7 12 10 10 8 23 26G Total 86 51 42 24 42 17 32 35 27 18 26 13 17 15 15 24 47 28 559 TABLE No 3 Occupation of whites admitted during the year 1904 Seamstress P Plumber 1 Liveryman s 1 Lawyer 2 Contractor 2 Teacher 3 Student 3 Housekeeper 158 Farmer 129 No occupation102 Section foreman 1 Factory operative 8 Brickmason 2 Farmhand 3 Butcher 3 Stenographer 4 Miner 1 Stonecutter 1 Lumber inspector 1 Carpenter H Clerk 9 Physician 3 Laborer I7 Bookkeeper 3 Pressman 1 Turpentine operator 1 Merchant 8 Music teacher 1 Tailor 2 Mechanic 5 Salesman 5 Mail carrier 1 Shoemaker 1 Railroad man 3 Insurance agent 1 Lumberman 1 Book agent 2 Cabinetmaker 1 Barber 1 Printer 2 Motorman 1 Blacksmith 1 Peddler 1 Nurse 1 Typesetter 1 Fruit tree agent 1 Car builder 1 Tinner 1 Minister 2 Unknown 31 Servant 5 Total 559 COLONY FOB WHITE MALES tGeorgia State Sanitarium n TABLE No 4 Civil condition of the whites received during the year 1904 Married 258 Single 227 Widowed 74 Total 559 TABLE No 5 Homicidal and suicidal of the whites received during the year 1904 Homicidal 78 Suicidal 48 Homicidal and suicidal 38 Total 159 TABLE No 6 Cause or supposed cause of insanity of whites received during the year 1904 Epilepsy 35 111 health 33 Imbecile 17 Masturbation 12 Morphine 12 Overwork 9 Menepause 13 Uterine trouble 6 Paralysis 2 Religious excitement 8 Childbirth 6 Female trouble 9 Nervous debility 7 Rheumatism 2 Insomnia 2 Ovarian trouble 3 Worry 1 Heredity 13 Nervous prostration 3 Dissipation 17 Grief 5 Spinal affection 5 Old age 13 Fever 9 Sunstroke 3 Congenital 3 Asthenia I Congestion of brain 2 Domestic trouble 8 Blow on heaa 9 Cerebral anaemia 1 Business worries 5 Idiot 4 Financial trouble 3 Overstudy 2 Menstrual trouble 5 Jealousy 2 Injury from fall 5 Measles Brain feveri Disappointment in love Melancholia A neurism of brain Typhoid pneumonia Womb trouble Syphilis 2 Change of life 1 Unknown 229 Total 55918 Annual Report of the TABLE No 7 Showing the number of colored admitted during the year 1904 their respective ages at the time of admission and Under 15 yea 15 to 20 20 to 25 25 to 30 30 to 35 35 to 40 40 to 45 45 to 50 50 to 55 55 to 60 60 to 70 70 to 80 lales Females Total 5 1 6 13 13 26 19 33 52 19 18 37 21 19 40 9 17 26 17 18 35 5 17 22 9 7 16 9 7 16 10 12 22 7 2 9 Total 143 164 307 TABLE No 8 Showing the duration of insanity of the colored before admission Males Females Total 1 to 3 months 58 47 105 3 to 6 13 17 30 6 to 9 6 9 15 9 to 12 5 7 12 12 to 18 14 12 26 1J to 2 years 2 5 7 2 to 3 8 11 19 3 to 4 7 13 20 4 to 5 5 4 9 5 to 6 1 6 7 6 to 8 4 5 9 8 to 10 1 2 3 10 to 12 3 2 5 12 to 14 3 1 4 14 to 20 3 4 7 20 to 30 3 1 4 Several 5 5 10 Unknown 2 13 15 Total 143 164 307Georgia State Sanitatium 19 Occupation TABLE of colored admil 63 No 9 ted during the year 1904 2 No occupation 26 2 30 2 Cook 77 12 29 2 10 2 2 5 1 Woodsawyer 12 1 3 9 TABLE No 10 Civil condition of the colored received during the year 1904 Married 159 Single 103 Widowed 40 Unknown 5 Total 307 TABLE No 11 Homicidal and suicidal of the colored received during the year 1904 Homicidal 65 Suicidal 11 Homicidal and suicidal 12 Total 88 20 Annual Report of the TABLE No 12 Cause or supposed cause of insanity year Congenital 11 Uterine trouble 1 Fever 2 Epilepsy 20 Grief 2 Childbirth 4 Injury to head 7 Domestic trouble 3 Religious excitement 13 Loss of property 2 Change of life 3 Cigarettes 2 Nervous prostration 2 Female trouble 6 Masturbation 1 Amenorrhoea 1 Syphilis 5 Illtreatment 1 of the colored received during the 1904 Menstrual trouble 7 Influenza 1 Softening of brain 2 Imbecility 2 Jealousy 1 Financial trouble 1 Illhealth 4 Senility 5 General debility 2 Paralysis 1 Overheat 1 Overstudy 1 Catarrh 1 Meningitis 1 Ovarian trouble 1 Heredity 1 Womb disease 1 Unkown 88 Total 307 Form of insanity of whites Mania acute 71 Mania chronic 96 Mania recurrent 42 Mania morphino 7 Mania puerperal 3 Melancholia acute 37 Melancholia chronic 45 Melancholia recurrent 17 Dementia senile 31 Dementia primary 9 Dementia terminal 5 Dementia secondary 9 Dementia precox 4 Dementia epileptic 1 Dementia organic 5 Neurasthenia 2 Hysteroepilepsy 1 Total received during the year 1904 Insanity syphilitic 2 Insanity toxic 23 Insanity traumatic 2 Paranoia 10 Idiot 13 Senility 12 Epilepsy 35 Paresis 6 Locomotor ataxia 1 Epileptic imbecile 10 Imbecility 45 Organic brain disease 6 Hysteria 1 Chronic alchoholism 3 Not insane 4 Hypochondria 1 559Georgia State Sanitarium 21 Form of insanity of colored received during the year 1904 Mania acute 66 Mania chronic 35 Mania recurrent 12 Melancholia acute 45 Melancholia chronic 29 Melancholia recurrent 3 Dementia senile 43 Dementia secondary 4 Dementia organic 7 Total Epilepsy 30 Imbecility 20 Idiot oongenital 2 Paresis 1 Insanity chronic delusional 1 Insanity toxic 1 Dementia primary 2 Dementia terminal 6 307 HEALTH I regret to have to report that we have had more sickness in the various departments of the Sanitarium for the past twelve months than usual The per cent of deaths is also larger than last year That perhaps is due to a large extent to the class received during the yearbroken down mentally and physically and I might say of the 3690 that were under treatment in the Sanitarium from January 1st 1904 to January 1st 1905 quite a number were suffering from incurable diseases such as advanced tuberculosis senile dementia general paresis and epilepsy of long standing totally unable to resist the slighest attack of any physical malady Of the number that died there were 91 between the ages of 60 and 90 The admission of senile imbeciles and bedridden paraly tics continues to increase although we urge the relatives friends and the Ordinaries of the counties the necessity of keeping this class at home as it is impossible for us to benefit them by treat ment in the Sanitarium and that it is only a question of a little time before they pass away but still they are sent The reception of such cases of course increase the mortality annually We have had some typhoid fever in the institution commencing in June and lasting until December a number of cases in the new buildings a few in the white female department and a few in the colored department We know not what this was due to unless to polluted water from Camp Creek where we get our principal supply of water Every hygienic measure was used compatible with the means at our command to prevent the spread of the disease I give below the analysis of the water made by our Pathologist Dr Pumpelly A report of the bacteriological and chemical examination made cf the creek water was submitted on November 10th 1904 The millii i inn i 22 Annual Report of the examination brought to light much indicating pollution Chemically it was found to possess a very high oxygenconsuming power and to contain an excessive amount of nitrogen compounds and a well marked trace of soluble phosphates Bacteriological Two organ isms were isolated corresponding in morphological and cultural characteristics with those of the class considered as positive indices of pollution one was a true colon The bacillus thyphosus could not be found The other waters examined were found not to be polluted RECOVERIES This calculation is based upon the number of patients admitted in the Sanitarium from January ist 1904 to January 1st 1905 The per cent of recoveries was 40A When we consider that of the 866 patients received during the year 570 per cent were regarded as chronic and incurable cases the percentage of recoveries I consider very satisfactory indeed Such receptions add greatly to the large number of chronic and incurable cases that has been constantly increasing in the Sauitarium for the past 50 years Of course the fatality list is increased in proportion to the number of old and feeble people in the institution The cases that justify hope of recovery are the recent ones where the psychological manifesta tions of insanity have not existed more than from one to six or eight months SUGGESTIONS I think it is of very great importance that a careful considera tion should be given to securing an abundant supply of pure filtered water Our main supply of water for the Sanitarium as you know is obtained from Camp Creek about a mile from the institu tion It seems that for several years past from May until October this supply has become gradually less necessitating the running of the pump night and day taking all of the water coming to the pumping station and you remember the alarming condition that we were in from May of this year until some time in October indeed about the ist of October there was no water within 150 yards of the pumping station The bed of the creek was perfectly dry Our condition at that time rendered us totally unable to combat a fire of any magnitude The ordeal for several months that we passed through was very trying knowing that should any fire occur we were comparatively helpless that the lives of many of theGeorgia State Sanitarium 23 patients might be lost and much of this large property destroyed And it should be rembembered there are many patients that would have to be taken out by force and with the smoke and excitement that would necessarily follow it would be marvelous if we should get all out with safety especially if a fire should occur at night While it is true that an accident might happen with an abundant supply of water is it not also true that every precautionary meas ure should be taken to check a fire and to have pure unpolluted water for it is almost impossible to prevent some of the patients drinking from the faucets Nor did we have for a period of six weeks a sufficient supply of water for sanitary purposes after pumping the entire flow of the creek We were under the necessity for a while of shutting off the water after pumping about four hours in the morning and turning it on again in the afternoon from 5 to 6 oclockjust one hour You can readily see what our sanitary condition must have been under such circumstances I would also suggest that if we cannot get the open cottages for isolating the tubercular cases that tents be provided for them with the necessary enclosure so as to prevent the escape of those who might be disposed to wander off and for their safety and protection in other ways This we might first start with the negroes as tuberculosis is so prevalent and fatal with them Of 28 cases that were thought to be suffering with complicated troubles on post mortem investigation 14 were found to be tubercular It has been our custom not to hold necropsis on bodies where diagnosis had been made of uncomplicated pulmonary tuberculosis therefore the per cent found from post mortem investigation does not give the number dying from tubercular trouble STATE CARE OF THE INSANE A few words now in regard to the relation and obligation of the State to the care of her insane which care on the part of the State is absolutely necessary and unavoidable on account of the character of the disease from which they are suffering For instance persons suffering from physical diseases a large majority are treated at home with all the comforts of home and loved ones to care for them Their mental condition is such that they can fully appreciate every effort of their friends and relatives for their welfare and give their hearty cooperation in treatment hence they can be treated successfully and with safety at home but alas with brain diseases it is alto Annual Report of the gether different With a large per cent of the cases it is absolutely necessary to remove them from home relatives and friends for their safety and that of others and society also demands it Home sur roundings and friends and relatives are frequently prejudicial to the welfare and restoration of the insane Many of the insane are dominated by illusions hallucinations and delusions and they are not capable of giving their cooperation in treatment or care Some times they are destructive homicidal and suicidal and disposed to commit acts of violence towards those nearest and dearest to them hence the burden of their care must rest upon the State It should not however be regarded as a burden but a divine privilege All humanitarians will clearly see that there is no class of the afflicted that appeal so pathetically for a liberal and unstinted provision for their care in every way possible There is no state care that can be compared to that of the insane and it should be remembered that there is not one of us that can tell when we or some of our dear ones may be thus afflicted I think all hospitals as large as this should be able to carry a surplus to meet any unforeseen emergency that might and is liable to occur at any time that would demand immediate attention without any delay whatever to prevent suffering such as the giving way of machinery in any of the various departments the failure of water supply a sudden and un expected advance in the price of provisions bedding clothing etc also to meet promptly any hygienic emergency that might arise The reception of a certain class of patients owing to their mental condition demands frequently more nurses not only for their safety but for the safety of others and also the Sanitarium In my judg ment in a hospital as large as this these things should be wisely and carefully considered PATHOLOGICAL LABORATORY Dr W C Pumpelly our Pathologist continues his work with commendable zeal and fidelity His report will show a full and complete account of the work and character of it done in that de partment from January ist 1904 to January 1st 1905 EMPLOYMENT AND AMUSEMENTS We have endeavored in every way possible to give congenial em ployment to all that could be encouraged when their mental and physical condition would justify it which invariably proved to be beneficial to the patientsGeorgia State Sanitarium 25 Dr Whitaker the First Assistant Physician still has charge of the weekly entertainments and he leaves nothing undone that he can do to add to their pleasure and diversion These entertainments are looked forward to with great pleasure by many of the patients and to say nothing of the beneficial influence mentally it makes a hospital life much less monotonous IMPROVEMENTS AND REPAIRS There has been a large amount of work done in the various de partments of the institution during the past year Some of the buildings have been occupied since 1842 and 1846 Of course these buildings needed repairs from garret to cellar Even the new buildings from the destructive tendencies of patients need con stant repair and the repairs of furniture etc are necessarily very large The report of the Engineer Capt DeSaussure will give a de tailed account of the work done in this department FINANCES Our faithful and efficient Steward with the Executive Committee continues to manage the affairs of the institution with the strictest economy consistent with the welfare of the patients and the pres ervation of this large property By reference to his report you will see a full and detailed account of the financial management of the affairs of the institution during the past twelve months While the per capita cost per day of 33 is a little more than last year the report of the Steward will show satisfactory reasons for the same ASSISTANT STEWARD You will see by reference to the report of the Assistant Steward that the clear profits above all expenses of the farm dairies hogs etc amount to 1814728 We regard this as a very good show ing indeed when we consider the continued drouth during the summer STOREKEEPER You will see from the report of the Storekeeper Mr Hunter a full and detailed account of the work done in that department from January 1st 1904 to January 1st 1905aM 26 Annual Report of the BOOKKEEPER By reference to the Bookkeepers report you will see the amount of work done in that department from June nth 1904 date this system was adopted up to January 1st 1905 full the MATRON The report of our excellent Matron will give you an idea of the large amount of work clone in that department during the past twelve months the amount of fruit canned preserves pickles etc put up during the year and we should not lose sight of the fact that all clothing and repairing for the patients of the Sanitarium with but few exceptions is done in this department by patients with the assistance of the attendants PHARMACIST The Pharmacist has given general satisfaction and his report will show the number of prescriptions filled the amount of drugs pur chased and also the amount on hand DENTIST The report of the Dentist will speak for itself so far as the work and character of the work done in his department TRAINING SCHOOL FOR NURSES Lectures are delivered weekly by the staff of Assistant Physi cians and the Superintendent of Nurses This school adds greatly to the efficiency of the nurses services The Assistant Physicians have also formed a medical society which is to meet twice each month At these meetings papers will be read and discussed cases reported and patients presented Besides the regular meeting each physician is expected to hold clinics as opportunity presents These clinics are to be psychological medical and surgical ACKNOWLEDGEMENTS It is with pleasure that I express my appreciation to the many friends throughout the State for books magazines papers and periodicals donated to the Sanitarium library for the use of the patientsGeorgia State Sanitarium 27 The report of the Librarian will give a full statement as to the number of periodicals books and papers received during the year also the number of books etc on hand OFFICERS EMPLOYEES AND ATTENDANTS With the many duties connected with the management of an institution of such magnitude as the State Sanitarium it could not be successfully managed without the intelligent cooperation of the heads of the various departments I am under renewed obligations to the Medical Staffindeed to all the officers for a faithful and intelligent co operation harmony and concord of action for the welfare of the institution Also to Miss Cross the Superintendent of Nurses the Supervisors attendants and employees who have faithfully performed the duties devolved upon them RELIGIOUS SERVICES Religious services have been conducted as usual on Thursday and Sunday afternoons of each week when the weather and circum stances would admit during the year by our beloved chaplain Rev D W Brannen He has buried the dead and visited the sick when advisable TRUSTEES In conclusion it is not only a pleasure but I regard it as a privi lege to acknowledge my appreciation for the universal kindness and courtesy extended to me by each member of your honorable body and for the untiring interest you have taken in the conduct and management of the Sanitarium With a firm belief in the watchful care of a wise and merciful providence we begin the duties of another year Very respectfully submitted T O Poweix Superintendent 28 Annual Report of the Report of Pathologist Georgia State Sanitarium Miubdgeviilb Ga January ist 1905 Dr T 0 Powell Superintendent Georgia State Sanitarium Sir have the honor to present herewith a report of the work done in the Pathological department during the past year In tables numbers one and two will be found the more important data derived from a postmortem study of twenty eight bodies The amount of clinical work during the year has been unusually large and includes a chemical and bacteriological investigation of the water supply and a bacteriological study of ten disinfectants Several weeks ago we undertook the use of tuberculin for diag nostic purposes our work in this line is as yet however only in the experimental stage I am profoundly grateful to you for your encouragement and assistance and I wish also to thank the members of the staff for the asssistance which they have rendered me I am Very respectfully Wm C Pumpelly M D Pathologist TABLE No 1 SYNOPSIS OF AUTOPSIES Case No V 0 05 v to Mental Disease Duration Hours after Death ANATOMICAL DIAGNOSIS 265 C M 35 Epilepsy 2 yrs 1 11 Pulmonary tuberculosis 266 C M 37 Dementia organic 3 yrs 12 Cerebral so tening Parenchymatous nephritis 267 c M 45 Melancholia chronic 10 yrs 2 General tuberculosis parenchymatous nephritis 268 c V 29 Muni chronic 2 yrs 5 Hydrocephalus with acute meningitis 269 c F 55 Kpilepsy 35 yrs 9 General arteriosclerosis with interstitial nephritis Biliary calculi 270 c F 37 Melancholia chronic 9 yrs 12 Carcinoma of the stomach and uterus with wide spread metastasis lungs intestines peritoneum and Hver Georgia State Sanitarium TABLE No 1Continued 29 Case S Mental No 3 Disease 11 1 1 Duration Hours alter 1 ANATOMICAL DIAGNOSIS Death 271 c F 40 Epilepsy 7yrs 5 Pulmonary tuberculosis Aortic and mitral incompetency General arteriosclerosis Interstitial nephritis Fibroid uterus A 272 c M 18 Mania acute 1 year 4 General tuberculosis with anasarca Parenchymatous nephritis Tertiary syphilis tti 273 c F 45 Melancholia acute 2yrs 16 Pulmonary tuberculosis Mitral incompetency Katty degeneration of the liver Parenchyroatous nephritis 274 c M 26 Epilepsy 3 yrs 7 Pulmonary tuberculosis Hypertrophic cirrhosis 275 c M 60 Dementia senile 5 yrs 14 Pulmonary tuberculosis Pancreatic diabetes Aortic incompetency Parenchymatous nephritis 276 c M 50 Paresis 2 yrs 1 Acute lobar pneumonia 277 c F 45 Melancholia chronic 20 yrs 12 Pulmonary tuberculosis Cerebral softening Interstitial nephritis Aortic and mitral incompetency Fatty degeneration of the liver 278 c F 48 Mania chronic 6 mos 3 General tuberculosis Fibroid uterus 279 c F 30 Dementia secondary 8 mos 2 Hydrocephalus 280 c M 37 Mania chronic 8 yrs 17 Pulmonary tuberculosis 281 c M 3Q Epilepsy 2 yrs 5 Cerebral softening 282 c F 46 Dementia organic 3 yrs 6 General tuberculosis 283 c M 40 Paresis 19 mos 2 Chronic diffuse meningoencephalitis 284 c F 55 Mania Acute 6 mos 2 25 Pulmonary tuberculosis Femoral hernia 285 w M 40 Dementia terminal 14 yrs Concussion of the brain Mitral incompetency 286 c F 20 Dementia primary 14 mos 17 General tuberculosis 287 c M 65 Dementia senile 12 yrs 7 10 Atrophic cirrhosis Parenchymatous nephritis General arteriosclerosis Lipomatosis 288 c F 44 Melancholia chronic 11 yrs General tuberculosis 289 c M 55 Mania chronic 11 yrs 7 Acute endocarditis Parenchymatous nephritis 290 c F 45 Dementia terminal 6 yrs 10 Acute parenchymatous nephritis Chronic plurisy 291 c M 37 Epilepsy 12 yrs 3 Acute lobar pneumonia Acute parenchymatous nephritis 292 c F 70 Dementia terminal 16 yrs 2 Acute cerebrospinal meningitis Fatty degeneration of the liver Interstitial nephritis 30 Annual Report of the TABLE No 2 GROSS AND MICROSCOPICAL CHANGES IN THE BRAIN AND MENINGES Case No u 3 H ISI V Mental Disease Brain weight 1 FINDINGS grams 265 c M 35 Epilepsy 1220 Congestive hyperemia Thickened dura Brain sand 266 c M 37 Dementia organic 1130 Cerebral softeniug Edema Thickened dura Microscopical examination Sclerosis of vessels Increase in the perivascular and pericellular spaces 267 c M 37 Melanchol a chronic 1490 Nothing abnormal noted 268 C F 29 Mania chronic 1000 Hydrocephalus with acute meningitis Microscopical examination Sclerosis of vessels Enlarged perivascular and pericellular spaces Hypertrophy of the choroid plexus Piaarachnoid covered with purulent exudate Organisms of infectiondiplococcus intracellularis 269 c F 55 Epilepsy 1230 Congestive hyperemia Thickened dura Atheroma of vessels Microscopical examination Increase in perivascular spaces Sclerosis of vessels Marked chromatolysis motor cells with absence nucleus in some 370 c F 37 Melancholia chronic 1020 Edema Atrophy of the convolutions in the frontal region Atheroma of the vessels 271 c F 40 Epilepsy 1040 Cerebral effusion Thickened dura Atrophy of the convolutions Atheroma of vesels Microscopical examination Hyperplasia of neuroglia Sclerosis of vessels Marked tortuosity of the capillaries Acute degeneration of nerve cells 272 c M 18 Mania acute 1250 Nothing abnormal noted 273 c F 45 Melancholia acute 1250 Nothing abnormal noted 274 c M 26 pilepsy 1200 Atrophy of the ri ht frontal lobe Thickened dura 275 C M ill Dementia senile 1050 Coneestive hyperemia Thickened dura Atheroma of vessels 276 c M 50 Paresis 1270 Thickened dura Piamater slightly adherent to the brain Atrophy of the convolutions in the frontal region Microicopical examination Uniform increase in neuroglia Sclerosis of vessels Some pigmentation 277 c F 45 Melancholia chronic 1170 Congestive hyperemia Softening in the right motor region Thickened dura Atheroma of vessels 278 c F 48 Mania chronic Skull not opened 279 C F 30 Dementia secondary 900 Hvdrocephalus Microscopical examination Thickened piaraater Sclerosis of vessels Some chromatolysis of the large motor cells C 1 M 37 Mania chronic 1355 280 Nothing abnormal noted 2S1 C M 30 Epilepsy 1125 Edema Cerebral softening Microscopical examination Advanced degeneration of nerve cells probably postmortem 282 c F 46 Dementia organic 1950 Cortical tuberculosis Thickened dura Atheroma of vessels Atrophy of the convolutions Microscopical examinations Slight chromatolysis in large motor cells Georgia State Sanitarium 3i TABBLE No 2Contined Case No c2 K in at Mental Disease Brain weight grams FINDINGS 2S3 c M 40 Paresis 1170 Meninges thickened and adherent Atrophy of the convolutions Increase in consistency Atheroma of vessels Microscopical examination Sclerosis extensive vessel walls are greatly thickened Some cbromatolysis and a few displaced nuclei Perivascular spaces are enlarged 284 c F 55 Mania acute Skull not opened 285 w M 40 Dementia terminal 1580 Edema Atrophy Atheroma of vessels 286 c F 20 Dementa primary Skull not opened 287 c M 65 Dementia senile 1230 Edema Atrophy of the convolutions Atheroma of th vessels 288 c F 44 Melancholia chronic 1110 Nothing abnormal noted 289 c M 00 Mania chronic 1050 Atrophy of the convolutions 290 c F 45 Dementia terminal 1040 Cerebral effusion Thickened dura 291 c M 37 Epilepsy 1220 Congestive hyperemia Thickened dura Microscopical examination Some pigmentation of motor cells 292 c F 70 Dementia terminal 1100 Purulent meningitis CARDIOVASCULAR DISEASE In seventeen cases the arteries were found diseased Atheroma tous patches in the arch of the aorta and in the vessels at the base of the brain were found in a number of cases There were three cases of general arteriosclerosis of an advanced type Thickening of the walls of the smaller vessels occurring along with interstitial hyperplasia was noticed very frequently in studying sections of the organs microscopically This years percentage of arterial disease compares closely with that of last year which was 68 per cent Valvular disease of the heart was present in five of the cases Arteriosclerosis is found more often in the colored race than in the white this fact has been often noted It would appear from the very frequent occurrence of arterial disease that it played a very important role in the pathogenesis of mental aberration Connective tissue hyperplasia is by no means limited to the aged we often find well advanced fibroses in comparatively young subjects32 Annual Report of the NEPHRITIS The kidneys were found diseased in thirteen cases four were of the interstitial variety and the remaining nine were parenchymatous There were two cases of tuberculosis of the kidney Nephritis arterial disease and tuberculosis seem to be more commonly met with than any other pathological conditions and must bear a very close relationship to insanity BRAIN A number of the cases presented gross lesions In thirteen the meninges were thickened and in nine there was atheroma of the bas alar vessels Atrophy of the convulsions was noticed in eight cases There were six cases of edema and four of congestion There were three cases of cerebral softening two of hydrocephalus two of acute meningitis and one of cortical tuberculosis In studying the cortex microscopically the nerve cells were found degenerated in six of the cases and in six there was sclerosis The cortex was not studied microscopically in all the cases this was owing to the fact that in some a sufficient time had elapsed before the section was made for postmortem changes to occur and in these cases a microscopical examination would have been useless Psychoses due to gross changes in the brain are the exception rather than the rule in many instances the cause of the mental disease is not alone de pendent upon morbid changes in the brain itself but also upon various pathological conditions of other organs For this reason no pathological changes are found in the brain in many mental dis eases and when with time they do appear they are consecutive and not primary TUBERCULOSIS Tuberculosis was found to be present in fourteen of the cases making a percentage of fifty It was limited to the lungs in eight cases in the remaining six the affection was general Last years percentage was about fiftyfive A few of the cases which have come to autopsy are of sufficient interest to deserve especial mention No 266 The patient a mulatto male was admitted on Novem ber the 13th 1903 with a history of having been hit on the head A physical examination made shortly after admission showed nothCENTER BUILDING GEORGIA STATE SANITARIUMGeorgia State Sanitarium 33 ing except a general exaggeration of reflexes For about four days preceding death the patient was in a stupor and showed clonic con tractions of the limbs on the left side The postmorten examina tion was made on January the first of last year and the follow ing interesting condition was found About three and onehalf cubic centimeters above the external angle of the orbit on the right side was observed a small semilunar scar beneath which could be just felt a hard elevated mass this was found to be a bullet imbedded in the frontal bone There was no evidence of fracture of the outer table of the skull but the inner table presented a de pressed stellate fracture of considerable size The dura at this point was greatly thickened and adherent botn to the skull and the brain A small spicule of bone had penetrated the dura and could be seen protruding from its under surface The brain presented an area of yellow softening some four centimeters in diameter involv ing the middle and superior frontal convolutions No 269 Ninetythree stones were removed from the gall bladder weighing in all nine and six tenths grams The smallest weighed two onethousandths of a gram and the largest weighed two and sixtenths grams No 270 A case of carcinoma with wide spread metastasis The whole of the lower curvature of the stomach the uterus and its ap pendages were one solid tumor mass and the peritoneum through out its whole extent was covered with small growths There was a growth just starting at the apex of the left lung The liver was not involved No 287 The patient was admitted on January the thirteenth with a history of alcohol addiction very sclerotic arteries and marked diminution in the liver dulness Preceding death there was anasarca dyspnoea and a rapid weak pulse Postmorten exami nation was made on December eighth and a most interesting liver was found it weighed fifteen hundred grams was adherent every where and very difficult to remove When removed it was found to be irregularly quadrilateral in shape and greatly atrophied Its surface was white very uneven and was covered with a thick fibrous capsule which when stripped revealed a coarsely granular hobnail surface The cut surface was yellow and greasy and the consistency was very much increased The connective tissue was greatly increased throughout the whole organ but more especially on the under surface and in the left lobe where it seemed to be in excess of the parenchyma On the under surface there were many V 34 Annual Report of the round protuberances of considerable size which on section were greenish yellow in color and formed almost entirely of connective tissue URINE ANALYSIS Number of specimens examined 830 9 6 0 8 3 3 TABLE No 1 CHEMICAL ANALYSIS No of cases Serumalbumen 220 28 Nucleoalbumen m excessive amount 39 4 Indican 250 30 Indicau in considerable amount 124 14 Uric acid in excess 169 20 Sugar 9 1 Pathological urobilin 1 Positive diazo reaction 8 Albumose 2 MICROSCOPICAL EXAMINATION Casts with albumen 123 148 Casts alone 35 42 Pus cells 38 45 Red blood cells and shadows 24 28 Trichomonads 12 14 Spermatozoa 27 32 Crystaline and amorphous urates 169 203 Calcium oxalate crystals 60 72 Uric acid crystals 20 24 Carbonate crystals 2 2 Phosphate crystals 9 10Georgia State Sanitarium 35 TABLE No 2 Form of mental disease of those having indicanuria Mania acute Mania chronic Mania recurrent Melancholia acute Melancholia chronic Dementia primary Dementia organic Dementia senile Toxic insanity Epilepsy Imbecility Idiocy 124 Total TALLE No 3 Form of mental disease of those having albumen and casts in the urine Mania acute Mania chronic Mania recurrent Melancholia acute Melancholia chronic Dementia organic Dementia senile Paranoia 1 Paresis 1 Epilepsy 2 Toxic insanity Imbecility Idiocy Total 123 TABLE No 4 Duration of mental disease of those having albumen and casts in the urine Under one month One to three months Three to six months Six months to one year zo One to five years Over five years Unknown Total 123 3 Annual Report of the TABLE No 5 Age of those having albumen and casts in the urine Under twenty years 7 Twenty to thirty years 18 Thirty to forty years 35 Forty to fifty years 41 Fifty to sixty years 10 Sixty to seventy years 9 Over seventy years 3 Total 123 A large amount of clinical work has also been done during the year other than urine examinations as will be shown by the following Blood examinations 54 Smears studied 4 White cell counts 11 Red cell counts 14 For malarial plasmodium 7 Complete 18 Bacteriological examinations 25 Surgical pus 2 Vaginal discharge 1 Uterine scrapings 1 Cerebrospinal fluid 1 Throat culture 3 Urethral discharge 3 Plural effusion Drinking water 3 Disinfectants 10 Sputum examinations 170 For tubercle bacilli Ig3 For pneumococci 7 Widal reactions 51 Tuberculin reactions 10 Feces examined for intestinal parasites 35 Stomach contents 2 Uterine scrapings 1 Plural effusion 1 Chemical analysis of specimens of drinking water 3 I wish to acknowledge assistance rendered me by Dr J W Mobley in the preparation of this reportGeorgia Slate Sanitarium Report of Treasurer 37 Gborgia State Sanitarium Milledgeville Ga January 2nd 1905 Dr T 0 Powell Superintendent Georgia State Sanitarium My Dear SirI beg to submit herewith the Receipts and Dis bursements of my office as Treasurer for the fiscal year SUPPORT AND MAINTENANCE Rkckipts 1904 Jan 1 To BalanceI 20590 26 1905 Jan 2 To Cash from State Treasurer 325000 00 Jan 2 To Overdraft with Treasurer 5156 56 350746 82 DlSBUKSEMENTS 1905 Jan 2 By Subsistence 109276 39 Clothing 4228487 Fuel and Transportation 34401 88 Salaries 28262 30 Wages 88235 10 Incidental Expenses 42307 81 Medical Supplies 3507 57 Contingencies 1276 57 Postage and Stationery 1194 33 350746 82 SPECIAL APPROPRIATION LIGHTING AND EQUIPPING NEW BUILDING 1904 Jan 1 To Balance 1652 25 1905 Jan 2 To Cash from State Treasurer 6000 00 7652 25 1905 Jan 2 By expenditures 7652 25j Annual Report of the COLONY FUND 1904 Jan 1 To Balance 115422 1905 Jan 2To Cash from State Treasurer 1000 00 2154 22 1905 Jan 2 By expenditures 2154 22 Respectfully submitted L H Andrews Treasurer Georgia State Sanitarium THE MERCHANTS FARMERS BANK Millbdgeville Ga January 2nd 1905 In account with L H Andrews Treasurer Georgia State Sanitarium 1905 Jan 2 To Balance to Credit 17961 28 Robt L Day Cashier L H Andrews Treasurer In account with Georgia State Sanitarium 1905 Jan 2 To Balance to Credit in Merchahts Farmers Bank 17961 28 Overdraft 5156 56 23117 84 Jan 2 By Outstanding Vouchers of Steward for month or December 1904 not paid 23117 84 Respectfully submitted L H Andrews TreasurerGeorgia State Sanitarium 39 Report of Steward Georgia Statk Sanitarium MiixedgeviiiE Ga January 2nd 1905 Dr T O Powell Superintendent Dear SirI have the honor to transmit to our honorable Board of Trustees through you this my report as Steward from January 1st 1904 to January 1st 1905 Abstract A shows the balance brought forward from last fiscal year the amount drawn from the State Treasurer for support and maintenance together with a classified statement of the disburse ments and an overdraft of 515656 due our Treasurer Abstract B shows the expenses on account of Subsistence Abstract C shows the expenses on account of Clothing Abstract D shows the expenses on account of Fuel and Trans portation Abstract E shows salaries paid Officers Abstract F shows wages paid Employees Abstract G shows Incidental Expenses Abstract H shows the expenses on account of Medical Supplies Abstract I shows the expenses on account of Contingencies Abstract J shows the expenses on account of Stationery and Postage Abstract K shows the expenses on account of Special Appro priation for New Buildings Abstract L shows the expenses on account of Special Appro priation for Colony Abstract M shows the requisitions drawn on State Treasurer for Support and Maintenance Abstract N shows the average number of patients from 1873 to 1905 together with the per capita cost per diem and per annum Abstract P shows the cost of maintaining one patient by the year month week and day Our Storekeeper Mr Hunter reports stock on hand 1484834 40 Annual Report of the Our Apothecary Mr D S Carrington reports stock on hand 227350 Our per capita per diem is 33A By reference to the report of Mr G W Hollinshead Assistant Steward you will see results of farm garden dairies hogs etc also a report of stock wagons utensils and implements on hand As required by law duplicate vouchers of the expenses accompa nied by the required certificate approved by yourself and audited by the Trustees have been filed in the Executive Department in Atlanta With sentiments of highest regard for confidence reposed in me in the discharge of my duties by our Board of Trustees and yourself I am Very respectfully Lucius J Lamar Steward G S S ABSTRACT A Showing balance brought forward from last year and also the money re ceived with a classified statement of the disbursements from January 1st 1804 to January 1st 1905 1904 Dr Jaa 1To Balance 20590 26 1905 Jan To State Treasurer 325000 00 Overdraft 5156 56 350746 82 1905 Cr Jan 2By Subsistence 109276 39 Clothing 42284 87 Fuel and Transportation 34401 88 Salaries 28262 30 Wages 88235 10 Incidental Expenses 42307 81 Medical Supplies 3507 57 Contingencies 1276 57 Stationary and Postage 1194 33 350746 82Georgia State Sanitarium 41 A BSTRACT B Showing ihe expenditures on account of Subsistence from January 1st 1904 to January 1st 1905 Datk 19U4 Jan 31 Jim Feb 29 To Whom Paid What Fob Amount Armour Pkg Co A H Motley Co J C Roth Pkg Co M E Smith J F Bell Armour Pkg Co Milledgeville Oil Mills Cudahy Pkg Co Louisville Pkg Co Armour Pkg Co J A Home McCordS Co F W Waitener Co E F DelBondio Reid Murdoch Co J Milling Co W A Brown T Co J B Taylor T Co 8 R Jaques T Co Milledgeville Oil Mills J T Williams J B OQuinn D H Wilkinson J W Stein bridge 8 Napier D T Singleton J W Weems H B Moore J D Carr C D Durden C A Underwood S W Wallace A C Westbrook T White J A Brooks J M Edwards G F Edwards G H Tunnell J A Buck T Treanor R Buist Co J HEnnis Cudahy Pkg Co Alex Seed Co M Oil Mill Armour Pkg Co H M Lamar Co J A Home W I Harley Armour Pkg Co J A Home E F Bel Bondio F W Wagener Co Butterine Tobacco Samples Yeast Groceries Samples CS Meal L Compound Hams Butterine Groceries Rice Sugar Fruit Meal Tobacco Groceries C 8 Meal Butter Butter and Milk Seed Fish L Compound Seed C 8 Meal Beef Groceries Acid Butterine Meat Rice Sugar 78 75 115 72 2 32 21 00 15 65 16 70 460 00 22 06 310 43 86 25 1827 42 947 72 196 46 311 19 85 35 258 75 60 00 85 80 1892 12 575 00 38 10 80 50 28 50 10 80 12 55 14 35 32 60 21 40 17 00 22 90 12 10 15 55 9 20 5 70 75 30 56 75 24 68 27 46 19 16 24 17 38 43 6 05 45 53 14 85 583 90 2380 91 26 11 24 57 679 55 89 62 1827 42 300 12 199 4542 Annual Report of the ABSTRACT BContinued Date To Whom Paid What For Amount 1904 Feb 29 JalutM Co E L Barnes Louisville Pkg Co M E Smith Meal P 258 75 84 CO Fruit 10 55 294 65 16 80 W A Brown T Co J B Taylor Co S K JaquesT Co G F Edwards G H Tunnell 157 50 Seed 127 05 Tobacco 60 00 u 88 40 Flour 1892 12 Milk 23 03 ii 24 21 J A Buck J B OQuinn J T Williams ii 26 08 ti 17 83 it 12 60 Butter 36 00 ii 27 60 C D Burden D H Wilkinson ii 27 50 ti 5 60 ii 31 40 a 23 90 it 5 65 ii 21 00 S W Wallace F White it 16 25 i 9 00 ti 11 80 D T Singleton H T Cline ii 9 25 a 2 85 ii 15 00 A C Westbrook J M Edwards it 9 40 Butter and Milk ii a 46 55 42 60 L C Hall Brush Produce Co J F Bell 31 65 173 00 Beef 1993 77 Groceries 94 50 Men 31 r ii Yeast 15 56 8 50 M E Smith Armour Pkg Co J J Waxelbaum Co R BuistCo Swift Co C M Gilbert Co S R Jaques T Co 16 89 77 93 Turnips 110 75 Seed 9 20 Butterine 77 50 497 Flour 1970 36 J B Taylor Co W A Brown T Co 85 80 ii 60 00 Armour Pkg Co F W Waeener Co E F Del Bondio Hams 311 91 Lard 90 00 Sugar 184 68 301 50 Fruit 84 98 Meat 1797 97 254 35 Meal Seed 12 65 Beef 1989 93 Georgia State Sanitarium ABSTRACT BContinued 43 Date To Whom Paid What For Amount 19U4 March 31 April 30 J H Ennis J W Weems J B OQuinn J D Carr J W Stembridge D H Wilkinson Jesse Miller O D Durden H B Moore 8 Napier 8 W Wallace J T Williams A C Westbrooks D T Singleton J A Thomas C A Underwood G F Edwards J M Edwards J A Brooks T Treanor G H Tunnell J A Buck E Carrington W A Brown T Co Austin Nichols Co Melchers Co Reid Murdoch Co H M Lamar Co SR JaquesTCo Schwarzchild 8 C M Gilbert Co Armour Pkg Co Swift Co M E Smith Louisville Packing Co H M Lamar Co A J Carr J A Home A T Orr S R Jaques T Co R C Robson Oconnee R Mills K R R M Foster J A Home Austin Nichols Co H M Lamar C Co J B Taylor Co Melchers Co J H Ennis Jesse Miller D H Wilkinson J W Stembridge S Napier J B OQuinn J W Weems A C Westbrook Fih Butter u ii it ii ii u ii ii ii ii ii it ii ii Butter Milk Butter and Milk Tobacco Syrup Rice Fruit Groceries a il Coffee Hams Samples Yeast Lard and Hams Groceries ii u ii IC I Meal Groceries Groceries it ii Tobacco Rice Fish Butter 4 35 33 80 26 10 11 60 4 75 22 80 17 00 14 20 21 20 8 15 13 20 24 40 3 40 4 20 7 60 5 40 36 80 57 30 43 65 26 66 26 3 22 84 27 90 261 46 267 75 148 15 39 60 55 18 5 69 10 20 523 95 181 00 3 98 21 00 715 52 7 22 8 17 10 61 25 90 718 36 378 12 279 00 8 96 3144 17 270 44 71 89 88 40 149 01 3 46 25 45 25 70 17 60 6 65 38 70 26 50 7 90 u Annual Report of the ABSTRACT BContinued Date To Whom Paid What Fob Amount 1904 April 30 P J Cline Butter 9 80 10 00 J D Carr i D T Singleton 4 50 k 28 40 J T Williams II 29 10 S W Wallace II 11 60 C D Durden it 15 50 T A Napier if 7 70 li 13 15 Butter Milk ii ii it ii ii ii ii ii ii n ii Groceries 72 25 G F Edwards 29 96 J M Edwards 52 85 J A Buck 29 00 26 17 G H Tunnell 25 22 27 00 2 346 36 May 31 159 21 a 87 00 J F Bell ii 26 95 M E Smith Yeast 16 80 51 77 2 75 22 29 Oconee R Mills Meat 152 36 Fruit 40 00 66 90 R C Robson ii 378 12 Oconee R Mills Meal 279 00 J B Taylor Co 79 37 29 25 137 94 A J Carr 38 85 ii 217 69 Fruit 39 60 J B Taylor Co 82 50 718 36 S R Jaques T Co Lard 348 37 Meat 3144 17 65 50 J B OQuinn Butter ii 38 20 21 10 39 05 30 30 26 70 ii J T Williams ii u D H Wilkinson ii it 20 85 12 90 28 30 18 60 3 00 8 20 6 20 9 80 35 83 52 30 21 93 J D Carr ii ii it ti II S W Wallace ti F White II Butter and Milk ti it J A Buck Date 1904 May 31 June 30 July 31 Georgia State Sanitarium ABSTRACT BContinued 45 To Whom Paid What Fob ml S Napier E Carriniitorj T Tremior G H Tunnell G F Edwards A J Carr Armour Pkg Co J H Ennis P J Cline J F Bell Armour Pkg Co M E Smith H M Lamar Co A J Carr Oconee R Mills D Talmagewooil R C Robson S R Jaques T Co H M Lamar Co J A Home Armour Pkg Co Louisville Pkg Co S W Wallace J W Stembridge D H Wilkinson Jesse Miller J B OQuinn J W Weems T A Napier J T Williams J D Carr H B Moore C A Underwood C D Durden J A Brooks J M Edwards G F Edwards J A Buck T Treanor C B Carrington G H Tunnell F W Wagener Co A L Ellison Austin Nichols Co M J Glynn Co McCordSCo J H Ennis L C Hall Oconee R Mills J A H orne M ESmith A J Carr H M Lamar Co Armour Pkg Co S R Jaques T Co Swift Co Bran Beef Fish Bull Groceries Butteiine Yeast Crackers Lemons Meal Rice Groceries Beef Lard and Hams Butter Butter and Milk Sugar Mutton Groceiies Tea1 Groceries Fish Groceries Cow Feed Samples Yeast Lemons Groceries Hume Samples Amount Butter and Milk 4 00 23 62 25 65 22 69 25 21 40 00 1944 33 2 70 50 00 11 45 81 00 16 80 8 07 6 50 273 81 451 85 394 31 344 79 44 93 2808 61 1955 53 277 68 6 10 21 55 25 15 17 35 27 42 28 10 17 90 47 80 7 10 21 55 13 40 7 20 31 52 48 00 24 39 21 03 26 24 26 57 18 76 221 28 130 04 390 46 61 44 342 88 1 10 22 69 38 25 2 63 21 00 12 70 22 89 236 15 4 95 2 0646 Date 1904 July 31 Aug 31 Annual Report of the ABSTRACT BContinued To Whom Paid What For H M Laraar CoGroceries M W Johnson Co Seed Louisville Pkg CoLard M First CoJVinegar W A Brown T CoITobacco Garland Mills A J Carr R C Robson Oconee R Mills 8 R Jaques T Co J A Home D H Wilkinson J W Stembridge Jesse Miller G H Tunnell J A Buck J M Edwards J W Weens T A Napier S W Wallace J A Brooks J D Carr T Treanor C R Carrington G F Edwards J B OQuinn C A Underwood J T Williams H B Moore C D Durden F W Wagener Co A L Ellison Armour Pkg Co H M Lamar Co Jno Conn Co Austin Nichols Co S B Tray wick S B Tray wick L C Hall M E Smith Alex Reed Co S B Tray wick Pettv Cash H M Lamar Co Austin Nichols Co Louisville kg Co Oconee R Mills Pettv Cash F W WagenerCo W A WrownT Co S B Traywick H M Lamar Co R C Robson Oconee R Mills Garland Mills J A Home Flour Meal Soap Meal Groceries Butter Butter Milk Sugar Mutton Beef Lemons O Meal Groceries Poultry Eggs Groceries Yeast Seed Poultry C Produce Groceries Lard Cow Feed C Produce Sugar Tobacco Poultry L Comp Soap Meal Flour Meat Amount 22 18 6 90 276 60 33 21 140 33 695 25 3 25 81 25 399 65 1623 10 1083 37 36 20 24 10 19 15 33 53 31 40 54 40 27 40 17 10 5 30 31 63 7 05 28 40 27 81 27 18 58 32 18 45 47 35 23 15 4 90 195 18 243 97 2293 25 6 00 3 25 397 22 19 00 14 28 1 80 16 80 4 80 8 00 100 00 24 63 375 57 274 60 68 21 100 00 198 37 139 65 12 35 31 80 68 64 400 07 669 60 1433 88 Georgia State Sanitarium ABSTRACT BContinued 47 Date To Whom Paid What Fob Amount 1804 Aug 31 S R Jaques T Co 53 75 2203 98 1 839 47 S R Jauues T Co ii Beef G H Tunnell Milk 36 51 Butter 28 00 u 12 50 22 00 14 36 50 J B OQuinn it 40 35 it 21 70 J M Edwards Butter Milk 11 11 t 11 11 tf 1 11 11 It 11 11 1 11 ft 11 it ft 55 30 D H Wilkinson 26 90 J T Williams 39 25 H B Moore 29 25 18 70 J A Buck 29 05 J D Carr 4 45 22 85 S W Wallace 5 10 30 59 F White 5 80 W A Bass u 19 40 G F Edwards u il u 1 Mutton 26 77 26 41 19 61 A L Ellison H M Lamar Co 225 54 44 56 S R Jaques T Co 53 75 Sept 30 7 30 Meal 104 64 J O J D Barnes 4 66 J F Bell u 22 20 M E Smith 21 00 H M Lamar Co 10 10 102 00 23 32 ii 12 50 S R Jaques T Co el 30 80 C E Newton Bro 70 00 68 25 W A Brown T Co 143 53 99 73 Flour 695 25 S R Jaques T Co 1790 25 252 14 u 220 50 Beef 2063 30 241 81 C M GilbertCo J B OQuinn Coffee 273 11 11 15 J T Williams it 45 95 F White it 17 95 J W Stembridge ii 22 10 J M Edwards Butter Milk ii ii ii ii 51 85 D H Wilkinson 24 85 16 80 48 Annual Report of the ABSTRACT BContinued Date To Whom Paid What For Amount 1904 Sept 30 Oct 31 T A Napier J W Wems J DCarr H B Moore C A Underwood A C Westbrooks S W Wallace Jnoi Ledbetter J ABuck G F Edwards J A Brooks T Treanor G H Tunnell B Carrington C M Gilbert Co Milledgeville S Co J B OQuinn J B Taylor T Co C E Newton Bro McCluskey Bros Louisville Pkg Co S R JaquesT Co Luffort Scales Co R C Robsn Ballard Ballard D C Woods Co S B Tray wick A L Ellison Sparrow G T Co Milledgeville Oil Mills M E hmith E L Barnes M W Johnson Co Swift Co J F Bell Jno Conn Co A J Carr H M Butter Milk Butter Butter Milk Lamar Co G Coffee Barley Rye Tobacco Potatoes Sugar Hams and Lard Groceries Tobacco Bran Klour Syrup Poultry Mutton Tobacco C 8 Meal Yeast Groceries Seed Samples Groceries Bran Grits Samples Seed Groceries J A Home S R Jaques T Co Armour Pkg Co R Buist Co H M Lamar Co Melchers Co Rice Milledgeville Oil Mills jHulls W A Brown T Co Tobacco S R Jaques T CoFlour Nat Pkg Co JMeat Schwarzchild SjHams J A HomeGrits F W WagenerCo Armour Pkg Co Walker W House J W Stembridge D H Wilkinson D T Singleton sugar Beef Acid Butter 15 45 36 45 5 10 23 70 13 10 9 20 6 15 11 00 23 01 23 97 23 94 24 81 23 72 18 72 274 45 22 50 14 86 68 60 100 15 300 24 213 45 189 04 46 65 42 82 712 80 316 06 10 30 121 90 132 30 1305 00 16 80 1 15 2 15 14 40 16 29 95 87 16 00 16 78 5 39 2 15 13 62 49 55 549 97 93 75 46 25 98 50 2214 26 1129 33 221 55 221 00 174 69 2150 54 456 00 28 90 29 60 13 20 HERD OF HOLSTBIN8 AT SANITARIUM Date 1904 Oct 31 Nov 30 Georgia State Sanitarium ABSTRACT BContinued 49 To Whom Paid Dec 31 C A Underwood Jesse Miller J W Weems T A Napier H B Moore S W Wallace J M Edwards J A Buck G H Tunnell J A Brooks J B OQuinn G F Edwards T Treanor C B Carrington R O Robson H M Lamsr Co M E Smith Swift Co Armour Pkg Co H M Laraar Co J F Bell Oconee R Mills S R Jaques T Co Nat Pkg Co Louisville Pkg Co S Sulzberger McCluskey Bros J B Taylor Co W A BrownT Co J A Home H M Lamar Co R C Robson F W Wagener Co McCordS Co Armour Pkg Co J W Weems 1 A Napier J W Stembridge D H Wilkinson J B OQuinn Jesse Miller D T Singleton C A Underwood G H Tunnell J A Brooks J M Edwards J A Buck C B Carrington T Treanor G FEdwards Milledgeville Oil Mills Luffart Scales Co Milledgeville Oil Mills G Rivers Ballard Ballard H M Lamar Co What For Butter Butter and Milk Hulls Tobacco Hulls Turkey Flour Rice Amount Meal Groceries Yeast Butterine u Rice Groceries Cow Feed Groceries Lard and Meat Hams u Rice Tobacco u Grits Cheese Meal Rice Vinegar Beef Butter ii it it II ii il ll a Butter and Milk 14 05 17 60 39 80 9 70 9 10 5 95 61 55 34 13 36 63 32 36 3 50 24 77 27 37 17 66 415 86 179 76 16 80 86 40 102 00 60 01 9 56 25 50 2013 50 1132 50 211 84 245 64 301 07 70 00 125 48 333 72 222 10 333 86 175 62 41 30 1681 88 48 40 12 65 26 25 28 65 45 15 13 60 9 95 7 00 44 33 59 69 59 45 29 08 10 53 21 11 25 51 274 25 44 80 3 00 14 42 720 00 63 88 50 1904 Dec 31 Annual Report of the ABSTRACT BContinued Oat Meal Candy Lemons Nuts Seed Butterine Groceries Seed Sugar Cheese Nuts Tobacco Jno Conn Co F E Block Co A J Carr J V Bell Milledgeville 8 Co Armour Pkg Co C E Grune R Buist Co F W Wagener Co H M Lamar Co J A Home W A Brown T Co Luflfert Scales Co Louisville Pkg Co S Sulzberger McCluskey Bros Ballard Ballard Nat Pkg Co S R JaquesT Co Armour Pkg Co R C Robson G F Edwards T TreanorI J A BrooksButter and Milk G H Tunnell J A Buck C B Carrington J M Edwards T A Napier J W Stembridge D H Wilkinson Jesse Miller J W Weems J B OQuinn C A Underwood D T Singleton Hams Lard Coffee Flour Meat Groceries Beef Meal Butter Milk Butter Total 3 25 49 80 7 00 163 16 3 95 105 00 11 02 36 60 172 97 286 50 106 21 125 48 47 60 211 16 214 37 311 30 720 00 1132 50 1999 74 2035 30 337 25 27 74 25 40 59 48 28 52 30 06 5 68 64 10 8 05 18 65 31 20 14 00 37 60 7 75 19 80 10 35 l 109276 39Georgia State Sanitarium 5r ABSTRACT C Showing the expenditures on account of Clothing from January 1st 1904 to January 1st 1905 Date To Whom Paid What Fob Amount 1904 Jan 31 P J Cline 29 53 61 05 8 90 15 64 F Hang E E Bell u Goodman Wootten E Wolf K 256 38 5 21 Shoes J K Orr Shoe Co n 16 09 5 60 J W Carter Co it W A Doody Co 48 56 Aug Wright Co 9 33 215 63 K Wolff W H Thomas Co a 12 91 3 14 C P Scott Co 42 50 VV A Doody Co 217 30 C P Soott Co 418 89 W H Thomas Co 421 50 126 28 J C W Mills 110 00 E E Bell 96 70 ft 369 1 J C W Mills 243 25 P D Horkan Co 832 01 Feb 29 P D Horkan Co W H Thomas Co 6 07 593 88 C P Scott Co 66 00 418 89 W H Thomas Co 126 28 E E Bell 96 70 it 369 17 March 31 W H Thomas Co Blankets 309 30 E Wolff ii 796 80 C P Scott Co 400 87 W H Thomas Co Hats 126 27 E E Bell Shoes 96 70 ti 433 66 E Wolff 683 32 W H Brigham Co 601 84 J G Swift Co 88 17 April 30 E E Bell 316 13 H H Smith Co 325 93 10 30 1422 00 W H Thomas Co 3 50 272 76 E Wolff 48 33 C P Scott Co ii 3 94 E E Bell ti 31 62 Atkins McK B Co Hats 6 63 J R Fried Co 11 76 Hats 22 50 5 Annual Report of the ABSTRACT CContinued Date To Whom Paid What Fob Amount 1904 April 30 Samples Shoes Samples Shoes Hats May 31 June 30 July 31 W A Doody Co J W Carter Co Goodman Wootten F Schantz Middletown Hat Co L Adare Vaughn Hynes W H Brigham Co Joseph D G Co P D Horkan Co Harris Davis Co Dannenberg Co W A Doody Co F Hang Middletown Hat Co Waxelbaum BroShoes Joseph D G CoDry Goods Pringle BrosHosiery C P Scott CojBed Spreads W H Thomas CoCoats M Creser CoShoes Pringle BrosHosiery P J ClineDry Goods W H Thomas Co M Creser CoShoes F Hang Middletown Hat CoHats M Creser Co Shoes Waxelbaum Bro Joseph D G CojHosiery Pringle Bros J P Scott Co W H Thomas Co J K OrrShoeCo E E Bell F Hang Middletown Hat Co F Hang M C Riser Co W H Thomas Co Waxelbaum Bro Bibb Mfg CoHosiery Burden Smith CoDomestics P D Horkan Co J G Swift Co iCarlton Shoe CoShoes E E Bell Burden Smith CoLawn Howett Warner CoSheeting Shirting Sheeting Shoes Hats Shoes Dry Goods Shoes F E Callaway Co M Rich Bros Co W H Thomas Co C P Scott Co P D Horkan Co W H Brigham Co F Hang Spread Carpets Samples Shoes 23 35 12 85 16 75 1 15 1 12 2 01 13 94 2 87 16 94 5 35 3 18 8 01 5 25 110 00 54 00 237 60 167 12 92 40 440 63 749 72 185 00 84 52 35 78 276 00 10 55 110 00 54 00 185 00 264 60 43 75 34 04 182 04 749 72 373 50 3 75 4 25 54 00 110 00 185 00 752 10 212 07 389 55 156 60 855 51 358 51 5 00 9 83 28 03 272 22 16 50 305 75 8 74 1 69 9 17 16 25 252 50Georgia State Sanitarium ABSTRACT CContinued 53 Date To Whom Paid What For 1904 July 31 Aug 31 Amount Sept 30 Oct 31 II1 Nov 30 Howett Warner Ce W H Thomas Co C P Scott Co E E Bell J W Carter Co P J Cline W H Thomas Co J K Orr Shoe Co W H Brigham Co W H Thomas Co Howett Warnes Co E E Bell P Hang C P Scott Co W H Thomas Co E E Bell A Velsburg Co Macon T Co J G Swift Co Burden Smith Co Danl Miller Co S Putney S Co Burden Smith Co Goodman Wootten J Ohlman Burden Smith Co Middletown Hat Co Munhard S Co Joseph D G Co P D Horkan Co Dannenberg Co M Cohen S Co Gans Lipman Atkins McK B Co W A Doody Co Howett Warner Co C P Scott Co A Velsburg Co E Wolff Goodman Wootten W H Thomas Co E E Bell F Hang W A Doody Co Middletown Hat Co Munhard S Co Gans Lipman W H Thomas Co C P Scott Co P D Horkan Co Howett Warner Co E E Bfll J C W Mills W H Thomas Co Burden Smith Co Shirting Hosiery Dry Goods Thread Shoes Calico Hosiery Shoes Samples Dry Goods Shirting Gingham Shoes Domestics Bed Spreads Shoes Domestics Hosiery Checks Blankets Bleaching Shoes Blankets Coats Samples Hats Samples Dry Goods a Samples Hats Samples S Putney S Co Shoes Shoes Samples Hats Vests Hats Coats Shirting Domestics Blankets Shoes Jeans Crash Swiss 265 68 104 70 385 05 142 00 8 10 27 89 48 02 16 78 6 64 59 95 57 70 353 16 286 88 944 70 910 90 27 60 141 19 371 78 877 02 1256 10 193 05 301 16 394 50 576 51 16 80 50 91 2 51 6 88 86 03 35 32 84 67 33 37 19 60 5 83 15 02 31 89 37 05 4 86 60 90 51 11 91 18 25 49 102 00 23 45 45 50 95 00 45 00 1555 79 256 83 718 09 677 73 135 00 470 87 90 00 23 89 63 655 DATE 1904 Nov 30 Annual Report of the ABSTRACT CContinued Dec 31 To Whom Paid P J Cline F Hang W H Thomas Co C P Scott Co Danl Miller Co P D Horkan Co Howett Warner Co Joseph D G Co Burden Smith Co E E Bell Cans Lipman Middletown Hat Co Goodman Wootten J C W Mills Waxelbaum Bros F Hang Burden Smith Co Middletown Hat Co E E Bell P D Horkan Co C P Scott Co M Cohen S Co Burden Smith Co W H Thomos Co Howett Warner Co Total What For Prints Shoes Blankets Domestics Blankets Osnaburgs Blankets Shoes Hats Blankets Jeans Shoes Dry Goods Hats Shoes Shirting Oil Cloth Undershirts Blankets u Sheeting Amount 59 35 44 75 1530 00 645 00 407 14 662 29 785 70 236 36 1123 00 118 72 45 00 43 02 460 20 486 20 77 02 75 50 46 80 44 00 26 88 172 37 50 32 117 49 900 63 1020 00 511 20 42281 87Georgia State Sanitarium ABSTRACT D 55 Showing the expenditures on account of Fuel and Transportation from January 1st 1904 to January 1st 1905 Date To Whom Paid 1904 Jan 31 Feb 29 March 31 April 30 What Fob GEECo C of G Ry Co So Ex Co G R R Co Galloway C Co Galloway C Co Galloway C Co Galloway C Co Jalloway C Co Galloway C Co C of G Ry Co So Ex Co CCHurt G W Barnes Galloway C Co C 6 Ry Co G R R Co Galloway C Co So Ex Co So Ex Co W C Haley Son G Bond Co S S Permeles Galloway C Co G R R Co Cof Ry Co So Ex Co C C Hurt So Ex Co G R RCo So Ex Co Quinn C C Co C of G Ry Co G Bond Co So Ex Co CJuinn C C Co C of G Ky Co Quinn C C Co Palmer N C Co Palmer N C Co So Ex Co Palmer N C Co Palmer N C Co G R R Co Palmer N C Co Palmer N C Co Palmer N C Co Palmer N C Co Palmer N C Co Cof GRy Co Palmer N C Co So Ex Co Freight Coal Freight Wood Coal Freight Coal Freight Mules Harness Coal Freight Wood Freight Coal Freight Leathers Freight Coal Freight Coal Freight Coal Fraight Coal Freight Coal Freight Amount 10 92 32 11 11 80 43 71 274 27 82 37 432 34 241 60 475 97 85 54 17 79 11 55 61 64 24 12 91 18 19 20 71 99 183 52 7 95 11 60 691 72 14 60 7 73 161 83 9 40 51 67 13 65 15 08 17 17 84 41 13 20 118 09 185 92 9 11 4 30 118 59 151 41 59 45 384 41 347 26 14 00 428 64 202 01 95 88 114 45 206 04 169 32 83 48 323 33 106 58 164 59 5 35 5 Date 1904 April 30 May 31 Annual Report of the ABSTKACT DContinued To Whom Paid Jan 30 Palmer NC Co Palmer N C Co Palmer N C Co Palmer N C Co So Ex Co Palmer N C Co Palmer N C Co Palmer N C Co PalmerNCCo Palmer N C Co So Ex Co Standard Oil Co Palmer N C Co Palmer N C Co Palmer N C Co Palmer N C Co So Ex Co G W Barnes Palmer N C Co GBRCo Palmer N C Co Bo Ex Co Palmer N C Co Palmer N C Co Palmer N C Co Palmer N CCo CofGRyCo HE McComb Whitlock C P Co So Ex Co CofGRyCo So Ex Co GBRCo C C Hurt G W Barnes So Ex Co CofGRyCo H B Bowling C Co H B Bowling C Co C of G Rv Co HB Bowling C Co Quinn C C Co Bowling C Co So Ex Co CofG Ry Co Quinn C C Co G R R Co Bowling C Co So Ex Co C C Hurt i W Barnes Bowling C Co G RRCo Bowling C Co J A Home Bowling C Co What For Amount Coal Freight Coal Freight A Grease Coal Freight Wood Coal Freight Coal Freight Coal Freight Linament Freight Wood Fraight Coal Friight Coal Freight Coal Freight Coal Freight Wood Coal Freight Coal Feed Coal 358 95 339 82 122 43 450 20 5 25 349 07 368 12 362 70 345 45 271 57 3 60 9 08 355 05 252 94 75 55 459 05 6 10 25 20 465 80 108 19 284 93 2 70 354 50 226 64 311 78 268 10 33 19 1 80 6 14 10 85 8 69 5 10 31 75 21 50 17 85 14 25 124 49 1443 51 381 95 95 29 380 37 88 80 391 39 9 00 136 25 33 60 44 44 770 19 9 75 31 50 19 60 187 43 38 47 333 11 35 00 185 07 Georgia Stale Sanitarium ABSTRACT DContinued 51 Date To Whom Paid What Fob 1904 July 31 Sep30 Freight Aug31 Coal Coal Corn Coal Freight Coal Freight Wood So Ex Co C of G Ry Co Bowling C Co BowlingC Co R C Robson Bowling C Co So Ex Co GR R Co Nat Ammo Co Quinn C C Co So Ex Co GE RCo C of G Ry Co So Ex Co G W Barnes C C Hurt G W Hollinshead Jr W O Jones GRRCo So Ex Co R C Robson So Ex Co C G By Co G Bond Co GRRCo iBowling C CoCoal So Ex CoFreight Bowling C CoCoal Bowling C Co Bowling C Co Bowling C Co So Ex Co C of G Ry Co Ereight Corn Freight it Leather Freight Bowling C Co Bowling C Co Bowling C Co Bowling C Co Bowling C Co BowlingC Co Bowline C Co C C Hurt GW Barnes Bowling C Co G W Hollinshead Jr Bowling C Co W O Jones Bowling C Co G R R Co Bowling C Co Bowling C Co Bowling C Co Bowling C Co Bowling C Co Bowling C Co So Ex Co Bowling C Co Freight Coal Wood Coal Wood Coal Wood Coal Freight Coal Freight Coal Amount 6 85 47 22 187 42 187 43 164 40 575 68 2 50 35 47 I 36 128 22 8 20 14 46 168 56 5 95 103 60 99 40 78 49 22 75 7 77 8 05 270 58 3 75 4 53 9 21 20 38 88 20 6 30 192 16 95 29 189 79 86 63 3 90 16 43 86 63 96 08 96 08 95 29 90 56 92 93 94 50 256 55 103 60 270 91 126 00 274 06 II 90 94 50 20 64 188 79 96 86 96 08 190 58 95 29 93 71 5 75 266 18 5 Amual Report of the ABSTRACT DContinued Date To Whom Paid What For Amount 1904 Sept 30 Sep30 Oct31 Freight Coal Freight Coal Freight Corn Coal Bowling C CoCoal Bowling C Co Bowling C Co Bowling C Co Bowling C Co C G of Ry Co So Ex Co Bowling C Co Bowling C Co Bowiing C Co Bowling C Co So Ex Co Bowling C Co C of G Ry Co Bowling C CoCoal Bowling C Co R C Robson Bowling C Co Bowling C Co Bowling C Co Bowling C Co Bowling C Co G R R CoFreight So Ex CoI Bowling C CoCoal Bowling C Coj Bowling C Co Bowling C Co G W Barnes C C Hurt G WHollinshead Jr Bowling C Co Bowling C Co Bowling C Co Bowling C Co Bowling C Co C of G Ry CoFreight Bowling C CCoal Bowline C Co So Ex CoFreight BowliDg C CoCoal Bowling C Co Bowling C Co Bowling C Co Bowling C Co Bowling C Co Bowling C Co Bowling C Co Bowling C Co So Ex Co Bowling C Co Bowling C Co Bowling C Co Rowling C Co Bowling C Co Bowling C Co Wood Coal Freigat Coal 97 65 94 50 192 94 95 29 15 75 9 35 119 37 291 38 100 01 95 50 9 20 190 57 118 53 91 35 96 08 68 50 95 29 97 65 98 44 80 56 95 29 26 44 12 10 95 29 95 29 89 78 95 29 47 95 89 60 53 20 96 08 95 29 96 86 98 44 94 50 29 85 91 35 96 08 13 29 96 08 93 71 93 71 93 71 95 29 97 65 94 50 95 29 92 93 9 50 97 65 88 99 90 56 92 14 97 65 91 35Georgia State Sanitarium ABSTRACT DContinued 59 Date To Whom Paid What For Amount 1904 Oct 31 Nov 30 Dec 31 Bowling C Co Bowling C Co C of G Ky Co C of GRyCo Bowling C Co R C Robson Bowling C Co So Ex Co Bowling C Co Quinn C CCo Bowling C Co GRRCo C of G Ry Co So Ex Co C of G Ry Co C C Hurt G W Barnes GRRCo So Ex Co R C Robson So Ex Co Quinn C C Co So Ex Co C of G Ry Co Bowling C Co Bowling C Co Bowling C Co Bowling C Co BowlinS C Co G R RCo M Bond Co So Ex Co Bowling C Co So Ex Co So Ex Co Bowling C Co Bowling C Co Quinn CC Co G R R Co C of G Ry Co GRR Co So Ex Co So Ex Co Coal Freight Coal Corn Coal Freight Coal Freight Wood Freight Corn Freight Coal Freight Coal Freight Coal Freight Coal 1 Freight Total 34401 88 99 97 65 109 99 20 38 94 50 68 50 184 27 6 40 96 08 42 08 186 64 57 68 18 49 3 65 24 17 113 40 51 10 97 40 9 90 70 21 12 55 101 85 6 95 33 27 96 86 024 56 948 16 570 15 185 06 11 89 12 00 4 45 440 21 13 00 8 95 578 04 118 73 44 25 20 72 25 62 271 94 30 80 7 15 ABSTRACT E Consolidated Statement of Salaries showing amount paid each officer per month together with the aggregate amount from January 1st 1904 to January 1st 1905 NAME Occupation Jan T O Powell J M Whitaker L M Jones E M Green N P Walker R CSwint J W Mobley JC Richard L J Lamar G W Hollinshead W H Hunter T H DeSausure D S Carrington H SJon s J M Darnell D W Brannen W C Pumpelly R V Lamar L H Andrews J E Hunt W fi Gillespie Lamar Sims Total Superintendent Asst Physician Dentist Steward Asst Steward Store Keeper Engineer Apothecary Secretary Matron Chaplain Pathologist Asst Physician Treasurer Interne Bookkeeper Chaplain 208 35 16B 65 150 JO 150 00 150 00 125 00 150 no 100 00 166 65 125 09 100 00 166 65 112 50 100 00 75 00 41 65 50 00 50 00 Feb April May June j July August Sept Oct 208 35 166 65 150 00 150 00 150 00 125 00 150 00 100 00 166 65 125 00 100 00 166 65 112 50 100 00 75 00 41 65 68 95 50 CO 10 00 1187 45 J2216 40 2445 80 208 35 166 65 150 00 150 00 150 00 125 00 150 00 100 00 166 65 125 00 100 00 166 65 1H 50 100 00 75 CO 41 65 83 35 50 00 25 00 208 35 166 65 150 00 150 00 150 00 125 00 150 00 100 00 166 65 125 00 100 00 166 65 112 50 100 00 75 00 41 65 83 35 50 00 25 00 25 00 208 35 166 5 150 00 150 00 105 00 125 00 150 00 100 00 166 65 125 00 100 00 166 65 112 50 100 00 75 00 41 65 83 35 50 00 25 00 50 00 28 35 166 65 150 00 150 00 115 00 125 00 150 00 100 00 166 65 125 00 100 00 166 65 112 50 1C0 00 75 00 41 65 83 35 50 00 25 60 50 00 83 35 208 35 166 65 150 00 150 00 150 00 125 00 150 00 100 00 166 65 125 00 100 00 166 65 112 50 100 00 75 00 41 65 83 35 66 65 25 00 50 00 100 00 208 35 166 65 150 00 150 00 150 00 125 00 150 CO 100 00 186 65 125 00 100 00 166 65 112 50 100 00 75 00 41 65 83 35 100 00 25 00 50 L0 100 00 2270 60 82J50 80 2294 16 82412 45 82445 80 J2445 80 2467 95 512 45 It 1512 45 208 35 196 65 150 00 150 00 150 00 125 00J 150 00 ioo oo 106 65 125 00 100 00 166 65 H2 50 100 00 75 00 41 65 83 35 100 00 25 00 50 00 100 06 208 35 166 65 150 00 150 00 150 0J 125 00 150 00 100 00 166 65 125 00 100 00 166 65 112 50 100 00 75 00 27 75 97 20 W 30 25 00 60 00 1C0 00 13 90 208 35 166 65 150 00 150 00 150 00 125 00 150 00 100 00 166 65 125 00 100 00 166 65 112 50 100 00 75 CC 125 00 125 00 25 00 50 00 100 00 41 65 208 35 161 65 150 00 150 00 150 00 125 00 150 00 100 00 166 65 125 00 100 00 166 65 112 50 loo 00 75 00 125 00 125 00 25 00 to 00 100 CO 41 05 Total Amount 28262 30 ABSTRACT F Consolidated Statement of Wages Pay Roll showing amount paid each employee per month also aggregate amount o Pay Roll from January 1st 1904 to January 1st 1905 NAME Occupation Plumber F M Carpenter F M N W F M GM Laborer Mason S E Wright J E HuTrphriiS J E Hudson j E Bronan D Presswood S R Brown E A Leonard Dan Lockhart W H Hubbard J T Pittman G M Kemp C E Bazemore J M Arrington A E Bumgartel T D Reynolds Wilburn Scott Simon Scott Lucius Wiggins JH Wiggins Andy Broesdale Emmett West Jas Ancrum W T Wilson Wm McDaniel R E Callaway F Austin J A Leonard C H Simpson Lewis Terrell Colley Raiford tv0 Joe Veal R A Taylor N W G W Ross Scavenger Sidney Brown fcvr Tno BarnesIJJr Lucius Green Andy Brogsdale Jr Chas Holly Syl Carter Paintr Plumber Carpenter N W Scavenger FM N W Tinner Laborer Jan Feb March April May June July August Sept Oct Nov 89 70 88 95 34 65 80 00 29 10 30 00 30 00 29 90 45 05 34 70 4t 70 40 50 48 00 28 00 31 00 34 45 18 80 14 00 40 00 37 90 45 50 19 50 30 00 34 50 80 15 00 30 00 31 00 42 85 13 35 19 85 31 00 21 85 19 50 29 10 6 00 5 00 7 50 10 10 39 20 39 33 25 30 00 28 85 30 00 30 00 32 55 34 10 32 3 39 41 75 49 30 30 00 29 00 34 85 11 35 11 45 40 00 34 65 38 50 16 95 27 50 32 25 29 00 15 00 30 00 28 76 41 00 14 00 17 50 29 00 24 55 18 40 30 00 3 00 5 25 39 40 39 15 36 01 30 00 28 35 30 00 30 00 32 10 36 20 36 25 36 15 45 55 51 80 30 00 31 00 24 45 17 15 14 10 40 75 39 80 47 25 19 50 26 40 37 10 31 00 15 00 30 00 30 50 47 25 13 60 18 45 30 00 24 90 19 50 30 00 19 55 39 85 49 35 34 80 30 00 26 4S 29 85 30 00 26 40 44 50 S3 75 36 55 37 00 51 00 29 80 30 00 40 00 3 20 35 00 30 00 28 35 30 00 80 00 27 80 45 50 35 60 42 00 34 00 51 60 30 00 31 oo 33 40 29 80 15 00 30 00 28 95 43 18 75 18 30 29 95 23 35 18 70 20 05 17 80 17 45 40 00 30 40 34 40 30 00 24 GO 30 00 29 95 29 95 45 0t 36 20 37 30 42 75 50 00 29 00 30 00 40 00 39 80 35 00 29 50 29 80 30 00 29 95 29 45 44 30 38 30 40 00 52 00 30 00 31 00 17 70 16 85 11 3J 13 75 39 90 36 85 36 50 39 05 43 75 42 00 19 05 19 05 28 90 31 00 16 95 29 65 31 00 15 00 30 00 30 43 75 13 60 19 10 29 50 23 65 18 75 29 55 19 00 11 30 85 65 36 25 41 55 19 40 30 00 33 35 30 00 15 00 30 00 20 95 45 45 13 00 19 20 29 95 22 55 18 60 30 00 19 50 15 00 16 35 89 75 87 4i 45 50 19 00 31 25 34 50 31 00 15 00 30 00 31 00 42 85 13 05 19 85 25 00 24 90 19 50 30 00 19 10 39 25 39 20 35 00 29 85 28 35 30 00 30 00 29 85 46 30 38 25 34 10 39 65 52 50 30 00 31 00 17 39 35 39 50 34 45 29 90 28 65 30 00 30 00 28 75 45 05 82 00 41 47 10 50 90 29 26 29 25 18 40 18 75 3D 80 38 42 00 19 15 33 95 35 85 31 00 15 00 29 90 81 00 47 25 13 80 19 20 25 00 24 50 20 60 30 00 18 00 40 00 39 25 34 50 30 CO 29 35 30 00 30 00 28 85 44 50 30 3 37 30 41 75 52 00 30 00 30 75 18 25 15 55 40 00 38 00 45 50 18 90 27 50 35 65 30 00 15 00 29 75 30 00 41 75 13 45 18 55 25 00 25 00 19 50 29 50 15 45 40 00 S 39 75 34 20 30 00 2a 85 30 00 30 CO 29 05 39 80 34 90 12 40 46 50 44 55 30 00 29 80 15 65 31 75 34 90 42 45 19 45 32 50 37 50 31 00 15 00 29 85 31 0 46 50 12 25 19 05 25 00 21 9 19 30 29 25 19 60 40 00 38 55 45 50 18 60 33 0O 36 CO 30 00 15 00 30 00 30 00 44 20 14 00 18 95 25 00 24 9 50 29 40 19 85 16 10 16 50 18 75 40 00 40 00 35 00 30 00 28 35 30 00 30 00 29 75 46 06 36 85 42 45 47 00 53 10 30 00 31 00 18 75 39 60 3S 50 47 25 20 10 33 00 37 90 31 00 15 00 11 00 31 00 45 50 18 85 19 85 25 00 25 0U 20 15 29 60 65 11 50 Cj s sABSTRACT FContinued NAME Nick Eaton Tom Lewis J H Lewis Sam Moons Jim Wilson Stewart Tom Oilman Destie Wright Arthur Hudson Arthur Smith Fred Harper Mann Rogers Lewis Phillips has M Kemp Wm Ry Allen Kranley osh Carter are Daniel Chas Wnihlngton Logan Turner Hal Prescott Alfonso White J W Hopkins Chas Bivins W B Echols K Coleman J J Trice O C Herendeno Joe Denham W E Klne Jno Smith J W Arnngton Mary Smith M D Hobby WilkesHall Chas Williams D E Jibbee K E Wheeler Maltie Patterson Occupation Laborer Carpenter Laborer Wagoner Dairy Cem Driver F G Usher Laundry Jan Frb vlarch April May Juu 9 75 13 75 13 75 11 25 9 95 12 50 14 00 10 50 9 00 9 55 8 80 7 0 5 60 40 50 18 20 18 95 10 30 17 60 18 95 18 551 18 35 17 45 18 68 19 00 30 20 22 40 25 50 26 00 26 00 26 00 29 75 20 00 16 65 25 00 20 GO 26 00 80 00 49 85 10 05 8 50 6 35 31 25 16 85 It 75 19 10 17 85 18 35 16 25 16 85l 18 00 18 75 18 55 28 75 22 10 5 25 56 00 26 00 28 50 20 00 16 65 12 50 2C 00 25 00 28 30 50 00 16 65 July August Sept Oct i Nov Dec 14 45 17 75 18 75 19 20 20 25 20 25 19 85 17 45 25 00 25 00 3 00 17 03 36 45 18 00 19 50 18 70 19 50 19 51 14 45 21 00 23 75 16 30 24 00 23 50 24 08 15 55 19 50 19 30 19 96 30 9i 20 75 26 00 26 00 29 45 20 00 16 65 19 40 27 00 28 60 48 85 16 65 16 00 19 50 18 00 24 21 70 25 75 25 90 29 65 20 00 16 65 20 ro 26 00 29 75 50 00 16 05 37 96 19 50 12 89 19 10 12 00 18 75 9 95 15 00 15 55 19 35 25 21 30 25 50 26 00 29 95 16 65 16 6J 23 25 19 00 20 00 14 10 34 30 18 00 75 17 93 6 75 18 75 4 59 17 60 8 00 18 00 24 65 23 00 24 75 24 35 80 00 20 00 16 65 19 80 19 90 26 00 26 00 29 60 29 40 50 00 48 85 16 05 16 65 18 50 19 25 4 50 38 6 13 85 19 60 19 30 19 23 18 75 14 00 18 75 19 50 19 40 25 70 21 55 26 01 24 85 29 93 19 35 16 65 20 00 26 001 29 75 30 HI 16 65 20 00 45 CO 15 75 20 25 18 0i 20 25 19 5 14 01 18 76 22 00 19 50 18 35 7 15 14 00 10 50 17 00 18 86 7 50 7 50 23 00 16 85 20 25 19 27 00 22 70 26 0 30 00 18 10 16 65 19 60 27 00 20 50 50 00 10 651 30 00 17 05 19 50 19 15 17 95 18 75 14 00 19 46 19 50 17 65 29 75 22 00 25 49 30 00 10 75 16 65 20 00 26 00 29 03 50 00 10 40 16 CO 39 00 16 70 19 50 18 35 20 25 IS 00 18 50 17 60 18 75 18 65 30 80 22 70 26 00 30 00 18 70 16 65 19 20 20 00 29 70 50 00 16 30 23 00 41 05 16 59 18 35 16 75 19 10 19 35 16 10 18 35 18 55 20 4 29 95 23 00 24 5 30 00 17 65 16 65 19 90 26 00 23 70 50 00 16 05 2 00 2 00 2 65 75 75 1 50 75 75 75 75 75 19 50 32 75 22 85 20 00 80 00 20 00 16 63 20 00 27 00 30 00 49 70 16 65 S a 8Continued NAME Mary Farrell Blle Hobby Emma Hall Corn Waller Lou Hayes Mamie Vassar Kate Jackson Martha Carter Lou Sims Maria Washington Lucy Prescott Emma Richardson J F Simpson foe Ingram W E Scott Laura Cooper Anna Dennis J H Smith Joe Simpson Morgan Beck B Woodward Ike Sams C O Massey Wm Latimer Lula Bolhwell Alma Collins Die Tucker Griffin Sandtrs Joe Tucker Nathan Philips Green Austin Geneva Brown Robt Hogan Robt Alston Wm Brown Wm Burley F Brookins R Collier D Davis Gus Dillard Abe Edmonson Turner Easton Arthur Farrell Co I S ABSTRACT F Continued NAME F Gindraw Sam Graybil Israel Godby ilu H11 zz s d r ey icook bam Hi I Sim Henderson Wm Jackson Willis Pritchard Jasper Rivers John Ray Scott Ray Wm Schrimper Jim Stevens Lewis Slater Morris Sams Robt Traywijk Arthur Waller John Wiiliims Gesrge Whatley H C Whatley Wra Jackson J J Alien A NAllen W T Batemm J E Babb E F Bloodworth T W Beck Wm Brookins J G Bio dworth G W Clarke J W Giman W P Gilmm J M Gilman H M Gilmore J T Hollis J M Hemphill A J Hawkins Attendant J A Hardie L S Holsey J A Hubbard Robt Humphries D H Hollis Occupation Jan Feb Mach j Apil May JUe I July August 1 fc Sipt Oct Nov Dec s aCOLONY FOB COLORED MALESABSTRACT FContinued NAME P W Hemphill Z 6 Jotmson G R Kemp E L Lawson A Leonard J A Rogers A HRussell W L Rossee D Ross P Sykes C Ssimpson W C Simpson Sam Simpson 0 L Tanner A S Teariile W K Tennille W J Vaughan 1 M Youngblood MS Barber B F Bowdoin W E Baugh B C Brookins R B Brookins I W Brookins G D Babb D V Bellen Fred Batson Charlotte Banks Jas Crawford F H Coleman G C Chambers W R Gooliby C Horton B F Humphries Newt Hitchcock J H Hardie W C Humphries Fannie Hubbard E B Hubbard Homer Johnsonv LPJohnson C S Lane J N Lary Occupation Jan Yard Attendant t 25 00 22 50 25 00 29 90 21 90 21 15 22 40 24 85 24 30 24 40 25 00 25 00 25 00 25 CO 24 40 25 00 24 65 24 65 16 65 16 65 16 65 18 65 16 65 16 65 4 15 4 15 16 65 10 00 16 65 16 65 16 40 16 65 16 of 16 65 16 65 16 66 16 65 16 65 16 30 2 75 16 65 16 10 16 65 u Yard Attendant Yard Attendant A S V it n ti Asst Attendant ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii it 1 Fib 25 00 25 00 24 26 24 70 21 tb 25 00 19 45 25 00 25 00 24 15 25 00 25 00 25 00 25 00 25 00 24 60 March April May June July 24 60 16 65 16 65 16 65 19 65 12 20 15 40 4 15 4 15 16 65 10 00 16 65 16 65 20 00 16 65 16 40 16 65 16 65 16 65 16 65 16 65 16 65 20 80 16 65 16 65 25 00 J 24 60 21 65 24 15 21 95 25 00 25 001 24 25 25 00 24 65 25 00 23 35 24 75 24 40 25 00 23 35 25 00 25 00 16 65 16 65 16 65 19 00 16 10 16 65 3 90 16 40 10 00 16 65 16 65 25 00 15 55 16 65 16 05 16 65 16 65 16 65 14 75 16 65 25 00 16 65 20 25 25 00 8 25 00 25 00 24 75 21 55 25 CO 25 00 24 60 25 00 25 00 25 00 25 00 25 00 24 15 25 00 25 00 25 00 24 75 15 15 16 65 16 65 20 30 9 10 16 65 4 15 16 65 10 00 15 00 16 65 25 00 16 65 16 65 16 65 16 65 16 65 16 65 12 75 25 00 25 00 16 65 25 00 I 25 00 25 00 24 15 25 00 22 00 25 01 24 90 25 00 25 00 23 35 25 00 21 1 26 CO 26 00 24 15 24 60 25 00 24 70 16 65 16 65 16 65 19 65 16 65 16 05 4 15 16 65 10 00 16 65 15 55 25 00 16 65 16 65 16 65 16 60 16 65 16 65 16 65 25 00 25 00 16 00 24 60 25 00 17 45 23 35 26 95 22 00 25 00 24 90 25 00 24 90 25 00 24 15 25 CO 21 80 25 00 25 00 24 60 25 00 25 00 16 40 16 10 16 65 19 05 25 00 25 00 25 00 24 95 22 00 25 00 25 00 24 85 23 35 25 00 25 00 31 00 25 00 17 40 25 00 25 00 25 00 25 00 16 65 16 65 20 00 19 65 16 65 10 15 4 15 14 51 2 35 16 65 16 65 24 13 55 12 10 16 65 16 65 16 10 18 55 16 65 24 95 August 25 00 24 25 25 00 25 00 22 00 24 95 25 00 25 00 24 95 25 00 25 00 31 00 25 00 24 60 25 00 25 00 25 00 25 00 8 35 16 65 25 00 Sept Oct Nov Dec 16 65 3 60 4 15 16 65 24 85 16 65 24 35 16 65 16 65 23 35 3 60 16 10 16 65 15 85 16 65 25 00 16 65 24 70 23 60 16 65 25 00 15 85 3 90 4 15 16 61 16 40 16 65 25 00 1 95 5 30 13 SfO 16 65 16 65 24 15 16 65 25 00 I 25 00 8 25 00 24 20 25 00 21 75 23 35 24 95 25 00 25 00 25 00 25 00 30 00 24 90 25 00 25 00 25 00 25 00 25 00 16 65 25 00 16 65 3 90 12 65 16 65 24 If 16 65 25 00 16 63 14 95 24 15 4 15 16 65 16 65 16 10 15 30 25 00 16 65 25 00 25 00 16 65 23 35 24 15 25 00 22 50 25 00 22 00 23 35 24 60 23 35 25 00 25 00 25 00 31 00 23 35 25 00 25 00 25 00 24 85 25 00 16 65 23 85 16 10 16 65 16 65 16 65 24 75 3 35 16 65 16 65 16 40 16 65 25 00 16 65 23 05 24 80 25 00 24 55 24 20 25 00 25 00 25 00 25 00 25 00 25 00 25 00 2S 35 25 00 24 25 25 00 25 00 25 00 25 00 16 40 25 00 16 60 21 90 25 00 16 65 25 00 16 65 16 65 25 00 16 65 16 65 16 65 12 90 16 65 25 00 16 65 25 00 25 00 16 65 25 00 25 00 25 00 25 00 24 85 25 00 25 00 24 65 24 20 24 75 25 00 25 00 81 00 25 00 19 15 24 10 24 55 25 00 24 50 16 65 25 00 16 65 23 75 14 15 16 65 25 00 16 65 16 65 16 65 16 65 16 35 25 00 16 65 23 90 24 85 16 45 25 00 to s 3 s 3 tABSTRACT FContinued NAME J N Layfild E D Miller C P Medlin J J Moore W J May J R McCullough E E Polk E N Stevens A H Stewart L ASmith A S Smith Morgan Thomson MH Veal W P Williams W T Roberts Nannie Atbon E V Butts Josie Bost Juia Burnett D E Bloodworth Mattie Babb Jimmie Baugh Edna Bridges A V Cross Matlie Clark Minnie Champion Carlton Elder Georgia Frazier Mary Goolsby Annie Goolsby Mattie Gholstin Celia Hubbard Lucy Hubbard A L Hutchins A V Huffman Jessie Jackson Monira Jordan Mattie Kennon Mary Linch Mary Lane Emma Layfield Berta Medlin Lucy Melton Occupation Jan N W Asst Attendant Librarian Asst Attendant Attendant Yard Attendant Attendant N W Attendant H N N W Attendant Yard Attendant Attendant N W Attendant Seamstress N W Attendant 20 00 1 60 16 65 16 65 16 65 16 65 16 65 16 65 5 00 16 10 14 40 2 10 12 50 16 65 10 85 16 65 16 65 10 65 16 65 20 00 16 65 16 66 16 65 36 15 16 65 16 65 16 40 16 65 16 35 16 65 16 65 16 65 16 45 16 40 11 10 16 68 16 65 16 65 16 65 16 65 16 65 16 25 16 65 Feb March April May June July August Sept Oct Nov 25 00 25 00 25 CK 16 65 16 65 16 65 16 10 16 10 15 85 16 65 16 65 16 66 15 65 12 50 3 75 16 65 16 65 16 65 15 70 16 65 20 00 14 05 16 65 16 35 40 00 16 30 16 65 16 65 16 6 16 65 16 65 16 65 16 65 15 70 15 80 16 65 16 65 16 35 15 35 16 65 16 65 19 65 14 55 16 65 16 65 16 65 16 65 16 10 4 15 16 65 16 40 16 40 16 65 16 65 15 70 16 66 16 35 16 65 20 00 16 65 16 65 14 00 38 50 16 65 15 55 15 70 16 65 16 65 16 65 13 35 16 65 16 00 16 65 16 65 16 65 16 65 16 65 16 65 16 66 16 65 16 65 16 40 16 65 16 65 16 65 16 65 4 15 16 65 16 65 16 40 16 65 11 65 16 65 16 40 16 65 16 65 20 00 16 65 16 65 16 65 38 95 16 65 15 55 16 65 16 65 16 20 16 65 16 40 16 65 12 55 16 65 16 65 16 65 14 75 16 40 16 65 16 65 16 65 16 65 t 25 00 16 40 16 65 16 65 16 65 16 65 6 65 16 65 16 65 12 50 16 65 16 65 16 66 16 65 16 40 16 65 20 00 16 65 16 65 16 65 40 00 16 65 16 65 16 65 16 65 16 65 16 65 16 65 16 65 16 65 25 00 16 65 16 65 15 65 16 65 15 35 05 16 65 16 65 12 50 16 65 16 65 16 65 16 65 16 65 16 65 16 65 16 40 16 65 16 65 15 40 16 05 16 30 16 65 16 65 15 10 16 65 16 65 16 65 39 40 15 60 16 65 16 20 16 65 16 20 16 65 16 65 16 15 15 00 16 65 16 65 16 65 16 65 16 65 16 15 13 90 16 66 16 45 25 00 J 25 00 J 16 65 16 65 16 40 16 10 15 80 16 10 4 15 25 00 16 65 16 00 16 65 16 65 16 65 16 65 9 25 16 65 20 00 15 55 16 65 16 65 26 45 16 65 13 35 11 70 16 65 16 65 16 65 11 15 15 70 16 65 16 65 16 65 16 65 14 80 16 65 16 65 15 70 14 16 13 35 15 85 16 65 15 55 5 50 4 15 25 00 16 40 16 65 16 65 16 10 16 40 7 75 16 65 11 70 20 00 16 65 5 10 4 00 35 95 16 65 16 65 16 30 11 70 12 25 12 25 16 65 16 65 16 65 16 65 12 26 16 65 13 35 16 65 16 65 16 65 16 65 16 65 24 60 16 65 16 65 16 65 16 61 16 40 15 80 25 00 16 65 16 65 16 65 16 65 16 65 16 65 16 05 16 65 20 00 16 40 32 40 16 65 16 65 16 65 14 35 15 70 15 60 16 65 16 65 16 65 16 65 16 65 16 65 16 65 16 65 16 65 14 55 15 10 16 10 25 00 16 65 16 10 16 40 16 65 25 00 13 85 12 50 16 65 16 65 16 65 16 40 13 05 15 55 65 16 65 38 45 15 60 16 65 14 25 15 80 10 60 16 40 16 65 16 65 11 15 16 65 16 65 16 65 16 30 16 40 16 65 16 651 16 65j 14 90 24 75 13 50 16 65 16 50 16 30 3 60 24 1 15 45 16 65 16 65 16 65 16 65 16 65 15 65 16 65 8 00 16 65 39 40 16 65 16 65 16 66 10 65 18 65 15 65 16 65 15 70 16 65 16 65 13 90 16 65 16 45 16 65 16 65 16 65 14 90 15 60 Dec 25 00 16 65 15 90 15 15 16 40 25 00 16 65 16 65 16 65 16 65 16 65 16 65 16 65 16 65 20 00 16 65 36 85 15 60 16 40 16 65 16 65 16 65 16 65 16 65 16 65 16 65 16 65 15 55 16 65 15 30 15 65 16 35 16 65 16 05 16 65 3 S 8 a aABSTRACT FContinued NAME Occupation Jan Feb Lula Moore Leila Moore Delia McCullar Cora McCoy Lula McMichael Pennie Pinkston Fannie Robinson Claud Robinson Annie Russell Harriet Stanley M E Smith Al a Snipes Frances Wiggins Mattie Gee Florence Adams Kate Athon Mattie Beck Annie Bonner Eula Beck Mamie Brookins Leila Brooks Nina Batchelor Mary Batchelor Clara Brantley Eva Babb Meta Chapman Mamie Cannon Mattie Collins Annie Driver Cora Goolsby Annie Hobbs Saliie Harris Cora Hester Janie Hen rix Julia Jones Kate Johnson Bessie Johnson Agnes Jeane Maggie Johnson Cora Knight Kate Kennon Ava Lary Bessie Lawrence NW Attendant NW Attendant Yard Attendant NW Asst Attendant 16 65 15 55 5 10 14 90 16 65 16 65 16 65 12 85 16 65 16 65 16 65 16 65 10 65 16 65 4 60 12 50 11 25 12 25 5 75 12 50 12 50 9 40 10 00 12 50 9 55 12 50 12 30 12 50 11 70 6 25 9 30 12 50 12 50 11 85 5 80 12 50 12 50 6 25 12 50 12 50 3 35 9 30 12 50 March April May June July August Sept Oct Nov 16 15 15 551 16 65 16 65 14 75 16 65 16 65 16 65 iess 16 65 16 65 16 65 14 75 16 65 12 50 12 50 12 20 12 50 16 65 16 65 16 65 16 65 iaK 16 65 15 10 16 65 16 65 16 65 6 90 11 55 11 65 12 50 16 40 15 00 11 35 12 50 12 50 9 15 12 50 12 50 11 40 12 50 10 30 12 50 ijfso 12 50 12 50 12 50 8 20 11 95 9 05 12 20 12 50 10 15 12 50 12 50 6 2 16 65 16 65 16 65 16 65 iS65 16 65 16 65 16 65 16 65 15 65 8 35 12 50 11 35 5 90 16 65 J 16 65 16 65 16 65 9 16 65 12 50 7 40 12 50 12 50 12 30 10 95 2 9C 12 50 12 50 iim 2 50 12 50 11 35 11 45 10 60 12 00 11 65 12 50 12 25 12 50 12 05 isteo 11 25 12 45 10 30 12 50 12 50 4 60 12 50 12 50 15 00 J6 65 16 65 iio 16 65 16 65 16 65 16 65 16 65 11 65 12 50 12 50 10 00 S 16 65 20 00 13 15 6 65 16 65 16 65 16 65 15 55 16 65 16 65 12 50 12 50 7 10 4 60 16 65 16 65 16 30 16 65 15 00 16 65 16 65 11 70 16 65 10 85 8 75 11 80 11 65 1 25 11 70 15 55 16 25 10 90 16 65 16 65 16 65 16 65 10 75 8 35 16 65 16 50 16 65 16 65 16 65 15 65 15 60 16 65 12 50 iifso 12 50 12 25 11 65 9 60 11 45 16 65 12 50 10 85 12 50 12 40 4 15 12 50 16 45 6 50 12 50 16 65J 12 50 12 50 12 50 12 50 15 80 12 50 12 50 15 50 12 50 1 50 12 50 11 25 16 30 12 50 10 40 8 85 12 50 12 40 12 50 15 65 12 50 9 15 16 65 12 10 lTfeo 11 50 2 60 5 00 12 25 10 60 12 50 2 90 12 45 12 95 12 50 11 85 16 65 12 50 11 20 11 70 12 30 il75 10 40 12 50 16 65 10 85 12 50 16 40 20 00 16 65 16 65 16 65 16 65 15 70 16 65 16 40 16 65 20 00 16 4d 16 65 20 00 16 65 16 65 15 45 14 55 16 65 16 65 16 65 16 65 16 65 16 65 16 65 11 65 12 50 2 90 lifoO 12 50 12 15 12 05 16 30 6 95 14 55 11 95 6 70 16 65 12 50 12 50 16 65 12 60 15 90 12 50 9 90 12 50 14 40 16 65 12 10 12 50 16 10 12 40 12 10 10 85 12 50 16 65 12 30 14 95 16 65 12 50 12 50 12 50 12 50 16 65 12 50 12 50 12 50 16 00 16 65 11 25 9 50 16 65 10 50 12 50 12 50 16 65 16 65 12 50 12 10 16 65 16 66 16 65 16 65 16 65 10 80 11 40 12 50 12 50 16 65 11 15 12 25 12 40 16 65 16 65 12 50 12 50 14 55 to s 8 5 Ov rABSTRACT FContinued NAME Besiie Logue Minnie Meridith Bcisic Meeks N L McColIum Rosa McKinley Ola McCook Amanda Oxford Frances Pearce Dovie Prasser Annie Parnell Lula Rodgers Mary Reynolds Effie Robinson Irene Spivey M B Simpson Bessie Simpson Belle Simpson Julia Spivey Alice Turner Emma Taylor Fannie Taylor Susie Warrington Lizzie Warrington Fannie Ward Phoebe Zachry LJziie Wood Annie Gardner Hattie Gilman Maud Hobbs Mattie Chambers Effie Perdue J T Farell Ed Arnold George Adams Elisha Brundage Thomas Butts Charles Bonner Ben Brown Eldridge Bland Langston Bland Steve Briicoe Andrew Dennis Howcll Douglass Occupation Asst Attendant S V Attendant Jan March April May June July August Sept Nov Dec 12 35 12 50 2 60 12 50 12 25 12 50 3 35 12 50 5 40 10 00 12 50 12 50 12 50 10 40 12 50 12 50 6 40 12 50 11 20 10 25 8 90 12 05 12 05 6 65 12 50 5 40 8 35 7 10 5 40 5 40 1 70 50 00 12 50 12 50 11 50 12 B0 11 B0 12 SO 14 00 12 50 12 BO 11 50 12 501 15 50 5 60 12 50 8 70 6 65 12 50 12 25 12 50 7 00 12 50 16 35 12 50 10 55 12 50 12 50 12 50 12 50 10 15 12 50 12 50 10 50 12 50 12 50 12 50 11 F6 12 50 7 35 7 70 12 50 12 J5 50 00 12 40 12 50 12 60 12 50 12 50 12 50 14 00 12 50 12 50 12 50 12 50 11 60 12 05 12 50 10 95 12 50 7 1S 1 65 9 25 12 40 12 50 16 65 10 00 12 10 12 50 10 30 12 50 12 50 11 90 7 58 11 15 12 50 12 00 10 40 11 25 7 95 5 50 11 50 11 60 12 50 12 50 49 55 11 85 12 5 12 50 12 50 3 35 12 50 14 00 12 50 12 50 12 50 12 60 10 35 12 20 12 5C 12 50 12 40 12 50 10 75 11 65 16 65 16 65 12 50 12 15 12 50 12 50 12 50 12 0 12 35 9 9 95 12 5 12 50 12 50 16 65 12 50 11 25 12 25 11 25 12 50 12 50 50 00 11 65 12 35 12 50 10 50 12 50 12 50 12 50 14 00 12 50 12 50 12 50 12 50 12 50 12 50 12 00 12 45 10 85 12 35 16 65 1 10 10 6 25 16 65 12 50 12 50 7 85 9 05 9 90 2 30 12 50 12 00 11 45 16 Go 12 50 10 00 12 50 12 50 12 50 12 50 49 95 11 15 12 50 12 50 12 50 11 95 12 50 12 50 11 25 12 20 9 15 12 50 14 00 12 50 12 50 12 50 12 50 12 50 12 50 16 65 12 50 11 95 16 65 9 75 12 50 10 00 12 50 12 50 12 50 12 50 11 25 10 70 16 65 6 00 12 50 12 40 10 75 12 50 12 60 49 80 12 00 12 50 10 50 12 50 8 9 15 12 25 12 50 7 50 12 50 10 85 12 00 It 00 12 50 12 50 11 50 12 50 12 00 12 50 16 65 12 50 4 15 11 70 12 50 12 50 16 65 3 70 11 50 11 95 12 25 12 50 16 65 12 50 8 10 70 5 60 8 75 12 50 8 75 12 50 10 85 10 05 15 65 12 50 12 50 11 20 12 50 11 70 12 50 12 50 2 90 12 50 8 95 49 75 9 80 11 85 12 00 11 25 6 65 12 50 14 00 12 50 12 50 12 50 5 00 12 50 2 90 16 65 14 45 10 80 4 00 9 15 7 85 11 90 5 00 10 60 16 65 12 50 10 40 12 50 12 50 16 65 11 55 6 50 16 65 16 65 11 65 9 60 12 50 11 40 12 50 12 50 11 05 12 50 12 50 12 50 10 80 16 65 10 90 10 85 12 25 12 25 16 40 11 65 12 50 12 50 49 80 3 36 11 65 12 50 12 50 12 0 7 10 14 00 12 50 12 50 12 50 10 10 11 45 12 50 12 50 8 35 3 10 11 25 11 50 14 00 11 50 12 50 12 50 16 65 16 65 12 60 12 50 8 80 12 50 12 50 16 65 12 50 12 50 12 80 12 50 12 50 11 00 12 50 16 65 8 12 05 12 60 16 65 16 65 11 50 12 50 11 50 12 50 12 50 16 66 10 55 12 50 8 25 12 05 11 50 11 50 7 50 4 60 11 50 11 40 12 50 14 00 12 60 12 50 12 50 12 60 12 50 12 10 12 50 12 5C 10 85 12 50 12 50 12 50 12 50 12 50 8 70 12 50 9 SO 12 50 12 50 16 50 12 50 14 75 16 65 12 50 12 50 12 50 12 50 12 50 16 65 12 50 12 50 12 40 12 50 12 50 12 50 12 50 12 50 12 50 12 50 12 50 12 50 12 SO ex R 3 ABSTRACT FContinued NAME Occupation Butts Davis Robert dmondson Jtas r dwards Alex Foster Judson Hall Robt Humphries Wm Hargrove James Hogan I hos Henderson Levi Ingram Goodloe Ingram Wm Johnson Augustus Lewis Hen y Lewis Brady Mathi Chas Milkr Mailt Phillips Genie Rogers Tom Ray M se Reid George Stevens Ed Stevens Boyer Shields Go dwinSandford Jordan Smith Jus Thornton Henry Turner Crawford Thomas l yrus Taylor Ben Thweatt iirt Williams Sl Willis John Wheeler MarthaFarell Mamie Albert Senie Hland Anna Briscot India Bailey Mary Bailey Delia Bryant A L Burt Kate Bailey Minnie Boyer Attendant Matron Attendant Jan Feb March April May June July August Sept Oct Nov Dec 14 00 12 50 12 50 13 25 12 50 12 50 12 50 18 00 8 75 12 50 8 35 12 50 12 60 5 85 12 50 12 50 12 50 15 60 12 50 14 00 12 50 12 50 12 50 12 50 14 00 12 50 12 50 14 00 14 00 7 90 12 50 14 00 12 50 33 35 10 00 10 00 10 00 10 00 10 00 8 00 10 0 10 00 5 15 11 00 12 50 12 50 14 00 12 50 12 50 12 10 18 00 12 50 7 10 12 50 12 50 12 50 12 50 10 50 12 50 12 50 j6 CC 12 50 14 00 10 50 12 10 12 50 12 00 12 00 12 50 12 50 14 00 14 00 12 5C 12 50 14 00 12 50 33 35 10 00 10 00 10 00 10 00 9 10 10 00 1 50 10 00 10 00 14 00 12 50 12 50 14 00 12 50 12 50 12 50 18 00 12 50 12 50 12 50 12 50 6 20 12 50 14 00 12 50 12 50 12 90 12 40 12 50 12 50 18 00 12 60 375 12 50 12 50 12 60 14 00 12 50 12 50 13 85 12 50 12 50 12 40 15 00 12 50 iioo 12 50 12 50 12 50 12 20 15 75 12 50 14 00 12 50 12 50 12 50 12 50 14 00 12 50 12 50 14 00 14 00 12 50 12 50 14 00 12 50 33 10 00 2 65 10 00 10 00 10 00 9 35 iob6 10 00 12 50 16 00 12 50 14 00 12 25 12 50 12 50 12 50 13 50 12 50 11 25 14 00 14 00 12 50 12 50 14 00 12 50 33 35 10 00 2 90 9 20 9 00 10 00 7 65 10 00 10 00 14 00 12 00 12 50 12 00 12 50 11 50 12 50 18 00 12 50 12 50 12 00 12 50 12 50 16 00 12 60 14 00 12 15 12 50 12 50 12 50 14 00 12 50 12 50 14 00 14 00 12 50 12 50 14 00 12 50 33 35 10 00 10 00 10 00 10 00 9 05 lOOO 9 55 14 00 12 25 12 50 14 00 12 45 12 50 12 50 17 95 8 80 12 50 12 50 12 50 12 50 16 00 12 50 14 0J 12 50 11 50 11 65 11 12 35 12 50 12 50 14 00 14 00 7 90 11 50 11 35 12 00 33 35 o oo 14 00 12 50 12 50 14 00 12 50 12 50 12 10 2 40 12 50 12 50 12 50 12 40 15 75 11 85 14 00 12 50 12 50 12 00 12 50 13 55 12 50 12 50 14 00 13 55 3 60 14 00 S 12 50 12 50 12 50 12 50 12 50 9 60 11 90 8 45 11 50 IS 55 12 25 33 35 10 00 10 00 10 00 10 00 10 00 iooo 10 00 9 00 8 45 10 00 10 00 Tiio 10 00 12 50 16 00 11 45 14 00 12 50 12 50 12 50 2 45 14 00 12 50 12 50 14 00 14 00 2 90 14 00 12 50 10 65 11 25 12 50 12 50 12 00 12 50 12 60 12 90 14 00 11 85 3d 35 7 35 8 45 9 00 9 00 8 90 iob6 7 25 11 80 16 00 12 50 14 00 12 50 12 50 12 50 11 50 14 00 12 50 12 50 14 00 14 00 10 00 14 00 12 50 6 50 14 00 12 10 12 50 12 50 12 50 12 60 12 50 12 50 11 50 12 50 12 55 15 20 12 50 14 00 12 50 11 60 12 40 12 50 14 00 12 30 12 50 14 00 14 00 12 50 12 60 15 55 12 50 13 60 12 50 10 00 1 65 10 00 10 00 9 05 iooo 9 05 10 00 10 00 10 00 10 00 iobo 10 00 12 50 12 50 12 60 12 50 14 00 12 50 12 30 14 00 14 00 12 50 14 00 12 50 9 50 10 00 10 00 7 20 8 66 iobo 8 76 14 00 12 60 12 50 12 50 12 50 12 50 12 50 12 50 8 75 12 50 16 00 12 50 12 50 12 60 12 60 12 50 14 00 12 50 10 00 14 00 14 00 14 00 10 00 10 00 10 00 10 00 8 65 5 40 iooo 10 00 3 s OxNAME Occupation Minnie Clemmons Roxie Coleman Emma oles Eleanora Davis Belle Davis Hattie Daniel Carrie Driscoll Matiie Davis Josie Ellington Jessie H loss Lottie Gullam M J Harper Mary Hurt Eila Hanis Lucy Ingram Anna Jackson Mollie Lawson Belle Lamar Virginia Mahorne Cornelia McDonald Lizzie Parham Narcissa Pitts Maria Randolph Mary Rivers Ad ie Spralding Alberta Thomas Alice Warren Hester Wat kins Emma Ward Mary Williams M L WilHams Dodie Bivins Ed Kenny John Edmonson John Brown Jim Butts John Wiliami Matbew Reese Ben Ward J S Cnllaway D N Combess J C Red Philip Blouat Attendant Laborer Mason Laborer ABSTRACT F Continued Jan Diry Asst Attendant Feb April May June July August Sept 10 00 10 00 5 00 8 So 1 35 10 00 10 00 10 00 9 90 10 00 10 00 10 00 10 00 10 oo 10 00 10 00 10 00 3 65 7 10 8 on 10 oo 10 oo 10 oo 10 oo m oo 9 85 8 80 10 00 10 00 10 00 10 00 10 00 9 40 10 00 10 00 5 00 2 15 10 00 10 00 10 00 10 00 7 95 9 05 9 15 8 95 10 Oil 10 00 10 00 10 00 10 00 10 00 10 00 10 00 9 05 10 00 10 00 10 00 10 00 10 00 10 Oil 10 00 17 51 2 50 75 6 75 i 75 0 75 o 75 4 50 26 0 19 00 12 00 3 35 9 00 10 00 9 05 9 10 10 00 10 00 10 00 i 45 10 00 10 00 10 CO 10 00 10 00 8 00 10 oc 65 10 00 10 00 10 00 10 00 10 00 10 00 10 00 9 25 9 05 10 00 10 00 10 00 10 00 10 00 10 00 10 00 10 00 10 00 It 00 10 00 10 00 10 00 8 05 9 05 10 00 10 00 10 00 10 00 10 00 10 00 10 00 10 00 9 20 10 00 37 50 33 75 20 05 20 05 20 05 16 85 16 30 19 50j 2i 00 26 00 j 18 00 21 90i 10 00 8 40 10 00 9 00 18 75 54 35 18 55 25 40 25 35 18 00 16 10 10 00 10 OH 10 00 10 00 10 00 10 00 8 35 10 00 10 00 10 00 10 00 10 01 9 55 10 00 2 35 10 OO 10 OO 10 00 10 00 10 00 10 00 0 95 10 00 10 00 10 00 10 00 10 00 10 00 2 35 10 00 10 00 10 00 50 10 00 10 00 10 00 10 00 10 00 10 00 10 00 5 65 9 20 10 00 10 00 7 40 9 05 10 00 4500 18 75 25 25 00 25 25 18 00 16 65 10 00 10 00 8 95 6 85 10 00 0 00 10 00 7 65 40 25 19 50 8 25 8 25 6 86 11 00 8 95 9 00 10 00 10 00 10 00 10 00 9 20 10 00 10 00 60 65 19 50 25 00 26 00 18 00 12 80 24 85 23 25 18 00 16 65 10 00 7 35 7 45 7 60 7 90 10 00 7 7 35 8 10 10 00 8 75 8 05 6 95 10 00 8 85 7 75 10 00 7 10 9 05 7 55 10 00 10 00 19 85 9 15 7 40 7 E0 8 40 9 00 10 00 10 00 9 00 9 05 10 00 Iff 00 10 00 10 00 10 00 9 00 9 15 9 65 10 00 8 80 9 35 25 00 24 00 18 00 16 65 31 25 19 50 5 10 18 35 18 35 14 00 18 75 25 00 3 50 18 001 16 65 10 00 10 00 10 00 10 00 8 95 9 35 10 00 10 00 9 00 10 00 10 00 10 00 10 00 8 85 9 45 9 10 10 00 10 00 8 65 9 15 10 00 8 85 10 00 15 00 10 65 12 15 14 10 111 65 24 40 23 00 18 00 11 70 9 35 7 00 9 15 10 00 10 00 10 00 10 00 10 00 10 00 10 00 9 05 10 00 9 50 9 65 8 65 10 CO 8 75 10 00 10 00 Dec 8 30 10 00 16 00 15 00 14 on 10 55 14 25 24 40 22 75 18 00 16 65 10 00 9 50 10 00 3 50 10 00 10 00 10 00 10 00 9 00 9 40 9 20 9 85 10 00 10 00 8 65 9 85 8 00 5 00 5 00 24 70 23 00 18 00 16 65 o 8 ABSTRACT FContinued Richard Batchelo H L Coolsby W T Roberts Lucy Siiimons Ethel Bin on Fannie Harrell Susie Martin Mamie Matin Maud Vea Zea Veal Susie West Nora Dallas Lizzie Harris Phillis Pitts Chas Hall Ed Wiggins Joe D Hard Ike Abrams Fred Palmer Wm Storks d Dennis Noah Follow Horace Wilson Julius Sims Howard Sims John Dougher y Ed Carter G B Cook F Hudson W J Johnson WR Melton A Turner Anna Bateman Wil ie Brown Mamie Combs Bes ie Foshe Anna Hartley C Northintoa M L Parnell Minnie Penn Wm Britton Thos Burns Wm Rivers April May June July August Sept Oct Nov 12 50 16 65 J 16 65 15 56 1665 16 65 12 50 12 50 ii 56 12 40 7 00 9 40 12 50 12 50 12 50 12 50 2 80 12 50 12 50 15 00 15 00 10 00 7 85 19 6C 31 35 31 25 1 5C 18 95 30 00 30 60 22 50 31 85 17 50 31 85 19 30 18 35 9 75 18 00 3 05 6 50 14 OC 13 85 13 4c I 12 00 It 00 14 00 16 65 16 65 16 65 16 65 7 95 7 60 6 65 5 40 5 50 11 45 7 60 12 50 12 50 12 50 IB 40 9 45 l6M 12 50 To 70 12 50 12 50 12 50 5 00 15 00 18 75 17 80 15 35 5 95 14 00 13 45 14 00 14 00 16 65 16 65 16 16 65 16 61 16 40 16 65 16 60 16 65 16 65 16 65 15 60 15 75 13 45 7 95 12 40 14 00 6 80 14 00 13 55 10 00 11 30 15 85 16 65 12 50 16 65 8 75 12 50 11 05 11 05 12 40 17 80 14 25 12 76 16 65 9 85 16 65 12 50 16 65 11 20 12 50 12 35 17 90 12 50 16 65 15 15 12 50 11 95 11 25 11 25 12 50 16 50 9 20 25 16 10 13 75 10 12 35 12 10 4 60 11 85 6 60 12 50 12 50 12 50 12 40 10 95 12 50 11 25 12 50 10 00 11 25 5 00 11 90 12 501 13 45 14 00 16 65 16 65 16 65 16 65 10 40 10 40 12 00 12 35 12 40 10 40 12 15 12 50 15 75 12 20 14 00 14 00 14 00 16 40 16 65 16 65 16 10 2 80 4 15 16 65 18 75 1 60 8 05 11 50 2 25 12 50 11 40 12 45 12 50 11 80 9 60 14 00 11 30 16 65 16 65 16 65 10 55 12 50 15 00 15 65 12 95 7 85 16 50 11 00 11 60 6 45 18 00 11 50 it bo iioo 11 90 14 15 4 15 16 15 13 15 12 40 16 65 11 90 12 50 10 15 8 40 12 50 l406 14 00 10 65 9 85 9 15 11 05 12 50 12 50 9 80 9 15 9 50 12 50 13 751 13 20 16 65 16 65 15 60 4 60 3 90 12 50 12 50 12 50 l250 12 50 12 60 12 50 13 15 10 00 9 65 14 00 14 00 16 10 16 40 16 65 12 50 6 60 12 50 8 95 12 50 iJ40 12 50 8 75 12 50 11 15 12 25 12 25 14 00 14 00 13 75 19 05 16 65 16 65 3 90 3 30 7 85 11 55 12 50 l2 50 12 50 12 50 12 50 10 90 12 50 12 50 Co ft S is a 3 f ABdTBACT F Continued NAME Occupation Jan FA March April May June July August Sept Oct Nov Dec Attendant S a 20 7 65 10 Ofl 7 3o 10 00 10 00 9 35 10 00 loco 10 00 9 8c 10 OOl 10 Ot 10 00 35 10 00 12 50 8 50 6 35 10 00 8 90 10 00 7 50 10 00 10 00 10 00 10 00 Phillis Pitts 10 00 10 00 10 00 12 00 10 on 10 00 15 00 15 00 18 00 18 00 25 00 19 50 18 15 18 00 15 95 8 M 10 OC 10 00 10 00 7 35 6 40 7 35 10 00 i t 50 00 46 00 19 00 51 or 61 00 20 95 25 00 25 00 17 85 19 50 19 50 11 95 F M 24 80 18 75 19 85 14 25 4 50 24 65 17 85 19 50 15 70 10 40 14 00 19 50 11 65 21 00 31 00 16 65 17 30 16 45 12 50 16 65 21 90 22 75 22 25 16 10 7 15 18 00 18 45 8 60 12 50 14 00 11 25 12 50 16 65 21 00 30 00 9 20 6 45 13 20 12 50 16 65 15 85 12 50 2 00 2 00 16 40 16 65 16 40 16 65 15 85 18 35 18 25 19 10 6 C 10 40 6 25 10 10 12 50 25 00 22 50 13 00 16 65 16 40 16 65 16 65 12 50 10 20 9 90 10 40 12 50 11 70 8 75 12 10 12 50 30 50 22 00 16 75 25 00 25 70 16 65 16 65 12 50 K i Hen Ward 19 50 22 50 2l 00 25 00 12 50 16 65 16 65 16 65 19 50 20 25 8 15 5 00 16 65 16 50 16 65 16 65 2H 00 23 75 17 00 5 40 9 45 14 95 2 50 8 35 8 15 7 90 10 85 9 20 40 40 7 SO 40 8 35 24 50 23 50 16 65 16 65 16 65 16 65 16 65 23 50 23 00 21 251 22 00 16 65 16 65 16 65 16 40 16 65 16 40 16 65 16 10 16 66 16 65 Asst Attendant J Gholson a L L Parker 5 90 5 25 10 25 12 50 12 50 10 16 12 50 12 50 17 55 18 115 3 75 24 50 25 50 2 90 8 75 5 00 Ethel Suddeth 11 65 5 40 12 50 12 50 10 60 16 65 12 50 12 15 15 00 16 65 16 65 M L Wnson 16 65 16 05 16 65 12 50 2 90 12 50 12 50 16 65 12 50 31 00 22 26 19 20 26 00 16 K5 16 65 12 50 27 65 10 0J 9 60 26 00 16 65 16 65 12 50 12 50 29 30 16 00 15 80 18 00 22 75 14 45 16 C5 12 20 12 10 31 00 13 90 16 65 20 00 26 00 14 45 4 IS 12 50 12 50 29 00 11 75 16 65 6 65 26 00 16 65 16 65 10 40 12 50 15 75 15 00 15 00 15 70 25 90 16 65 16 65 12 50 J F Wright J A Smith Wagoner Ast Attendant t 2 s s 3 ABSTRACT FContinued NAME Occupation Jan March April May June July August Sept Oct Nov Dec Fannie Harrell J Melton F Patrick Gus Austin John Dokes R MaKon H Wright J Dawson G B Askew A E Collins Caliie Reed A Youngblood M Lee Chas Brown Lula Adams Laura Banks Jennie Clay John Mahoney Steve Wright Mattie Reese Berry Farrar R Thweatt H Blizzard H J Bloodworth Braxton Mills R L McKinley i hos Smallwood W J Simpson Lee Yates Minnie Allen Carrie Eihride Mary Hall Annie Osborne Alma Pf arce Eva Patterson Cephie Robinscn Geo Bayne Ben Hallman Frank Johnson Hattie Jones A R Neal Cosetta Reeves Mary Reeves Asrt Attendant J Asst Attendant Attendant Laborer Laudry Gardener Cook Asst Attendant Attendant Attendant 9 15 3 35 12 30 12 50 8 7 90 4 60 14 00 1 50 15 00 11 65 19 10 2 65 12 10 2 10 12 50 9 80 4 60 2 35 10 00 10 00 7 25 7 95 S 16 65 12 50 12 00 12 50 16 65 12 50 12 50 12 50 12 50 10 00 10 0C 5 05 19 50 3 00 10 00 14 00 14 00 12 50 10 00 10 00 16 65 2 90 16 40 10 00 11 65 10 00 10 85 8 35 10 80 12 50 6 85 1 65 12 00 4 60 2 35 85 6 80 1 50 S 16 10 12 50 14 00 16 55 2 80 16 65 6 55 8 40 12 50 10 00 7 45 10 001 19 75 6 75 10 00 14 00 15 00 16 65 16 65 16 40 15 35 7 85 15 00 16 65 1 65 5 40 8 50 5 45 6 20 12 50 10 85 12 50 12 50 11 80 10 00 10 00 11 40 12 50 16 65 16 65 4 15 16 65 12 50 8 75 13 00 16 50 10 00 4 60 15 00 15 00 16 65 16 65 16 25 8 60 16 40 16 40 10 00 9 8 10 00 10 00 10 00 10 00 12 50 12 50 12 50 10 15 10 40 12 50 12 35 18 65 7 30 10 00 16 65 13 15 16 65 16 65 16 65 16 1 16 65 12 30 10 95 7 90 11 10 12 50 12 20 12 50 12 50 12 50 13 75 iooo 14 00 15 25 16 65 16 40 16 65 16 65 16 65 16 65 9 45 8 50 7 15 8 55 8 05 5 80 12 60 12 50 16 65 iooo 16 65 11 10 16 65 13 90 16 65 16 65 16 65 12 50 12 50 12 50 11 55 12 50 12 50 12 50 12 50 12 50 8 8 3 tABSTRACT FContinued NAME Occupation Jan Feb March April May June July August Sept Oct Nov Dec g s 5 65 2 00 W B Harper 45 00 3 00 8 00 26 00 14 10 13 60 20 30 10 85 12 50 7 15 6 65 4 20 12 50 2 10 85 12 50 7 90 10 40 2 50 5 80 12 50 7 10 2 30 51 95 52 00 45 00 6 75 25 50 16 65 14 00 40 00 16 65 16 65 15 65 16 65 25 65 16 65 14 00 40 00 12 50 3 60 16 65 7 90 J H Lary 24 90 16 30 13 75 39 75 11 25 16 65 16 65 10 00 25 60 16 65 M B Patterson C A Tyler A S K 38 60 16 65 15 65 16 40 10 00 W D Taylor Asst Attendant T M Brake Piokie Jones Minoie Beck 12 50 12 50 11 45 Effie Batchelor 12 50 12 50 6 70 12 50 12 50 12 50 12 50 12 30 10 75 12 00 9 10 12 25 12 50 12 25 11 50 12 50 12 50 12 50 Mia Faiell t Il Perdue Ambrose Taylor W C Patterson 16 60 6 00 6 00 5 60 13 10 8 90 10 00 1 25 7 90 8 75 8 75 11 30 1 25 8 35 6 65 12 50 8 75 1 70 42 00 28 00 7 50 8 05 9 40 27 55 12 50 R M Tennille J I Medlin 42 85 12 50 10 00 10 85 7 10 12 50 9 60 12 50 7 BO 8 65 7 10 12 50 2 90 5 00 13 95 Asst Attendant DCan t 8 55 11 25 10 00 12 50 12 50 12 50 12 50 12 50 12 25 11 45 B Hooks I P Jones 10 00 10 00 10 00 12 50 12 50 12 50 K Tneel t LilHe Womble 8 ft ABSTRACT F Continued NAME Occupation Jan Feb March April May June July August Sept Oct Nov Dec Asst Attendant 8 t 8 8 8 8 8 2 60 8 12 50 8 12 15 12 50 14 00 1 05 33 35 5 65 70 14 00 12 50 33 35 14 00 12 50 33 35 14 00 12 50 33 85 9 05 9 25 4 00 4 05 8 55 4 35 10 8 2 90 1 65 5 00 5 40 12 50 14 00 3 75 12 50 11 65 16 65 11 15 12 50 12 50 10 00 16 65 4 60 Asst Attendant 8 50 12 50 11 12 50 41 16 65 12 00 t 12 50 12 50 10 00 16 65 Asst Attendant 5 20 1 25 8 95 1 25 4 00 5 35 5 35 86784 50 86697 90 87262 6 S7592 55 87467 55 87535 8587475 00 17417 40 87575 0587677 95 87620 95 87227 75 CD Cj SP Total Amount 8823510 3 76 Annual Report of the ABSTBACT G Showing the Expenditures on account of Incidental Expense from Jan uary 1st 1904 to January 1st 1905 Date To Whom Paid What Fob Amount 1904 Jan 31 Feb 29 Hardware Material Nails Paints Material Messages Fencing Ammonia Services Repairs Wire Printing Samples Beck G Hwd Co Scientific Mat Co BaileyLibhy Co Warren Bros Cameron Bros Cen Ga Tel Co Wm Tollison Armour Pkg Co J B Baird C A Denham Co J R Hines Union Recorder Col Paper Co F Schantz H E McComb Standard Oil Co Anderson Hwd Co Foot Davies Co T C BurkeBrushes F J Cooledge BroPaints Lombard I W S CoPipe J StaleyTinware Anthony S Co G D Case Keuffel Esser Co M S D A Byck Semmes Hwd Co R W Hatcher Allen Barrow Harrison Bros Co Merritt H W Coj Lanterns C S B Supply CoPipe Eimer AmendLab Supplies Beck G Hwd CoSamples Atlanta R S S CoStamp Linament Turpentine Samples Printing L Supplies Brushes Paper Copy Books Samples Straw Paint Phenix S CoAxalic Acid G W W StoneBrooms Standard Oil CoOil Merritt H W CoBuckets Sav W W CoPaper Standard Oil CoOil Wm TollisonFencing Semmes H W CoTinware C J MontgomeryServices J G ThomasG Vines C S B 8 Co Pipe T W Craw Mfg Co Laun Sup Wm TollisonFencing Standard Oil CoOil Culver KiddIBook Am L M CoRepairs H M Lamar CoiSoap J E BurkRepairs 68 33 55 10 72 144 47 209 50 I 25 36 58 46 55 87 84 15 60 360 56 5 50 70 1 10 1 90 78 30 2 41 3 00 10 30 61 25 47 68 14 37 19 09 16 90 1 04 20 00 88 2 33 51 05 30 00 II 00 14 08 41 25 6 17 64 8 82 45 00 49 87 42 71 8 88 28 88 7 20 8 07 97 32 25 90 41 14 27 50 128 32 27 22 2 00 18 00 50 11 11 85Georgia State Sanitarium ABSTRACT GContinued 77 Date 1904 Feb 29 To Whom Paid What For Amount March 31 G D Case Dow Wire Works Merchant Co Lombard I W S Co Louisville C J J P Co W H Thomas Co Standard Oil Co S S White D M Co Foote Davies Co Eimer Amend J Staley Haven M C Co J R Hines Merritt H W Co Ahrens Ott M Co W H Armstrong Co C S B 8 Co Buckeye S Co Atlanta R S S Co G W W Stone Standard Oil Co Merritt H W Co Atlanta J Co M E Light Co Con Pub Co Morning News Augusta Chronicle Buckeye S Co PhenixS Co Union Recorder G D Case Forbes D L Co Foote Davies Co F A Guttenberger Morning News Lombard I W S Co Dunlap H W Co Merritt H W Co Nunn Brass W R W Hatcher Col ton S B S Co W H Armstrong M B D A Byck W J Caraker J Staley SumterTel M Co Merchant Co Ahrens Ott M Co Merchant Co G W W Stone Standard Oil Co Merritt H W Co J W McMillan J W McMillan J T Brantley JSemmesH W Co Envelopes etc Guards Tin Pipe Book B Robes Candles Supplies Book Lab Sup Tinware Repairs Wire Crockery Repairs Supplies Belting Soap tamp Brooms Candles Crockery Printing Lights Advertising Soap Starch Printing Pens Material Printing Tannery Printing Grate Bars Hardware Crockery Repairs Wire Pipe Instruments Dusters Wagon Tinware Material Tin Bibs etc Solder Brooms Turpentine Crockery Brick Services Tinware 29 52 145 70 56 00 45 92 10 00 100 00 71 38 64 00 00 10 00 4 7 2 7 4 237 50 24 56 30 60 16 50 49 73 69 98 3 02 45 00 49 87 42 17 5 60 61 44 8 80 12 00 6 00 68 60 27 64 11 50 8 39 1 17 16 00 20 00 11 25 47 72 60 99 15 65 8 22 54 93 2 80 3 60 55 95 34 05 17 30 79 91 457 00 43 10 20 80 45 00 49 86 22 95 75 07 150 14 96 48 36 4678 Annual Report of the ABSTRACT GContinued Date 1904 March 31 April 30 To Whom Paid What Fob Amount J W McMillan E A Tigner Standard Oil Co J W McMillan J W McMillan C Rosenstein Co Con P M Co Nat Am Co P P Hose Co H Cannon Co Harrison Bros Am L M Co J VanRosey Co BeckG Hwd Co H M Lamar Co Buckeye 8 Co R W Hatcher Aug Gro Co S S Bed Co J W McMillan Sumter T M Co Badger F Ex Co Armour Pkg Co Morning News Jones Hopkins J E Chandler Genl Elec Co W H Armstrong Co M S D A Byck Semmes H W Co J W Craw L Co J W Burke Co Foote Davies Co J Staley 8 S White Den Co C 8 Osborne Co Whitlock C P Co Fred Dis Co Atlanta S Co T C Burke Warren Bros Co Knowles S P W Yale T M Co Badger F Ex Co J A Faly E Co J Shirmer Sons Neal Blun Co Semmes H W Co Garlock P Co Carter G Elec Co M Rich Bros Co E J P D Willingham C 8 B Supply Co Standard Oil Co GD Case Lombard I W S Co Brick Work Oil Brick Matches B Pans Ammonia Hose Aprons Paints Machine Repairs Nails etc Soap and Starch Soap Hardware Buckets Beds Brick Material Extinguishers Ammonia Printing Tinware Lumber Supplies Instrument Paper Samples Repairs Printing Ink and Pencils Tinware Den Sup Inent Press Pipe Disinfectants Pipe Paint Repairs Locks Fire Ex Repairs Material Tinware Packing Supplies Carpets Linoleum Pipe Turpentine Combs Pipe 74 55 2 00 28 80 75 07 71 40 22 05 195 52 45 79 392 00 32 23 169 24 503 50 26 04 187 50 133 65 68 60 57 02 44 68 98 49 73 50 42 00 480 00 28 56 34 50 3 99 93 24 23 56 2 00 5 14 54 16 50 27 36 23 50 6 30 2 54 2 80 59 25 18 61 15 00 15 45 32 50 43 00 3 90 8 00 13 00 1 10 45 19 7 94 19 69 1 18 333 66 402 43 235 52 144 22 6 34 125 43Date 1904 April 30 May 31 Georgia State Sanitarium ABSTRACT G Continued 79 To Whom Paid What Fob Amount BeckG H W Co Sav W Ware Co Semmes H W Co M 8 D A Byck Harris Davis Co H M Lamar Co Standard Oil Co Dawson Broom W G D Case Standard Oil Co Phoenix 8 Co Savannah W W Co J R Benford Milledgeville News Samples Tinware Samples Soap Candles Brooms Brushes Oil Starch Crockery Lumber Printing W F BrunnerTrustee R H Wooten Ahrens Ott M Co H R Worthington M E Light Co Dixon Williams C S B AS Co Lombard I W S Co Bashlin Co Semmes H W Co Buckeye S Co Ahrens Ott M Co E J A P D Willingham M Rich A Bros Standard Oil Co S S Parmelee R W Hatcher L W Loomis DunlapH W Co Merritt H W Co J W McMillan Tripod P Co G D Case E J A P D Willingham Am L M Co Lombard I W A S Co Morning News J Staley McKesson A Robbins Cent Mfg Co F J Cooledge A Bro J R Hines H Cannon A Co Standard Oil Co Dowson B W G D Case J E Chandler J W McMillan Buckeye S Co J W McMillan Standard Oil Co Lombard I W A S Co Books Material Repair Lights Knives F Pipe Grate Bars Valves Tinware Soap B Tubs Matting Carpets Candles Leather Hardware Tinware Locks AS Brick Paint Furniture Laundry Sup Pipe Printing Tinware Acid Material Oils Lime Laundry Sup Turpentine Brooms Brushes Lumber Brick Soap Brick OH Boiler 4 26 1 22 43 51 4 16 1 50 55 00 49 87 36 64 57 01 30 40 41 73 15 29 71 37 16 75 96 25 3 70 272 29 1 83 284 84 333 60 344 S 35 98 73 50 10 59 68 60 390 04 500 93 263 45 70 84 10 33 55 98 126 00 2 50 4 50 78 75 84 00 64 00 313 62 238 20 127 00 6 00 26 80 11 25 20 40 261 22 22 50 10 84 82 39 43 64 57 01 326 58 78 75 68 60 63 00 29 45 861 10 muumufl iffW So Date 1904 May 31 June 30 July 31 Annual Report of the ABSTRACT GContinued To Whom Paid What Fob Amount M E Light CoLights C S B S CoBelting Cook L Co Cement Beck G Hwd CoHardware T C BurkePaints etc Trustee Henry Banks T M Swift Richard Johnson J W McMillanContract BuckeyeS CoSoap J E ChandlerLumber J L Byington Richards Shaver CoReports L W LoomisTinware Duniap H W CoHardware Merritc H W CoRope Dowman JohnsonBooks etc Foote Davies Co Printing J B OQuinnBaskets S S White D M CoDent Sup E J P D Willingham jFurniture G D CasePaints Dow Wire WorksGuards Standard Oil CoOil Turp J StaleyITinware L H AndrewsEx to Atlanta CS B ASCo Stevens Bros Co Dawson B W The Audit Co Standard Oil Co J T Brantley Merchant Co Cook L Co J L Byington S W Broom Co Buckeye S Co J E Chandler J L Byington Schofieids Sons Co BaileyLibby Co Lombard I W S J W McMillan Ahrens Ott M Co J B Baird C J Montgomery T G Lawson Cook L Co C J Carmearin Ahrens Ott M Co J L Byington C S B S Co M E Light Co Beck G Hwd J L Byington A McCook Pipe S Pipe Brooms Cistern B Oil Trustee Tin Cement Lumber Brooms Soap Lumber Co K Pipe Nails Pipe Bricks Cocks Trustee Co Lime Lumber Material Lumber Pipe Lights Eng Supplies Lumber S Puller 54 90 36 20 28 00 4 70 103 50 23 32 146 10 93 21 921 50 68 60 275 69 110 25 214 40 36 00 5 76 19 44 243 50 34 00 3 60 7 04 83 85 178 57 47 90 182 46 33 09 20 00 63 98 138 97 38 64 200 00 19 38 166 75 100 24 28 00 77 18 43 12 68 60 107 40 77 79 20 71 74 05 30 86 63 00 14 70 94 20 97 32 100 28 25 50 10 00 151 41 84 65 54 27 39 16 113 66 85 75 198 00A PEN OF HOGS RAISED AT SANITARIUM T Georgia State Sanitarium ABSTRACT GContinued 8l Date rJo Whom Paid What Fob Amount 1904 July 31 J W McMillan J L Byington J W McMillan J L Culver Henry Banks T G Lawson R H Wootten Morning News E J P D Willingham Lombard I W 8 Co MerrettH W Co F J Cooledge Bro Anthony S Co Dow Wire Works Foote Davies Co Ahrens Ott M Co E J P D Willingham Standard Oil Co DunlapH W Co Schofields Sons Co F W Hazlehnrst Co E J P D Willingham D W Brown H R Worthington W H Armstrong Co Fairbanks Co H E McComb J R Hines G T Whilden PhenixS Co J Staley J Fay Egan Co Merchant Co Lester Book S Co WhitlockC P Co Phenix S Co G D Case J W Burke Co Ent Mfg Co H M Ashe U S Radiator Co Bausch Lamb Eimer Amend E J P D Willingham Semmes H W Co L S Harden W F Brunner J E Chandler Am J R of Med W F Brunner J L Byington Cook L Co Phenix S Co Buckeye S Co Standard Oil Co MerrettH W Co Brick Lumber Contract Trustee Paper Printing Furniture Pipe Crokery Paints Lab Sup B Steads Printing W Cloieti Furniture Candles Pipe Pipe F Crates Furniture Mattress Repairs Interest Valves Linament Cement Carriages Acid Tinware Repairs Solder Files Repairs C Soda Brushes Pencils Repairs Ribbon Radiators Lab S ii Linoleum Tinware Services Trustee Lumber Printing Trustee Lumbar Lime Starch Soap Candles Crockery 63 00 83 46 2026 00 109 36 18 02 10 59 4 95 35 00 338 45 395 93 8 95 31 06 2 02 495 93 12 00 172 75 286 93 104 83 32 20 15 89 11 85 886 46 8 00 10 40 88 3 16 6 40 2 55 14 00 6 14 3 55 32 20 14 41 2 50 30 80 17 64 43 21 75 4 00 1 50 252 12 5 44 37 23 225 50 5 64 25 00 48 75 111 6e 2 00 15 62 72 51 21 00 41 65 68 60 149 60 129 69 82 Annual Report of the ABSTRACT GContinued Datb 1904 July 31 Aug31 To Whom Paid M S D A Byck 8 W Broom Co M E Light Co R H Wootten J H Brooks Ed Napier Li W Davidson J R Hines T C Burke Ahrens Ott M Co C 8 B S Co O D Case J W McMillan Richard Johnson W 8 Haster Son W H Thomas Co Standard Oil Co JL Byington Eimer Amend M Rich Bros Co Lombard I W S Co Cordley Hayeg Merritt H W Co E L Barnes Bausch Lamb Schoflelds Sons Co Dunlap H W Co J W Burke Co 8 S White D M Co E J P D Willingham Atlanta Supply Co J A Kay Egan Co Sav W W Co Wm Wood Co G D Case Union Recorder Ed Pennick J Staley J of Med R Foote Davies Co Curtis Curtis TuttleB M Co Anthony S Co Atlanta R 8 AS Co W H Armstrong Co J A Fay Egan Co Phenix S Co Buckeye S Co J Van Range Co BramhallDeane Co M 8 D A Byck G M Clark Co Cook L Co J L Byington M E Light Co 8 W Broom Co What For Amount Paper etc Brooms Lights Ink Paper Oil Lumber Feathers Lime Paints Eng Sup Belting Books Contract Trustee B Ins Glasses Turpentine Lumber Lab Sup Carpet Pipe Chambers Crockery Jars Lab Sup Pipe Hardware Paper Dent Sup Furniture Pipe Bits Samples Book Pens Printing Eng 8 Hardware Book Printing Eng 8 Registers Lab Sup Stamp Interest Bits Blueing Soap Repairs Paper Eng S Cement Lime Lumber Lights Brooms 19 35 43 12 44 46 25 23 28 50 33 79 14 00 21 00 90 40 63 00 13 50 12 06 157 50 18 26 400 00 12 00 59 78 63 99 10 27 10 00 181 09 48 60 13 27 15 00 2 15 27 07 15 71 9 00 10 12 129 50 83 20 7 80 41 5 00 2 70 23 75 1 50 5 13 5 25 20 00 14 05 126 00 72 80 1 76 8 50 3 92 68 60 43 22 11 34 7 00 15 00 54 25 71 35 42 47 43 12Georgiv State Sanitarium 83 ABSTRACT GContinued Date To Whom Taid What For Amount 1904 Aug 31 Sept 30 Oct 31 Buckeye S Co Ahrens Ott M Co Standard Oil Co F J Cooledge Bro J L Bvington J W McMillan E J P D Willingham Harrison Bros Armour Pkg Co Union Recorder C 8 B S Co Dunlap H W Co Lombard I W S Co Standard Oil Co S 8 White D M Co Am LMC0 G D Case J Stalev R W Hatcher G BerndCo F W Wolf Co Lester B S Co Kenneur Gager Co Alford Fowler Nat Am Co J Van Range Co Dowmau Johnson E L Barnes J C Thornburg OrrL H W Co L W Loomis H M Lamar Co Yale T M Co Buckeve S Co Standard Oil Co U S Radiator Co J WMcMillan M E Light Ahrens Ott M Co U S C I P F Co J S B S Co Pittsburgh P G Co Branch DeJarnette Schofields Sons Co F J Cooledge Bro Sciple Sons Cook L Co Harrison Bros J E Chandler Bashlin Co Textile M 8 Co J L Byington Home Ins Co Hartford F Ins Co S 8 White D M Co Massee F L Co Soap Eng Sup Oil Paints Lumber Contract Rings Paints Ammonia Printing Pipe Hardware Belting Turpentine and Oil Dent S Repairs Combs etc Tinware Leather Ammonia Reports Ceiling G Pigs Ammonia Repairs Book Jars Repairs Saws Tinware Soap Locks Soap Turpentine Radiators Contract Lights W Closets Pipe Pipe Glass Straw Pipe Paint Cement Doors S and B Paints Lumber Valves Eng 8 Lumber Ins Dent Sash S 68 60 24 99 32 85 90 83 65 59 870 00 38 25 68 11 28 00 8 50 58 20 31 47 10 61 109 46 6 28 22 48 19 17 7 95 21 23 17 25 48 40 41 95 23 10 1 50 45 36 5 28 11 00 11 50 4 20 5 00 52 50 55 00 164 40 68 60 103 49 208 50 25 00 53 39 368 60 11 85 3 24 36 29 87 77 16 39 37 43 17 30 462 85 144 08 112 44 29 40 31 20 67 14 37 50 62 50 7 24 8 00 4 Annual Report of the ABSTRACT GContinued Date To Whom Paid What Fok Amount 1904 Oct 31 Nov 30 J W Burke Co Morning News E J P D Willingham DunlapH W Co 8 Evans 8 Co Merritt H W Co C S B 8 Co Milledgeville Oil Mill Foote Davies Co Beck G Hwd Co J Staley F H Thomas Co Dow Wire Works Lester B S Co J R Hines Teague Supply Co C A Denham Co F Schantz G D Case 8av W WCo E M Hudson L W Loornis Pittsburgh P G Co Am L M Co Standard Oil Co Eimer Amend Standard Oil Co J L Byington Keystone C Co Buckeye S Co Sav W W Co Beck G Hwd Co Phenix 8 Co M S D A Byck Merritt H W Co G D Case M E Light Co S F Hancock Buckeye S Co Ga PineT Co J L Byington Am L M Co Schoflelds Sons Co Beck G Hwd Co Garlock Pk Co E J P D Willingham Standard Oil Co Merritt H W Co Underwood T W Co Hallahan Costello C S B S Co Branch DeJarnette DunlapH WCo T M Swift Sav Woodenware Co W J Caraker Printing Furniture Locks B and Tees Crockery Pipe Printing Hardware Repairs W Guards Ink etc Cement I ent S Eng 8 Samples Tinware Glass Repairs Oil Lab Sup Candle Lumber Eng Sup Soap Buckets Rope 8tarch Paper Crockery Lights Tidware Soap C Cure Lumber Mangel Repairs Dies Packing Furniture Turpentine Crockery Ribbon Hose Pipe Straw Locks Trustee Buckets Repairs 6 50 98 26 816 24 3 75 18 25 23 17 165 16 7 CO 11 15 23 37 26 72 1 96 169 50 7 75 14 25 11 25 20 25 1 07 3 30 49 82 90 06 122 90 43 45 i 93 17 06 39 75 70 43 10 90 68 60 46 08 24 84 48 17 6 42 182 69 114 30 60 47 30 00 68 60 9 44 79 36 1598 33 3 00 1 25 12 60 203 95 116 92 19 20 1 00 70 00 114 34 73 60 4 50 154 66 46 00 3 33Datk 1904 Nov 30 Dec 31 Georgia State Sanitarium ABSTRACT GContinued 85 To Whom Paid What Fob Amount Crockery Crockery Lime Salve Robe Printing Rent Messages Crockery Lumber Messages Lights Eug S Trustee Crockery Trustee Dixon Williams J Staley J R Hines H E McComb E E Bell Union Recorder M Tel Co Cen Ga Tel Co Merritt H W Co J L Byington W U Tel Co M E Light Co M E Light Co M E Light Co G C Mooney W F Brunner G D Case T MSwift T G Lawson Richard Johnson Knowles S P W J L Byington J R Hines Branch DeJarnette C Rosenstein Co S 8 White D M Co J Hopkins Press Baltimore News Union Recorder H M Lamar Co T C Burke E J P D Willingham G BerndCo Standard Oil Co Foote Da vies Co Wallace 8 Sons G U Case Merritt H W Co CookL Co Ahrens Ott M Co R W Hatcher Lombard I W S Co R H WoottenToys etc J T BrantleyiTrustee Repairs Lumber Fencing Straw Matches Dent S Journal Printing T Soap Paints Rugs Rivets Oils Printing Eng S Brushes Rope Cement Repairs Hardware Pipe M S D A Byck Goodman W Buckeye S Co R Nunn Merritt H W Co Sav W W Co Paper Xmas Goods Soap Toys Crockery F Tubs Total 2 75 3 95 23 90 2 05 6 00 12 25 6 00 4 50 107 88 83 69 9 49 260 30 23 81 30 29 7 82 74 2T 84 83 30 43 82 86 97 98 54 40 68 82 321 75 60 75 22 80 76 5 00 5 40 8 00 55 00 114 94 40 78 7 03 90 93 27 25 24 10 19 83 10 50 2 75 4 21 102 73 12 00 32 53 196 49 2 90 37 10 70 00 5 70 90 47 46 00 42307 81 86 Annual Report of the ABSTRACT H Showing the expenditures on account of Medical Supplies from January 1st 1904 to January let 1905 1904 Jan 31 Fed 29 March 31 April 30 May 31 June 30 July 81 Aug31 Drugs V Virus Drugs Whiskey Drugs Alcohol Lamar T R Drug Co Richard 8 Co Lamar T R Drug Co G D Case Mason Tablet Co Altmayer F Pajke Davis Co Colburo Berks Co G D CaseDrugs Lamar T R Drug Co Armour Pkg Co Glycerine Meyer Bjos Drug Co Drugs Altmayer F Whiskey Cassons May S Labels G D Case Drugs Lamar T R Drug Co Sharp Dohme Mason Tablet Co HKWampole J Ellwood Lee Co Trusses Taike Davis Co Drugs Altmayer FWhiskey G D CaseI Drugs Parke Davis Co t Lamar T R Drug Co Whithall Tatum Co HB Gilpin Co Parke Davis Co Parke Davis Co Sharp Dohme Sharp Dohme GDCase Armour Pkg CoGlycerine k V Parke Davis Co Drugs Johnson J Plasters Altmayer FWhiskey Parke DavisCo Drugs Mason Tablet Co McKesson R G D Case C Oil Meyer Bros Drug Co C E Stults Co Rochester G Co Lamar T R Drug Co Sharp Dohme McKesson R B Beckart Mason Tablet Co Colburn Berks Co W Pritchard Parke Davis Co H J Lamar Co Sharp Dohme Drugs Wine Disinfectants Drugs Whiske y Drugs Alcohol Wine Drugs 6 38 10 00 13 87 8 50 32 20 86 58 27 50 23 90 6 16 13 80 16 50 103 17 84 72 5 55 6 55 10 47 44 42 43 90 7 81 66 00 35 11 90 38 3 85 38 22 21 89 38 07 77 69 4 90 26 58 55 48 48 61 74 20 26 22 15 76 8 00 84 72 11 02 30 00 236 47 6 25 6 25 38 50 19 95 5 65 40 60 116 61 83 92 30 00 22 88 60 00 69 75 20 50 5 04Georgia State Sanitarium ABSTKACT HContinued 81 Date To Whom Paid 1904 Aug 31 Sept 30 Oct31 Nov30 Dec 31 John Bene Lamar T B Drug Co G D Case B Bickart EB Bquibb Co Parke Davis Co Armour Pkg Co McKesson B Lamar T B Drug Co Pocono Laboratories Parke Davis Co Mason Tablet Co Armour Pkg Co Cussong May 8 McKesson B H K Mulford Co Sharp Dohme G D Case Colburn Berks Co B Bickart Parke Davis Jo BHoehnCo Lamar T B Drug Co Parke Davis Co G D Case McKesson B H K Mulford Co Armour Pkg Co Mauon Tablet Co Swindell Bros Merck Co Lamar T B Drug Co J Ell wood Lee Co H BGilpinCo B Bickart G D Case Parke Davis Co Sharp Dohme Whithall Tatum Co B Bickart What For Drugs Whiskey Drugs Ext Beef Drugs V Virus Drugs Glycerine Labels Drugs Alcohol W hiskey Drugs Serum Glycerine Drugs Glassware Drugs Drugs Trusses Drugs Whiskey Drugs Whiskey Amount 12 00 16 20 6 20 81 23 19 75 56 72 06 98 00 39 Total 3507 57 4 9 114 51 15 11 16 55 16 00 11 45 20 07 10 80 109 15 4 00 24 78 83 19 27 40 56 45 12 00 37 6 85 44 40 4 00 15 00 38 00 88 61 1 35 12 53 54 28 88 84 84 19 7 10 9 89 126 33 36 55 85 39 88 Annual Report of the ABSTRACT I Showing the expenditures on account Contingencies from January 1st 1904 to January 1st 1905 Sate To Whom Paid What For Amount 1904 Jan 31 Feb 29 March 31 April 30 C of G Ry Co C of G Ry Co WRHardie C of G Ry Co C of G Ry Co Thos Burns C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co W U Tel Co Cen G Tel Co Milledgeville Tel Co Postal Tel Co C of G Ry Co C of G Ry Co C of G Rv Co C of G Ry Co H M Hurt G R R Co C of G Ry Co C of G Ry Co C of G Ry Co Geo Davis C of G Ry Co Mary Williams CofGRyCo C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co W U Tel Co C of G Ry Co C of G Ry Co J T Ivey C of G Ry Co C of G Ry Co CofGRyCo C of G Ry Co C of G Ry Co C of G Ry Co H J Myrick CofG Ry Co C of G Ry Co W U Tel Co C of G Ry Co 0 of G Ry Co C of G Ry Co Milledgeville Tel Co Discharged Patient Escaped Patient Discharged Patient u Escaped Patient Dicharged Patient Messages Rent Messages Discharged Patient Escaped Patient Discharged Patient Escaped Patient Discharged Patien Telegram Discharged Patient ti Escaped Patient Discharged Patient Escaped Patient Discharged Patient Messages Discharged Patient Rent 6 65 11 73 10 00 5 52 18 00 00 85 35 18 73 18 79 21 06 10 05 2 55 3 00 12 75 3 18 45 18 96 00 25 22 98 08 1 00 02 00 64 82 40 43 90 15 98 10 98 75 00 90 08 10 43 50 64 00 96 7 10 25 67 96 30 23 9 75 6 00Georgia State Sanitarium ABSTRACT IContinued 89 Date To Whom Paid What Fob Amount 1904 A pril 30 May 31 July 31 Ecaped Patient Discharged Patient Escaped Patient Discharged Patient Escaped Patient Discharged Patient June 30 8am Moran C of G Ry Co C of G Ry Co C of G Ry Co Cof GRy to Geo Meadows Jof GRy Co E L Lawson GRRCo U of G Ry Co C of G Ry Co C of G Ry Co C of GRy Co C of G Ry Co C of G Ry Co Mary Williams C of G Ry Co J H Rogers C of G Ry Co W TTICo C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co Cof G Ky Co O of G Ry Co C of G Ry Co Cof GRy Co C of G Ry Co H M GilmorelEscaped Patient Genie Rogers G R R CoDischarged Patient C of G Ry Co E RosierEscaped Patient W U Tel CoiMessages C of G Ry CoIDischarged Patient Escaped Patient Discharged Patient Telegaams Discharged Patient 8 Raiford GR RCo Cof GRy Co C of G Ry Co L H Weaver A V Crosa W U Tel Co J W Bagley C of G Ry Co Sam Simpson H M Gilmore C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co Jno Lawrence Escaped Patient Discharged Patient Escaped Patient Telegrams Escaped Patient Discharged Patient Escaped Patient Discharged Patient Escaped Patient 00 23 40 18 10 00 00 15 25 4 80 2 78 4 91 6 20 5 83 6 92 8 02 4 74 6 57 8 40 6 25 11 50 3 55 4 91 3 15 5 05 21 80 14 01 3 83 3 18 5 10 1 60 17 67 19 42 2 79 2 78 4 00 6 10 3 18 2 00 2 79 3 18 5 40 5 00 9 78 11 98 6 00 3 18 9 97 3 38 30 13 9 46 3 18 3 18 2 00 po Annual Report of the ABSTRACT I Continued Date To Whom Paid What For Amount 1901 July 31 Aug31 Sept 30 Oct 31 C of G Ry Co E Bland SL Terry C of G Ry Co C of G Ry Co C of G Ry Co WUTelCo C of G Ry Co GRRCo E B Jones C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co WUTelCo C of G Ry Co C of G Ry Co Cof GRvCo iC of G Ry Co C of G Ry Co C of G Ry Co Nora Dallas C of G Ry Co Cen GaTel Co MilledgevilleTelCo C of G Ry Co C of G Ry Co A J Hawkins P L Phelps C of G Ry Co Dora Richardson L Werner Nat Evans Uof G Ry Co WUTelCo C of G Ry Co JW Proctor CofGRyCo Driver Freeman Qeo Davis E L Lawson C of G Ry Co J W Hedden C of G Ry Co C of G Ry Co GRRCo C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co WUTelCo C of G Ry Co W E Evans Discharged Patient Escaped Patient ti Discharged Patient Messages Discharged Patient u Escaped Patient Discharged Patient Telegrams Discharged Patient Messages Rent Discharged Patient ii Escaped Patient Discharged Patient Escaped Patient Discharged Paient Messages Discharged Patient Escaped Patient Discharged Patient Escaped Patient Discharged Patient Escaped Patient Discharged Patient ii Discharged Patient Telegrams Discharged Patient Escaped Patient 3 75 5 53 2 00 1 68 3 01 3 18 14 02 3 40 78 3 33 3 96 3 80 3 18 5 65 17 19 7 30 37 16 3 26 4 92 2 46 4 82 3 47 3 14 8 05 18 00 3 18 5 70 10 39 16 74 4 10 3 90 3 28 4 00 5 20 7 53 9 01 4 92 10 94 2 00 1 50 11 29 14 22 5 25 5 10 23 04 2 79 24 22 14 66 6 30 3 18 17 48 3 60 1 50 Georgia State Sanitarium ABSTRACT IContinued 91 Date To Whom Paid What Fob Amount 1904 Oct 31 Nov30 Dec 31 Henry Thornton C of G Ry Co C of G Ry Co H M Gilmore C of G Ry Co C of G Ry Co C of G Ry Co A G Church GRRCo C of G Ry Co C of G Ry Co W L Gordy C Of G Ry Co M J Harper J F Allen GRR Co C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co J B Barbison C of G Ry Co C of G Ry Co AGBesle C T Andrews WTFlinn C of G Ry Co C of G Ry Co GRRCo C of GRy Co Jane Zeigler Total Discharged Patient I 1 50 Discharged Patient 6 00 a 5 40 Escaped Patient 14 97 Discharged Patient 4 7 55 5 64 5 75 if ti 5 78 ti 4 50 a 24 04 11 3 42 Escaped Patient 2 67 Discharged Patient 5 40 11 3 43 Escaped Patient 4 00 Discharged Patient 2 25 11 3 18 11 12 98 11 96 11 4 30 Escaped Patient 5 65 Discharged Patient 4 73 it 6 20 it 3 30 Escaped Patient 7 50 Discharged Patient 6 16 1 3 18 ti 2 24 u 2 79 11 15 87 it 5 46 5 1276 57 92 Annual Report of the ABSTRACT J Showing the expenditures n account of Stationery and Postage from January 1st 1904 to Jauuary 1st 1905 Date 1904 Jan 31 Feb 29 March 31 April 30 May 31 June 30 July 31 Aug 31 Sept 30 Oct 31 Nov 30 Dec 31 To Whom Paid What Fob Amount J LSibley P M J LSibley P M J LSibley P M J L Sibley PM J L Sibley P M J Ii Sibley PM J L Sibley PM J LSibley P M J L Sibley P M J LSibley P M JL Siblev PM T L Sibley PM J L Sibley P M J L Sibley P M J LSibley PM J L Sibley PM J L Sibley P M J L Sibley P M J L Sibley P M J L Sibley P M J L Sibley PM J L Sibley PM J LSibley PM J L Sibley PM J L Sibley PM J L Siblpy P M J L Sibley P M J L Sibley P M J L Sibley P M J L Sibley PM J L Sibley PM J LKibJey P M J LSibley PM J L Sibley P M J L Sibley P M J L Sibley P M Total Postage 40 60 15 60 31 20 20 00 25 60 20 60 31 20 25 60 25 60 41 20 41 20 25 60 25 60 41 20 25 60 36 20 25 60 42 40 26 80 31 14 36 20 15 00 52 40 30 00 30 30 25 60 40 60 52 40 35 60 62 75 35 00 46 94 25 60 25 00 42 40 40 00 1194 33Georgia State Sanitarium 93 ABSTRACT K Showing expenditures of Special Appropriation for Lighting and Equip ping New Buildings from January 1st 1904 to January 1st 1905 1904 Da Jan 1 To Balance 1652 25 Jan 20 To Requisition 2000 00 Mch 19 2000 00 Apl 26 2000 Total 7652 25 Cr Date 1904 Jan 31 Feby 29 March 31 April 30 May 31 To Whom Paid What Fob Amount C W Richter Union Recorder E J P D Willingham Macon T P Co 8 8 Bed Co R H Wootten Sumter Tel M Co Keuffer Esser Co Dow W Works Merritt H W Co E J P D Willingham L W Loomis Sumter Tel M Co Carter G E Co E J P D Willingham Atlanta Journal Walker Stanley S S Bed Co J A Robling Co M Rich Bros Co E J P D Willingham J W McMillan E Wolff J W McMillan Tel Fix Printing Furniture Printing S Beds D Paper T Fixtures D Paper W Guards Crockery Furniture Tinware Tel Supplies Furniture Advertising Furniture S Beds Wire Carpets Furniture Wall Linters Wall Walker StanleyFurniture Augusta Chronicle J W McMillan E J P D Willingham J L Sibley P M Total Advertising Wall Furniture Postage 12 50 1 50 676 25 8 00 210 26 1 75 86 50 10 94 65 60 88 00 803 08 90 00 9 00 14 63 437 83 4 80 425 00 210 55 16 06 133 31 742 19 700 00 326 65 859 85 425 00 1 25 1000 17 299 41 12 18 7652 25 ABSTRACT L Showing expenditures of Special Appropriation for Colony from January 1st 1904 to January 1st 1905 1904 Db Jan 1 ToBalance 14 22 Feb 20 To Requisition 1WM 00 2154 22 v v VVV VV 94 Annual Report of the ABSTRACT LContinued Cb Datk To Whom Paid What Fob Amount 1904 Jan 31 Lombard I W S Co 47 90 165 00 Tjombard T W S Co 20 00 60 00 31 10 Feb 29 J R Htnes 51 00 J W McMillan 63 00 J W McMillan it 73 50 March 81 J W McMillan it 82 42 204 67 J W McMillan J W McMillan 73 50 tt 73 50 67 50 69 70 88 85 J W McMillan Brick 73 50 J W McMillan it 78 75 J R Benford 16 62 J W McMillan 75 07 B Steads 257 50 37 50 81 00 April 30 tt 41 42 J E Chandler 313 11 J L Siblev P M 8 11 2154 22 ABSTRACT M Showing requisitions drawn on State State Treasurer for Support and Maintenance from January 1st 1904 to January 1st 1905 1904 Jan 20 Feb 20 To Requisition ti Men 19 it tt Arpil 20 May 20 June 20 ft it u a it tt Julv 20 tl ti Aug20 Sept 20 Oct20 it it t ti it Novl9 it it Dec 20 ti ti 1905 Jan 2 it tt 27083 33 27083 33 27083 33 27083 33 27088 33 27083 33 27083 33 27083 33 27083 33 27083 33 27083 33 27083 37 5000 00 330000 00Georgia Slate Sanitarium 95 ABSTRACT N Showing average number of patients the per capita per diem and per annum from 1873 to 1905 Year No OF Patibnts Per Diem Per Annum 1873 550 57J 190 70 1874 550 48J 177 36 1375 600 87 136 80 1876 600 37 137 77 1877 638 36A 133 70 1878 725 34TV 126 11 1879 748 B2 120 10 1880 820 35 if 130 09 1881 886 33A 123 74 1882 942 38 140 98 1883 1005 33A 34f 121 46 1884 1179 126 90 1885 1232 34A 124 76 1886 1237 33J 123 19 1887 1266 34 187 40 1888 1340 34TV 127 48 1889 1438 34J 126 81 1890 1538 31TU 114 72 1891 1616 32 117 09 1892 1618 32T3o 118 33 1893 1623 31AV 116 62 1894 1709 32fi 118 60 1895 1783 32 116 80 1896 1912 32fi 118 33 1897 2085 33AV 120 85 1898 2247 32M 118 60 1899 2383 82 117 00 1900 2495 29 108 99 1901 2573 Of 2 9 110 56 1902 2635 30A 112 68 1903 2696 30To 112 97 1904 2770 30 109 94 1905 2880 33 121 79 ABSTRACT O Showing cost of maintaining one patient for year month week and day For 1 Year121 79 1 Month 10 15 1 Week 2 33 1 Day 33s p 96 Annual Report of the Report of Assistant Steward Georgia State Sanitarium Milledgeviue Ga January 2nd 1905 Mr L J Lamar Steivard Dear SirI herewith hand you my report as Assistant Steward for the year 1904 of the Dairies Garden Farm Pork and Trans portation Also statement of stock wagons etc on hand January 1st 1905 We have lost since our last report 248 head of hogs from cholera 2 mules and 5 milch cows 2 from old dairy and 3 from new dairy The stock are all in good condition now and I think the returns from the different departments for the year very good indeed taking everything into consideration Very resprctfully Gko W Holunshead Asst Steward OLD DAIRY Ce By sweet milk gallons 35837 at 20o 7167 45 Sale of empty sacks No 50 at 5c 2 50 Sale of bull calves No 11 at 100 H 00 Sale of hides 9 35 Difference in bull 15 00 Beef lbs 1266 at 538 68 n 7273 41 Dr To Wages of hands 1032 00 Bran lbs 349915 at I110J 3857 85 Cotton Seed Meal tons 29 at 2250 652 50 Cotton Seed Hulls lbs 57350 at 25c 143 37 Peavine Hay lbs 16575 at 40c 66 30 Shreded Corn lbs 23872 at 40c 95 48 Cow Feed lbs 14550 at 85c 123 67 Salt Sacks No 24 at 42c 10 20 Stock Powders lbs 50 at 14c 00 Cotton Rope lbs 10 at 14c 1 40 Axes Helves No 3 at 69c 2 07 Barley Bu 7 at 150 U 25 Rye Bu 5 at 150 7 50 Lanterns No 2 at 50c 10 Well Buckets No 1 at 30c 30 Feed Buckets No 2 at 20c40 6012 27 By balance in favor Old Dairy 201 14HERD OF JERSEYS AT SANITARIUM fl Georgia State Sanitarium 97 Ce 6426 25 2 50 5 00 18 55 91 24 NEW DAIRY By Sweet milk gals 32131 at 20c Sale of empty sacks No 50 at 5c Sale of bull calves No 5 at 100 Sale of hides Beef lbs 1696 at 538 6543 54 Dr To Wages of hands 1032 00 Bran lbs 349985 at 110 3858 58 Cotton Seed Meal tons 24 at 2250 551 25 Cotton Seed Hulls lbs 57350 at 25c 143 37 Peavine Hay lbs 16575 at 40c 66 30 Shreded Corn lbs 23872 at 40c 95 48 Cow Feed lbs 14400 at 85c 122 40 Salt Sacks No 16 at 42Jc 6 80 Stock Powders lbs 50 at 14c 7 00 Cotton Rope lbs 30 at 14c 4 20 Axes Helves No 3 at 69c 2 07 Barley bu 7 at 150 11 25 Rye bu 5 at 150 7 50 Grass Blades No 1 at 65c 65 Feed Buckets No 6 at 20c 1 20 Ax Helves No 2 at 7c 14 Shovels No 2 at 62Jc 1 25 By balance in favor New Dairy GARDEN By Cabbage heads 6135 at 5c Turnip Greens bushels 1805 at 20 Rough Turnips bushels 2632 at 30c Rutabaga Turnips bushels 526 at 60c Sweet Potatoes bushels 1055 at 80c Asparagus bushels 22 at 200 Kale bushels 2048 at 20c Rape bushels 490 at 20 Radish bushels 135 at 50c Onions bushels 2251 at 90c Snap Beans bushels 559 at 75c Okra bushels 200 at 100 Beets bushels 265 at 50c Tomatoes bushels 536 at 50c Butter Beans bushels 164J at 100 Field Peas bushels 75 at 75c Scuppernongs bushels 12 at 100 Salsify bushels 23 at 200 5911 44 632 10 Cr 306 75 361 00 789 60 315 60 844 40 44 00 409 70 98 00 67 75 2025 90 419 80 200 25 132 75 268 25 164 50 56 62 12 25 pg Annual Report of the By Figs bushels 30f at 100 30 75 Pop Corn bushels 13 at 250 33 12 Cucumbers bushels 16H at 100 161 25 Irish Potatoes bushels 310f at 100 310 75 English Peas bushels 137 at 100 137 00 Lettuce bushels 78 at 20c 15 75 Squash bushels 695 at 60c 417 00 Green Corn dozen 5565 at 10c 556 57 Cantaloupes No 15901 at 3c 477 03 Hay Peavine lbs 33150 at 40c 132 60 Hay mixed lbs 98461 at 40c 385 84 Shreded Corn lbs 47744 at 40c 190 97 Sheaf Oats lbs 22231 at 75c 166 73 Peaches crates No 1058 at 75c 793 50 10372 48 Dr To Wages and board Mr Simpson 450 00 Wages and board Mr Leonard 390 00 Wages and board Mr Bateman 390 00 Wages of hands 1185 00 Farm Implements 63 50 Garden Seed 341 69 Seed Irish Potatoes 85 05 Onion Sets 49 05 Fertilizers 504 53 Seed Oats 144 56 Feed wear and tear mules 720 00 4323 41 By balance in favor of Garden 6049 07 COLONY FARM Ck By Peaches crates No 2752 at 75c 2064 37 Cantaloupes No 1152 at 3c 34 56 Watermelons No 17802 at 5c 890 10 Sweet Milk gallons 1839 at 20c 367 S5 Syrup gallons 475 at 30c 142 65 Corn bushels 4872 at 75c 3654 00 Sweet Potatoes bushels 3517 at 80c 2813 60 Irish Potatoes bushels 41 at 100 41 00 Field Peas bushels 441 at 75c 330 93 Onions bushels 57 at 90c 51 30 Turnips bushels 48 at 30c 14 40 Beets bushels 1J at 60c 75 Okra bushels 31 at 100 3 50 Squash bushels 2J at 60c 1 50 Tomatoes bushels 3 at 50c 1 50 Cotton Seed bushels 640 at 20 128 00Georgia State Sanitarium 99 By Sheaf Oats pounds 221400 at 75e Fodder pounds 89854 at 75c Hay pounds 27297 at 40c Pork pounds 5948 at 7c Grapes pounds 3839 at 5c Cotton sold Cotton not sold estimated Forage Corn pounds 3000 at 40c Chickens No 66 at 25c Eggs dozen 2064L at 15c 1660 50 673 90 109 18 416 36 191 95 983 57 210 00 12 00 16 50 R0 94 To Dr Wages and board Mr Marrey 396 60 Wages and board seven hands 1808 00 14844 91 Wages and board one cook Seed Irish Potatoes Seed Oats Paid Oat Cutters Bagging and Ties Watermelon Seed 270 00 9 45 228 00 111 45 18 25 Fertilizers 1950 31 Seed Wheat Peach Baskets Grindstone Farm Impliments Ginning Cotton 15 95 1 35 75 116 43 33 05 Feed wear andjtear mules 1080 00 6045 74 By balance in favor of Colony Farm 8799 17 PORK By Pork pounds 20985 at 7c To Corn bushels 12 at 75c Copperas pounds 25 at 2c Stock Powders pounds 30 at 14c Hog Colera Cure gallons 45 at 25 Speying Pigs By balance in favor of Pork Cr 1468 95 Dr 9 00 50 4 20 11 25 38 20 63 15 1405 80 TRANSPORTATION Dr To Corn bushels 3122J at 75c 2341 88 Sheaf Oats pounds 34251 at 75 Fodder pounds 2894 at 75c Hay pounds 96461 at 40c Bran pounds 7780 at fl10 Cotton Seed Hulls tons 20 at 500 Cotton Seed Meal tons 4 at 2250 Stock Powders pounds 75 at 14 256 88 21 70 385 84 85 77 101 25 106 87 10 50 3310 69100 Annual Reprt of the Number of head of stock fed at stables for the year 1904 No head 36 showing cost of feed for one head of stock for one year one month one week and one day For one year 91 96 For one month 7 66J For one week 1 91 For one day 25 By total credit Dairies Garden Farm and Pork 40503 29 To total debit Dairy Garden Farm and Pork22356 01 By total bal in favor Dairies Garden Farm and Pork 18147 28 STATEMENT OF STOCK WAGONS c ON HAND JANUARY 1st 1905 Mules 39 Horses 4 Carriages and harness 2 Buggies and harness 1 Twohorse wagons and harness 9 Onehorse wagon and harnes 1 Dump carts and harness 6 Hearse wagon 1 Ox carts 6 Plow stocks and gear 24 Dixie plow stocks 14 Twohorse plows 3 Road plow 1 Road scrapes 4 Road machine 1 Pea huller 1 Mower 1 Horse rake 1 Roller 1 Dirk harrow 1 Tooth harrow 1 Wheelbarrows 10 Separator 1 Reapers and binders 2 Seed drill 1 Cultivators 2 Shredder 1 Bone Mill 1 Lawn mowers 6 Potato digger 1 Opening plow 1 Pitchforks 10 Peach crates 50 Rakes 8 Spades 3 Shovels 14 Weeding hoes 60 Picks 8 Mattocks 6 Stretchers pairs 3 Hand saw 1 Hammer 1 Suire 1 Brace and set bits 1 Grass blades 6 Grain cradles 9 Double plow stocks 3 Cotton planters 2 Stump puller 1 Milch cows 125 Calves 30 Heifers63 Steers 4 Work oxen 8 Bulls 6 Hogs and pigs 410Georgia State Sanitarium zor Report of Storekeeper Georgia State Sanitarium MilledgeviuE Ga March 14th 1905 Mr L J Lamar Steward Dear SirHerewith you will find my report of all issues in my department from January 1st 1904 to January 1st 1905 Stock on hand January 1st 1905 1484834 Respectfully yours W H Hunter Storekeeper Amounts sold to officers nurses the Superintendent and Stewards dining rooms To THE Officers January 216 29 February 294 08 March 269 23 April 269 12 May 34182 June 235 12 July 322 52 August 355 39 September 268 44 October 307 42 November 317 80 December 347 42 To Nurses 45 82 62 00 62 52 79 27 57 91 69 06 51 13 100 91 87 83 64 58 104 91 50 69 Stewds D B 123 06 113 09 120 80 141 37 106 63 146 40 191 93 126 33 111 82 147 15 104 21 137 65 Supt D R 80 86 58 86 72 45 65 96 63 56 67 79 60 58 65 95 35 49 65 36 71 66 75 52 Total Sales 3544 65 836 63 1570 44 784 04 673576 LIBRARIES OF fiEORG102 Annual Report of the Bedding clothing etc made in Matrons Department Aprons 748 Curtains 363 Cushions chair 19 Dresses strong 436 Diapers 602 Drawers pairs 4148 Pillow cases 7016 Pants pairs 4967 Shades window 143 Shirts 4112 Underwaists 478 Bed Ticks 1996 Chemise 3072 Caps Surgeons 12 Dresses homespun 2005 Doilies 72 Gowns night 1880 Pillows 193 Robes burial 1 Suspenders pair 2876 Towels 3956 Wrappers 41 Bonnets 503 Covers table 248 Capes shoulder 289 Dresses calico 14 Dresses gingham 1374 Napkins table 398 Pillow ticks 1841 Sheets 10370 Shirts night 18 Underskirts 4108 Waists shirt 58 Consolidated Issues of Provisions from January 1st 1904 to January 1st 1905 ARTICLES u V v c 5 a u is a S 0 o V E S Qg Q 1 jj in Cfl 2 goS O BQ o U a S a 3 s a is togO s 0 55 it Convalescent Female Kitchen a X a x V 0 M c 2 a 2 v M S3 V h O 1 3 a 3 a a j n a S3 1 a u H O H Bacon lbs 10 65 349 5 1 80 a 26 815 80 276 1 10090 13167 1186 13 641 3 378 1976 206 16796 401 45 6791 20045 1830 14600 4404 1977 714 8 800 590 1257 680 19 60 10195 20850 2215 20170 4442 2 861 1395 11320 76 1 290 1665 41 35 13355 8517 17850 1653 13495 6205 2332 982 11090 649 1255 1685 72 100 3776 22 115 1801 60371 123765 9650 20630 42658 55 40l 104736 4899 3942 4550 198 30 6552 87 110 8830 40448 18646 70350 5490 41190 22495 3605 420 4262S 4297 3943 4 50 191 205 1320J 56 310 4738 39979 18648 152865 9974 84916 21100 8 900 4200 56500 3421 5195 5780 210 225 12525 109 590 4674 179746 37294 Butter lbs Coffe lbs 385318 20 850 2562 9150 7340 2822 1366 14520 1040 1290 1685 S 80 440042 34560 603374 8706 17 263 266666 3 32 46 3 4 42 0 ill 190 16463 18172 20595 773J 783 745i 1 270 8 14747 3 10971 45 80 4955 3010 29 13 1241 140 1820 7280 141 li 452 1 840 85 4 62 36 1112 622 10 610 1 196S 71170 5561 Sugar lbs Tea lbs Vinegar gals 14 6 334 1 78 20 626 152 13 104 1 41 100 112J i 44 1325 816 16 68 111 4008 2288 29 1465 f 194 5463j 251fl 26 1415 932 135434 10469 127 6 437 2309 25 1478 C 5l 31 Si in Si 3 s 2Issues of Bedding Clothing Hats Shoes Etc from January 1st 1904 to January 1st 1905 ARTICLES V 5 v u t V o o S a E Q 5 t 11 a w Q 10 u V o V a a a M a a v v 5 u P a 11 P S a c n in 0 a a Jl B S 2 S a 4 j E 2 S P o c rf rt a 3 as 4 u E s S 13 o ea a Se a E oa V c P U a S a J3JB v a 2 IS a w Total 4 1 4 33 3 503 20i 17 770 20J 48 30 5 596 1 7 7 1 17 i 48 6 3 18 1 1 164 1 384 5 i 3 12 50 1 4 727 1281 1329 1326 245 252 1 451 1336 1109 98 1116 192 30 96 70 119 3 25 95 103 168 55 33 4 50 25 3 15 1 290 284 7j 304 bis 2687 3189 12 435 228 47 4 15 4 12 13 7 3117 3 1 33 381 Brushes W W 71 7 13 52 55 233 10 8 1 1 9 ft 7 216 97 79 124 266 433 1 lj 4 9 1 11 3 40 214 1 1 18 9 60 3 186 434 730 1 3 999i 79 8 1 2 2 2 41 1 30 25 21 80 50 3 7 81 7 15 422 44 503 100 6 100 Bakers 1 2 6 12 s o fc s 8 3 Issues of Bedding Clothing Hats Shoes Etc from January 1st 1904 to January 1st 1905 Continued ARTICLES i a So o rt o is ftfl oS SO r a v E E r ss 0 U ft Q z a Q o as 30 LI 2 u op a I u CO Total 1 1 1 102 11 3 2 5 1 4 1 5 8 2 7 6 3 23103 2707i 12 6 72 t 5 60 600 425 52 4 2 1 900 24 1 1 1 100 1 1 1 1 1 1 10 100 100 100 2 1 1 2 20 2 2 8 1 102 14 3 Ci 22 r 12 1 0 ISO 3 ft 18 16 72 B 1 5 60 In 500 ft 525 a S2 4 ft 2 3 1 s 100 24 3 4 1 1 100 1 1 1 1 1 2 2 20 2 s 9 Issues of Bedding Clothing Hats Shoes Etc from January 1st 1904 to January 1st 19Q5Continued ARTICLES 2 IS V O tt 3 a 1 e s O SS 3 3 J g e a sS Q gs o3 S si Bolts heel Bits bridle Baskets fruit Bagging jute yards Keans wax bus Bran lbs Box wheel Bows Buttons screw Bolts tire boxes Box P Bolt and nut P Bandbead Books prescription Books case Barley bus Books laundry Blue analioe lbs Beeswax lbs Boskets laundry Beef extract bottles Blanks postmoitem Cocoanuts Candy lbs Carts hand Cards playing decks Candlesticks Chambers Coats Coffeepots Combs coarse Combs fine Cups tin Cups and saucers Cloth oil yards Clocks Candles lbs 1000 640400 66 36 1000 2 20000 1 5 12 1 1 1 70 12 12 72 150 10J 50 150 280 852 50 168 26 i 890 1 23 7 376 5 244 mo 6 844J 125 330 6 109 922 28 850 607 656 1572 624 37 2642J Total 125 325 1 205 31 5 2213 23 302 73 906 591 324 1 13481 16 72 150 2 660100 1 5 12 1 1 1 1 1000 2 15 1 6 181 2 1 1000 3 0 973 2 212 199 979 2589 60 1679 680 3 325 2189 1011 61 59651 S o s 3 Issues of Bedding Clo hi rig Hats Shoes Etc from January 1st 1904 to January 1st 1905 Continued ARTICLES Engineers Department Apothecary Laboratory and Dental Dept o 6 a f 1 4 Q a C8 ia m i IS d O J T q cl t i a a SI u 0 a Jg O a u Q V a j w a c c o e 2 a I Stewards Department Kitchen Department s rt eg Q It as V V a S la 13 a o ti V Is t a H a s j a Total 4 24 5 109 1469 276 146 3 1 2 1 4 4 3 17 376 2972 248 3 289 944 71 1 5 1 25 1 12 3 602 3574 Coffee lbs 66 1010 1 9 3 11 12 6 518 6040 271 7731i S801J 12 9 15490i 6518 27 58014 12 15 490J 1800 52 350 24 1000 22 22 79 4 250 1550 52 350 24 1000 22 21 40 4 39 3 s oIssues of Bedding Clothing Hats Shoes Etc from January 1st 1904 to January 1st 1905Continued ARTICLES O i S3 Z Q 5 1 i rt 2 a a ga E 3 a Casting for No 2 sweep Chains trace pr Cloth rubber yds Combs curry Corn bus Case pocket Cord sash lbs Cement bbls Cuie gall boxes Dippers Dresses strong Drawers prs Dishes granite Dishes sugar D shes butter Dusters feather Dresses homesoun Drawers flannel prs Desks Dates lbs Dresses calico Dresses gingham Diapers Dressers Doilies Diil ing yards Dranery yds Dnck feet Disher icecream Envelopes pkgs Egs doz Elastic yds Envelopes official Eyeleti doz Envelopes tia Fans Frames spectacles prs 2 19 8 105C 1000 18 159 297 1311 161 I 1109 6 4 1 129 24 5002V 2 618 1 235 503 36 1273 231 51 106 H 1071 290 14 1374 60ll 100 7J Total 368 97 125 31 9 12 5 27 24 1 280 790 704 682J 588 2 12 200 1 1 2 19 8 1050 I a 15 1 1387 495 5507 285 60 118 107 1996 24 2 804 14 1874 602 100 96 5 002 2648 129 1 1 542 1587 18 1000 6 1000 400 1 a Issuesof Bedding Clothing Hats Shoes Etc from January 1st 1904 to Januarj 1st 1905 Continued ARTICLES V C a 8 oj o rt o M a e 0 4 Q JJi 3 M a u Q H V IP o J T d i a a a v S3 O a u P a n a w a J v a C 5 1 a o a a S 2 g P ii IB rt ft S Q as a t la 13 a a s3 White Female Department White Male Department Total 3 16 3 16 i i 1 i 1212 2 1212 4 2120 200 100 1 1 2 320 100 1 1 2 6 1 1 1 2 2 33450 3 33 450 1 1 i i 5 4 17 2 6 1880 46 414 12 1 11 4 4 3t 15 1880 46 5 722J 5763 12 1 Goods dress yards 4 11 25 6 6 1 3 1J 1 1 3 428 2 3 24 3 395 282 6 1061 8064 1075 1760 66 1 1470 733 8869 1 3 a s o Issues of Bedding Clothing Hats Shoes Etc from January 1st 1904 to January 1st 1905Continued ARTICLES Engineers Department Apothecmy Laboratory MTlll Dental Devt v 5 p c a 4 0 ii V D O U C a a aa c a a a 0 3 I U 3 0 la Stewards Deparrueot KitcbtiD Department si 2SQ St E it la SJ a Is li 01 t 0 Pa S S j a Total 1 1 24 1 Hooks picture 18 12 2000 8 10000 i 12 3 24 30 36 1 3 50 6 2 10 17 24 74 1 21 2 1000 10000 soo 1 6 74 28000 500 Home stricken families copies Hames prs Horns guano HookB B Bprs Handles B D prs 8 lU700 2 0 4 3 32 2 BC 2SJ 8201s 10 60 18 96 13 296 452 290 4 l28 500 19 2 1 2 55300 24 1 1 5 6 4 3 1 Hoe horse Hoes P J Hulls C S lbs Hamtstrings Hammers shop Hammers percussion 24 5 170 000 48 1 1 4S0 1 110 51 2 488 12 3 12 50 25 8201 J 326 34 2 2 12 1 Invenioiies blank 36 1 12 1 488 12 3 l7 13 Inkstands Ironlbs Ink writing qts Ink writing bots Iron round bars Jars stone Jars fruit doz Jeans yds Knives butcher Kettles Knives sets Kainit tons Lamps 2 1 j i 8 8 3Issues of Bedding Clothing Hats Shoes Etc from January 1st 1904 o January 1st 1905 Continued ARTICLES u v V a a XL s U won Q a p 2 SP a o w T c s s o 8 3 a Q n e v o 3 d 5 O a u P a 3 3 J a 5 P a g S a Q a 5 S p in c 3 a a is u u fa 1 p 13 a p Is 1 E id rt 2 a S S g J3 a Total 32 5 21 2 2 7 3 1 12 3fi 52 19 S1 B 4 4 2 17 41 5 26 240 7 105 1328 1 21 93 136J 168 l 1481 22 44S 2 9 fid in 764 2 117 76J 1 4 1 60 24 6 87 2i 1068 1 7000 54 3657 29 7 000 40 1020 456 84 840 2 216 1116 2016 1049 806J 1 200 4411 2 2 7 4 1 53 9 12J 48J 1 1 2 3 1 2 276 41 12 68 12 300 394 12 I 140 143 325 908 in 3 8 s s sIssues of Bedding Clohing Hats Shoes Etc from January 1st 1904 to January 1st 1905Continued ARTICLES a S a OS T a Is 5 a 5 U a Napkins Needles S M Notes nurses Nails horse shoe lbs Needles bagging Notices to ordinaries Oat meal lbs Oranges boxes Oranjes doz Osnaburgs yds Oil machine cans Outing yds Oats lbs Oil neatsfoot qts Opner can Pens writing Pans wash Pans mess Pants pairs Pillow cases Pillow ticks Pitchers tin Pitchers granite Plates tin Plates granite Potash cam Pencilslead Plates soup Pitchers syrup Paper writing qrs Pins papers Pillows Pins safety Pins hair papers Press meat juice Poles curtain Plates 12 552 36 8173 12616 10 6 108 l 23 6 3a 3 36 1000 2 210 2 a a 2s a3 a 3 So 12 1042 5 259 134 s 2 484 11 912 118 390 473 17 1J 1192 l iyt 89 4 51 1 S44 562 4 360 437 436 16 B0 213 616 459 fi 606 78 659 197 782 72 142 35 1176 654 1 192 72 232 529 1 118 4 184 17 399 1704 i 3 236 2149 371 82 28 964 370 49 768 398 51 894 17 3 Total 36 1000 45 6 500 617 47 ii 2 222 2 10 20819 4 1 1705 3070 100 4780 7859 1378 158 276 2539 1034 2342 2125 470 191 2148 692 196 364 529 1 118 4 S s M Si Issues of Bedding Clothing Hats Shoes Etc from January 1st 1904 to January 1st 1905Continued ARTICLES fci V S s go a 5 8 1V O It c o fc pQ S E Q a frjj n S M ft u Q M U V 11 ft a u a o J r a s s o d o a a u a u u Q Superintendents Department Q p Q u is u 3 s s Is Eg E n c a Total 2 3 10 5 5 l 10 2 5 7 1 1 1 1 4 24 30 2 7 4 1 188 6 133 6 7 1 1 1 1 6 84 94 100 75 6 30 50 255 12 2 14 9 2 6 1 1 2 1 12 1 1 2 1 12 1 1 1 24 12 2 4 1 24 12 27 29 4 2 200 2 544 45 24 744 45 24 2 2 4 i i 1 1 1 01 3 Co 8 sIssues of Bedding Clothing Hats Shoes Etc from January 1st 1904 to January 1st 1905Continued ARTICLES I SE MS 3 Jo p U u v 0 rt S E 0 a 4 Q M 2 0 5 Rg U 0 0 j C d u g Is a c 2Q a u Q at 0 5 a 5 u in 8 3 a a c c a 0 d 0 5 s B ci 3 a fa s iS u V J 3 d JSu1 O Is II D ft t d 0 Total Paper reams Raisins lbs 1 2 3 206 87 34 15000 1 391 34 31000 Rugs Rope lbs Rubbers fruit jar gross l37 4 52 Hi 5 Tl6 64 2 2000 s 5 7 12 iii 101 412 4 3 1 2000 Repairs McCormick Rosin 1 s Rivets lbs Ribbons type writer 2 300 5 fl 13 3 300 1 2 2 16 466 796 82 750 12 508 1946 1096 56 1706 822 896 31 51C8 2026 183 1 2161 3024 478 187 9513 1 55 270 32 4 296 4117 1904 212 8220 2799 1520 820 438 47 11621 23 2 5000 555 4 4 2 500 61 724 Reports meal Rye lbs Rollers bed Rakes garden Repairs and rivets mower 4 4 m 555 5000 1 84 120 3 92 Sheets Shirts Shoes prs Slippers prs 1 18 6 20 45 48 24 66 24 2 10427 6063 5 822 533 9 926 3 621 5 3S0 4 022 i9 Suspenders prs Spoons i 2 1 2 Soao toilet cakes 13 1627 8 139 2 331 e 1074 277 25572 106 126 50 9 8 8 s Issues of Bedding Clothing Hats Shoes Etc from January 1st 1904 to January 1st 190OmUmied AKICLES rt JT3 p 5 w g C t o rt 5 s b t 2 Q OS Q 3 a u u s g so n u Q a J a O 4 is la s So in a p t g 53 a Sb u d rt 5 O X rt C Shd whdow Shirts flannel Springs bed Shirts night Spittoons Shawls Sofas Shakes milk Sifters Safes Swiss yards Screens Scoops coal Shovels L H Sheeting 74 unbl yds Soap chip lbs Starch lbs Silk spools Sheeting 44 unbl yds Shirting unbl yds Scrim yds Sheetigble 64 and 104 yds Seed mustard lbs Seed celery lbs Spice lbs Saw meat Sections mower Soles shoe Stamps rubber Spades Seat chair Straw oat lbs Staples lbs Snaths Shoes horse and mule kegs Spokes Stove and furniture 12 2 iia 50 2 2 1 144 12 15 20 2 8 18 26247 h 057i 2C8 879 734 1U 4 5 296 13 24 110 90 76 12 60 12 1 22 5325 9 1 22 312 21 201 76 15 60 12 3 4 17 174 1 20 38 26 291i 20050 3915 1 32057 3220H 879 1744 10 4 5 1 100 2 2 3 144 12150 138 4 20 1 Ci o 3 to a s sIfesues of Bedding Clothing Hats Shoes Etc from January 1st 1904 to January 1st 1905 Continued ARTICLES i i iis go a r O 1 yon 3 O fc w o o S o t a a M h m 3 o J V a h 8 2 25 p a v SI O o 0 J a ji o 3 U a Q a J is s o 3 a Sg s a c O P Q It as U 1 4 is tu 5 H t a 0 S 4 ti IS a 4 Total 9 6 9 e 1 1 104 18i 1 8 30 1 18 217 1 104 18i i i 81 18 217 18 25 403 w 10 12 25 18 25 40 55 10 2 12 25 4 1 1 1 1 1 1 1000 1 2 1 1 1 1 108 2 5 21 30 3 36 13 7448 60 2 091 1232 154 3 3145 5 574 28 1334 289 166 640 769 5 966 2 120 140 6 39 421 32 624 84 128 3873 1 529 3S 86 1944 2 132 8 15 8556 40 4180i 68 9371 6 666 4 s s S 8 Issues of Bedding Clothing Hats Shoes Etc from January 1st 1904 to January 1st 1905Continued ARTICLES Tables Tea lbs Tacks paper Tomatoes cans Tables dining Tape balls Thread ball lbs Ticking yds Tumblers jelly Tripoli pkgs Turners B C Tapers wax Ties cotton bdls Traces pairs Turpentine gals Undershirts Underskirts Underwaists Vests Waiters Waists Wrappers Waists shirt hirls well Wirebarb lbs Wrenches Webbing wire feet vVheat bus Wings Wings prs Wagons Whips buggy Wheelbarrows Washers iron lbs Yeast lbs Jf a u v a o ftQ 3 S is 11 o Q fra ii a So a o J V o u a T3 3 5 gg s 6 Q as 66 2 6330 40 11 16 1 ill 1 308 IS ii 8 576 12 7 17865J 144 lo6 718 300 it aie 232 191 3 6 56 1 12 44i2 178 65 10 42 2 48 1 l 652 200 716 8 48 241 4 351 56 1 21 165 15 178651 192 180 8 156 5 4 72 1884 5330 478 716 76 58 42 2 5 6638 2 40 11 16 1 1 1 12 2 576 iP s sn8 Annual Report of the Report of Bookkeeper Georgia State Sanitarium MiuEDGEVILLE Ga January 2nd 1905 Dr T 0 Powell Superintendent Dear SirI hand you herewith my report as Bookkeeper showing purchases for Apothecary and Engineer Also a state ment of the provisions supplies furnishing clothing etc on hand and recieved and the issues of same from June 1 ith 1904 to January 1st 1905 and the balance on hand as invoiced January 1st 1905 Yours very respectfully W A Gillespie BookkeeperBookkeepers Report Showing Purchases for Apothecary from June 23d 1904 to January 1st 1905 Iates of Invoices June 23 23 24 21 24 July 25 25 25 25 25 25 11 OQ July 30 30 Aug 2 8 10 8 July 27 27 AUg 15 9 17 12 12 24 Names from Whom Purchased Parke Davis Co Mason Tablet Co VI cKesson Robbins Geo D Case Meyers Bros Drug Co C E StultsCo Rochester Germicide Co LamarTaylor Riley Drug Co Sharpe Dohme McKesseus Robhins Bluthenthal Bickart Wm H Thomas Co Parke Davis Co Henry J Lamar Geo D Case Geo D Case Willis Pritchard Wm H Armstrong Co John Bene Parke Davis Co LamarTaylor Riley Drug Co Parke Davis Co LamarTaylor Riley Drug Co Armour Packing Co LamarTaylor Riley Drug Co LamarTaylor Riley Drug Co r 0 SO 23 3 wo A s a 3 PX 01 fi P 3 11 02 30 00 230 47 6 25 6 25 38 50 19 95 5 55 40 60 116 61 83 92 12 00 4 75 20 50 4 50 1 70 00 00 1 76 12 00 65 00 47 4 46 13 9 72 10 23 10 25 11 02 30 00 236 47 6 25 6 25 5 55 40 60 116 61 4 75 4 50 1 70 12 00 4 56 13 9 72 10 23 10 25 12 CO OJ c a X 3 H 3 S 3 S3 a to a 0 OS MJ a 53 2 3 m P 3 3 0D0Q 47 83 92 38 50 19 95 20 50 60 00 65 00 IS a s 3 1 76Bookkeepers Report Showing Purchases for Apothecary from June 23d 1904 to January 1st I905Continued s tu 2 Dates of Invoices Alls 2o u 2 it 27 ti 25 it 26 it 22 a 22 a 20 u 26 Sept I 1 1 10 11 12 tl 6 It 6 Aug Sept 1 9 9 9 11 9 l 12 If 20 1 7 II 1 a 2 1 22 11 19 Names from Whom Purchased Bluthenthal Bickart Cussons May Co Parke Davis Co Mason Tablet Co Geo D Case Sharpe Dohme Sharp Dohme Sharp Dohme H K MulfordCo E R Squibbs Sons Armour Packing Co LamarTaylor Riley Drug Co Lamar Taylor Riley Drug Co Sharp Dohme Sharp Dohme Colbern Bicks Co McKessons Robbins McKessons Robbins The S S White Dental Mfg Co McKessons Robbins McKessons Robbins Geo D Case Geo D Case Jeo D Case Parke Davis Co H K Mulford Co a 3 O a a 2 X m at SbC z a MOQ pa n a Q 3Q O ij c O 3 H C en IS s to c at S s a OQ0Q 82 89 11 45 11 39 16 55 1 00 75 35 88 35 00 10 80 20 79 16 00 11 90 19 00 24 75 12 77 22 88 20 07 115 21 43 32 40 12 00 3 00 4 00 9 1 82 89 1 11 39 16 55 75 35 88 35 00 10 80 20 79 16 00 11 90 19 00 24 75 12 77 11 45 1 00 2288 115 21 20 07 43 8 00 4 00 32 40 12 00 37 4 ool 4 66 37 Bookkeepers Report Showing Purchases for Apothecary from June 23d 1904 to January 1st 1905Continued Iates of Invoices Names fkom Whom Purchased a a o a HO M 3 P 3d3 SKT3 3 P mQQ 03 B sU Ph Q 3 O cu Vk C 5 2 3 H 3 5 DO a to E 5 a So t ft 3 3 0Q02 Oct 3 rhe S S White Dental Mfg Co LamarTaylor Biley Drug Co The S S White Dental Mfg Co 6 56 12 00 15 50 68 38 00 84 89 2 10 32 25 25 57 60 54 28 89 51 88 84 84 19 12 53 24 78 9 89 37 28 3 50 2 34 85 38 9 89 79 38 16 25 25 2 06 12 00 15 50 6 56 Sept 28 26 68 Oct 2 10 38 00 84 89 11 2 10 32 25 25 89 51 88 84 3 3 The R Hoehn Co J Ell wood Lee Co 57 60 54 28 14 7 15 20 84 19 25 LamarTaylor Riley Drug Co 12 53 13 24 78 1 Nov 7 9 89 37 28 7 The S S White Dental Mfg Co The S S White Dental Mfg Co 3 50 2 34 7 ii 7 85 38 19 9 89 79 38 16 25 19 19 21 25 16 ii 14 2 06 e a 3 s IV s Bookkeepers Report Showing Purchases for Apothecary from June 23d 1904 to January 1st I905Continued Iiates of Invoices Names fkom Whom Purchased Nov 14 Dc 14 10 21 24 24 19 22 Sharp Dohme Geo D Case Geo D Case Geo D Case The S S White Dental Mfsr Co The S S White Dental Mfg Co Henry J Lamar Co LamarTaylor Riley Drug Co Totals o 3 18 75 85 6 25 1 00 43 77 25 92 2 86 be 3 3d btO s a P50 2 a rt CD fi o a c c a H c a 18 75 85 6 25 1 00 2 86 as 8 51 g 3 3 OQOQ 25 92 2244 30 1289 84 238 92 14 71 0 25 468 93 98 50 131 37 1 76 N 0 s 3 s Bookkeepers Report Showing Purchases for Engineer from July 1st 1904 to January 1st 1905 Date of Invoices Names from Whom Purchased m a 3 O a 2 a as a a 6 in 3 3 a 3 so a 3 o si Ph 8 sg O 03 A Telephone and Electric Lights 03 44 u o o m X o a s July 2 P 100 24 28 00 77 18 107 40 77 79 20 71 74 05 30 86 63 00 14 70 25 50 151 41 84 65 54 27 85 75 83 46 395 37 31 06 495 93 172 25 104 83 15 89 3 16 32 20 14 41 30 80 28 00 100 24 The Cook Lumber Co 2 2 2 6 6 6 6 6 6 9 12 12 12 12 IS 22 22 22 22 23 23 23 23 23 23 77 18 107 40 77 79 J S Sehofield Sons Co Bailey Libbie Co Lombard I VV 8 Co J W McMillan The Ahren Ott Mfg Co The Cook Lumber Co Ahren Ott Mfg Co 20 71 74 05 30 86 14 70 151 41 63 00 25 50 84 65 Cotton States B S Co 54 27 85 75 S3 46 Lombard I W S Co F J Coolage Bro 395 37 31 06 495 93 Ahren Ott Mfg Co J S Schofield Sons Co J F Fay Eagan Co 172 25 104 83 15 89 3 16 32 20 14 41 Whittock Coil Pipe Co 30 80 s 8Bookkeepers Report Showing Purchases for E lgineer from July 1st 1904 to January 1st 1905Continued Date of Invoices Names from Whom Purchased 3 3 O a 2 a be a a a2 opa as t5 o t3 3 o a 3 p M o 03 Ph 3 V 03 2 a r1 03 0D U O M 0D 2 3 3 0Q The Cook Lumber Co J 4 00 252 12 July 23 uu 252 12 111 60 72 51 21 00 59 78 63 99 3 03 1 00 10 00 47 10 50 82 27 07 126 00 7 80 21 00 90 40 63 00 17 50 79 13 50 40 38 24 42 14 05 27 35 23 111 60 72 51 1 25 30 21 00 Aug 1 59 78 ii 17 63 99 18 Lombard I W S Co Lombard I W S Co Lombard I W S Co Lombard I W S Co Lombard I W 8 Co Lombard I W S Co J S Schofield Sons Co Tuttle Bailey Mfg Co J F Fay Eagan Co 3 03 1 00 10 00 47 10 50 82 July 19 19 19 19 19 19 27 07 Aug 18 126 00 7 80 July 14 26 Aug 1 June 30 21 00 Ahren Ott Mfg Co Lombard I W S Co Lombard I W S Co Cotton States B S Co Lombard I W S Co J S Schofield Sons Co Curtis Curtis Co Lombard I W S Co 63 00 90 40 July 14 17 50 79 22 23 13 50 26 40 38 27 24 42 28 14 05 29 27 35 1 Aug 5 s tfc 8 Bookkeepers Report Showing Purchases for E ngineer from July 1st 1904 to January 1st 1905 Continued Date of Invoices Names from Whom Purchased 93 5 3 O a 2 03 Q a oj u UK a s 6 OS a 3 Sao a 3 pi 8 g 22 o 0J 03 M o 4 O M so 2 T3 a 3 July 28 Aug 8 July 25 Aug 23 12 11 19 12 13 July 15 Aug 20 29 29 15 15 31 29 13 23 26 26 Sept 1 Aug 23 29 Sept 13 16 Lombard I W S Co Onion Recorder The John Van Range Co Lombard I W S Co Lombard I W S Co Branhall Dean Co Lombard 1 W S Co Lombard I W S Co J F Fay Eagan Co The Cook Lumber Co The Cook Lumber Co The Kinnear Gager Co George M Clark Co J Ij Byington Standard Oil Co 23 20 10 00 61 00 1 50 43 22 6 60 25 11 34 1 76 4 00 8 50 12 50 41 75 23 10 15 30 71 35 15 12 164 40 5 28 45 56 25 50 28 00 48 40 5 00 2 82 1 14 f 23 20 10 00 61 00 1 50 43 22 6 60 25 11 34 1 76 4 00 8 50 12 50 41 75 23 10 15 30 71 35 15 12 The Yale Towne Mfg Co The John Van Range Co National Ammonia Co Ahren Ott Mfg Co Fred W Wolf Co Orr Lockett Hdw Co R W Hatcher 164 40 5 28 45 56 25 50 28 00 48 40 5 00 2 82 1 14 s 8 s Bookkeeper Report Showing Purchases for Engineer from July 1st 1904 to January 1 sUContinued Date of Invoices Names from Whom Purchased Sept 6 10 12 9 16 19 17 20 14 26 24 24 26 27 27 8 24 Oct 2 Sept 14 9 Oct 5 4 Sept 24 28 Oct 6 Sept 26 Co F J Cooledge Bro Harrison Bros Co CoDton States B S Co Am Laun Machine Co Geo D Case Geo D Case Geo D Case J L Byington F J Cooledge Bro Massee Felton Lum J S SchofieldSonsCo Sciple Sons Merritt Hardware Co Geo D Case Standard Oil Co U S Radiator Co Pittsburg Plate Glass Co Cotton States B 8 Co Ahren Ott Mfg Co U S Cast Iron P FCo R W Hatcher R W Hatcher Pittsburg Plate Glass Co Cook Lumber Co Milledgevillle Oil Mills Cotton States B S Co el o a 2 a u a a 91 74 69 50 42 00 22 4S 1 00 1 20 60 65 59 40 00 8 00 16 391 17 30 22 55 30 103 49 212 75 36 29 3 24 1368 60 11 85 5 10 8 15 112 90 462 85 7 00 46 01 a a2 V oa 42 212 75 324 1368 60 11 85 7 00 46 01 3 a 3 Si 3 SO a 3 o ca a 2 p i V 03 p at i afi to 2a 3 S3 a 5 91 74 f 09 50 17 30 65 59 40 00 30 103 49 3629 22 48 16 39 112 90 22 55 5 10 8 15 00 8 a a 462 85Bookkeepers Beport Showing Purchases for E ngineer from July 1st 1904 to January 1st 1905 Continued Date 0f Names from Whom Invoices Purchased m o Q 2 a be as s 4 a 2 a2 Offl a O oT2 s 3 a 3 11 so O 2 o 3 I 55 o as Telephone and Electric Lights m M u o a 5 2 a 3 gq Oct 28 28 28 26 26 30 Oct 12 15 10 15 22 24 27 10 ii 14 31 Sept 16 Nov 7 12 ii 19 Harrison Bros Co Textile Mill Supply Co Keystone Chem Mfg Co Am Laun Machine Co 104 25 42 56 31 20 13 13 43 45 29 40 112 44 67 14 20 25 119 15 70 43 114 20 1 16 12 50 3 00 21 00 1 25 5 88 70 00 79 36 4 44 25 00 2 75 54 40 83 69 4 40 101 25 42 56 31 20 13 13 43 45 29 40 J E Chandler 112 44 67 14 C A Dunham Co Cotton States B S Co 20 25 119 15 70 43 Cotton States B S Co Cotton States B S Co Garlock Packing Co J S Schofield Sons Co 114 20 1 10 12 50 3 00 21 00 Beck Gregg Hdw Co Cotton States B S Co Hallahan Costello 1 25 5 88 70 00 79 36 15 22 26 Oct 8 Nov 28 9 T C Burke T C Burke Knowls Steam Pump W Ahren Ott Mfg Co 51 40 4 44 25 00 2 75 83 69 4 40 CD ft sBookkeepers Report Showing Purchases for Engineer from July 1st 1904 to Januaryst I905Continued Date of Invoices Names from Whom Purchased Dec 8 u 12 Nov 24 Dec 7 Nov 22 u 21 Deo 22 ii 21 12 u 24 u 24 u 27 11 27 Union Recorder Ahren Ott Mfg Co Lombard I W S Co J R Hines Lombard I W 8 Co Wallace Siebbins Sons R W Hatcher Am Laun Machine Co Career Gillespie Stevens Bros Co Lombard I W 8 Co ConklinT P M Co J L Byington Total a o a a tao a 001 80 j 60 21 00 3 40 24 10 2 21 4 00 3 75 22 10 11 21 60 64 68 82 a M S3 oa a s 80 a 3 Ph 3 M bo a 3 o 03 Ph 21 22 00 10 68 8281 48 3230 45 313 84 007 84 8 si K ag a d 8 60 3 40 24 10 2 211 4 00 3 3D 2 00 1383 15 28 89 1112 43 3 7J s y Oo 60 64 152 761148 37 3 aGeorgia State Sanitarium 129 Bookkeepers Report Showing Furnishing Clotning etc on hand re ceived and issued from Jnne 1st 1904 to January 1st 1905 Articles on Hand and Received 0 u S 3 s d b so V O 05 3 UM ss M 0 ood qo O H o Qio m 03 03 Cfi Aprons Axes Axles steel Rubber bands boxes Baskets grate Bedticks Bed Spreads Bridle bits Blacking boxes Blades meat saw Blankets prs Blankets indestructible Blaching 44 yds Blotters B ilts fire and plow pt Bolts guard Bolts hetl Bonnets Books prescription Books time Books blank Bowls and pitchers Brooms Brushes hair shoe shaving scrub whitewash tooth Rubber stamp Buckles harness doz Buckets water tin well Bedsteads Biscuit cutters Batting cotton lbs Burial robes Buttons rice small doz Buttons dress doz Bleaching f yds Buttons rice doz pants Combs coarse fine Chair bottoms Curtain fixtures Clocks Bolts carriage Coffee pots 523 40 1 2 8 1414 1688 15 190 26 4620 21 5159 800 52 25 24 273 500 26 454 78 1600 210 24 76 159 251 331 3 6 595 115 28 30 1 3 300 804 972 11208 6150 5616 1352 711 204 33 61 224 29 15 320 10 31 96 11 12 410 35 1 2 5 728 1401 4 44 6 2352 21 3621 800 52 25 24 273 500 12 192 22 1600 179 6 39 159 137 317 3 6 247 92 16 30 76 9 12d 804 600 808 2844 1872 700 285 204 33 34 224 29 113 5 287 11 146 20 2268 1538J 14 262 56 31 18 37 114 14 348 23 12 1 3 180 372 1400 3306 3744 652 426 37IJO Annual Report of the Bookkeepeis Report Showing Furnishing Clothing etc on hand received and issued from June 1st 1934 to January 1st 1905Continued Articles on Hand u r a c a fe to c a 00 C U3 and Received 2 H CT31 a 2 o H Cups and saucers Cups tin Bolt die and collars Chairs Chairs rocking Desks Cards playing decks V sweep wings and castings Candlesticks Chambers Chemise Boy Dixie castings Capes Plow stands Table linen yds Carvers Carpet yds Cologne bots Calico yds Chewing gum pcs Cans milk 5 and 10 gals Can openers Cards jim crow Clothes suits Christmas goods lots Chain well Checks yds Circulars for supplies Clevises Cloth oil yds Coats Collars horse Crash yds Robes buggy Commodes Dippers large small Dishes granite butter sugar Door mats Braid bunches Drawers prs Dresses calico Dress goods yds Dresses homespun Dresses strong ginghams Diapers Chair cushions 3134 24 1282 1852 3674 1 1424 2250 3 3 196 196 216 2i6 2 2 92 4 87 5 6 6 291 106 185 760 26 595 165 1402 1402 65 65 25 25 32 32 1 1 305 305 36 36 20 20 100 100 13 13 2 1 1 11 2 9 1 1 3 3 4 4 137 137 450 450 12 12 449 245 204 1794 7 1232 562 16 16 2000 2000 1 1 12 12 15 7 8 979 3 675 304 289 1 146 143 216 5 77 139 174 35 139 12 4 8 8 3 3364 2317 1047 14 14 10 10 916 12 813 103 294 3 1 276 18 846 846 520 520 16 16 Georgia State Sanitarium 131 Bookkeepers Report Showing Furnishing Clothing etc and issued from June 1st 1904 to January 1st 1905 on hand received Continued Articles on Hand and Received u 3 a s c a a a M eg t Si s O ffl Drilling yds Dusters feather Duck pants coats Envelopes tie Picture hooks Envelopes Picture moulding feet Elastic yds Fans Fencing wire rods Barbed wire pounds File2 mill saw Curtain poles Flannel yds Forks flesh Handcarts Faucets Gowns Gloves Ginghams yds Glass window boxes Globes lantern Guards and mower repairs Bagging jute yds Ties cotton bunches Steelyards prs Stretchers wagon Grindstones Hose ladies prs Handkerchiefs Hats mens Hamestrings Hammers Hatchets Handles axe pick Heads letter Inventory blanks Ink ozs Irons sad lbs Iron bar Ink stands Jars stone Lawn and calico wrappers Jeans yds Knives and forks doz Knives butcher Knitting needles sets Mattress needles 5002 50024 72 65 7 91 2 28 63 91 1 31 60 2000 2000 24 24 24775 925 24350 425 200 200 12 12 400 400 1200 1200 1413 1413 12 12 46 46 60J 60 4 2 2 2 2 1 1 1160 1160 1 1 0755 8235j 2520 62 izT5o 4 J Vn 72 1 15 57 67 67 150 150 5 5 1 I 1 1 1 1 7060 i 4912 2748 3293 83 1769 1524 1090 10 743 347 34 34 1 1 1 1 129 1 47 82 37 5 26 11 23000 23000 5436 426 5010 488 446 42 79i 79 393 393 2 2 48 48 A 4 6000 6000 15 1 x4 13 9C 3 15 75 10 10 6 6 uuiiiyii I32 Annual Report of the Bookkf epers Report Showing Furnishing Clothing etc on hand received and issued from June 1st 1904 to January 1st 1915Continued Articles on Hand and Received u u a 5 3 1 T3 3 en m M co1 8 3T 7 03 o 5 lanterns burners Locks Lounges Lampwicks Lamps Leather sides Lawn yds Ledgers Lining dress yds Mattocks Mattock handles Mattresses cotton Matting cocoa yds Felt yds M ole boards Banjo strings Napkins Nails horse shoe lbs Needles sewing papers sewing machine doz Hoes Schovells Forks spading Osnaburgs yds Plates soup granite dinner tin Pencils lead Pans mess Pans wash Pans sauce Pans muffin Pans tin Pans bake Pipe stove joints Pitchers tin Pitchers granite Pitchers syrup Pillows feather Pillows cotton and burial Pillowcases Pillowticks Pins papers Pins hair Pins safety Tape measure Pants prs Pin drapery Paper rolls Paper toilet cases 39 18 21 17 6 11 78 6 61 17 2 2 234 1 82 152 1 1 4 4 5411 3 238j 303J 1 1 2 2 7 7 6 6 1 1 450 45 404 1 1 1 1 15 15 222 150 72 35 35 890 3 190 700 3 3 2 2 1 1 015i 178 1389 2626V 345 10 345 499 25 499 3963 103 1108 2855 1536 26 1104 432 90 65 25 2930 2073 857 1 1 54 6 48 4 4 228 9 134 175 95 80 234 115 119 215 93 122 16 16 102 102 3406 41 3287 119 1627 184 750 877 579 399 180 353 299 54 232 232 1 1 2608 39 2154 454 120 120 3 l 1 Georgia State Sanitarium 133 Bookkeepers Report Showing Furnishing Clothing etc on hand received and issued from June 1st 1904 to January 1st 1905Continued Abticles on Hand and Received u 73 V s m 3fl M 2 s s eg 0 oc H 5 2 PQ Pens writing 2926 Picks R R 25 Pitchforks 2 Picks tooth boxes 12 Pots glue Pots gal Funnels Skimmei s 1 Powder face boxes 36 Paper fools cap qrs 480 Paper note qrs 2007 Plows steel lbs 423 Rugs 28 Razors 7 Razor hones1 1 Reports nurses daily 20000 trustees 2500 Ribbons velvet vdsI 150 T W 3 Linoleum yds l560jlT Rivets lbs Well rope lbs Cotton rope lbs Bridles Plow handles Spoons doz Scissors prs Scoops coal and forks Molasses gates Shades window Letter files Sheets Slippers evas prs Slippers mens prs Shoestrings prs Skirts under Salt cellars Spittoons Stools undertakers Safes Foot balls Sofa pillows Sheets oil Soap toilet cakes Spoons large Shawls Shirts Shirts under Shirts long Sheeting unbleached 4 4 yds 5 190 2 421 114 29 4 127 1 6203 282 363 2 2937 6 18 2 6 3 12 449 3706 3 60 2929 1924 24 158761 34 16 22 28 67 54 20 1486 14 2 12 1 1 1 1 36 155 1077 423 28 7 1 20000 2500 42 3 1560 5 159 45 6 2 227 i 37 1 4 127 12 5473 177 206 2815 2516 6 11 2 6 3 12 257 2284 3 601 2735 1393 21 15876 1440 11 325 930 108 31 51 193 77 12 1 730 105 157 71 421 192 1422 194 531134 Annual Report of the Bookkeepers Report Showing Furnishing Clothing etc on hand received 9 and issued from June 1st 1904 to January 1st 1905Continued c Articles on Hand and Received u u 3 a S 3 d a 3 en en H ance on nd Jan t 1906 2 0 3 Sheeting unbleached 74 yds Sheeting bleached 10 4 yds Sheeting bleached 64 yds Shovels longhandle Sifters Socks pairs Springs bed Shovel plows Staffs pen Swiss yds Staples lbs Spades Strops razor Suspenders prs Tacks papers Stock powders lbs Tape rolls Tapers wax Thimbles Thread ball lbs Scales prs Thread knitting lbs Traps rat Thread spools Shirting 78 yds Ticking yds Towels Tubs foot Tumblers Turners battercake Tables Screens Twine balls Table covers Tea pos Sheeting bleached 84 yds Underwaists Vests men Wheelbarrows Waiters tin Washers iron Whips buggy Well whiils Fasteners paper boxes Spokes Tire shrinkers Peach crates Covert cloth yds Tobacco lbs Feathers lbs 16274 16274 8161 499 3171 1858 2831 1574 43 11 32 4 2 2 8015 5084 2931 3 1 2 2 2 221 6 131 90 201 7 iiOl 110 133 133 3 3 42 26 16 4026 9 1836 2190 232 198 34 103 103 12 12 672 84 588 375 338 37 115 4 79 36 1 1 8 8 2 2 6419 4397 2022 8007 8007 7874 7874 3017 124 2170 847 291 13 245 46 1535 49 1285 250 17 1 8 9 91 91 12 12 164 2 51 113 117 117 11 11 971 971 44 44 648 4 464 184 12 12 76 45 31 2 2 1 1 12 4 8 3 3 2 2 1 1 79 79 5490i 154901 6459 9 5345 1114 16 16 Georgia State Sanitarium 135 Bookkeepers Report Showing Furnishing Clothing etc on hand received Jj and issued from June 1st 1904 to January 1st 1905Continued Articles on Hand and Received u T3 0 u 0 3 sa if H p 3 Si 0 H 03 3 T Lemons doz Ksrgs doz Womens shoes prs Mens shoes prs Fruit jar rubber doz Paraffine lbs Capsicum lbs Fruit jars doz Freezers ice cream Bakers Biggins Water coolers Tatum punches Binders book Bowl china and brown Matches doz boxes Blanks 600 74 600 998 991f 1842 40 1645 2037 1705 51 51 5 5 5 5 261 26 2l 0 1 1 1 1 1 1 1 l 2 2 2 2 l330j 8X 566 14950 14650 6 197 332 764 300USsmmmMMMmMMmMMm 136 Annual Report of the Bookkeepers Report of Provisions on hand received and issued from June 1st 1904 to January 1st 1905 Articles on Hand and Received J T3 0 0 he 3 00 a H 2 J3 d H oq a o eg o 3 3 PQc Bacon lbs 105997 Beef lbs 255619 Baking powder lbs 1 Cheese lbs 7971 Cherries bots 2 Coffee lbs 21726 Cabbage lbs 120 Celery bunches 20 Flour lbs 360675 Corn canned cans 19 Fruit dried lbs 4406 Prunes lbs 1 16 Grits lbs 67654 Lard comp lbs 2301 Lard lbs 20590 Mackerel lbs 10200 Meal lbs 163025 Mutton lbs 18348 Pepper black lbs 539 Pork lbs I 21613 Potatoes Irish sks 412 Potatoes sweet bus 2 Rice lbs 32 254 Salt sks 472Vo Soda lbs l25l Sugar brown lbs 2422 Sugar granulated and brown lbs 49136 Syrup gals 9000 Tea lbs Vinegar gals Oxalic acid lbs Ammonia carb lbs Apples bus Basket each Bananas bunches Beeswax lbs Blue aneline lbs Blueing boxes Beans gals Asparagus cans Candles lbs Candy lbs Cane bunches Cigars Cinnamon lbs Cloves lbs Cocoanuts Crackers Dates Hams lbs 260 1085 55 1 146J 74 44 17 4 9 8 6 5128J 1000 47 350 i 9 422 363 S39 9139 97887 245924 1 1 944 f 2592 7165 7103 7833 2 39 98 20429 1297 120 20 342643 18032 19 4331 16 35 46 66478 2301 19210 9492 1176 1 380 708 157649 5376 183241 432A 21613 hi 107 371 41 31506 748 282 11364 2422 4 186 115 45297 8470 70 777 23 493 32 15 15 3348 498 174 292 32 1 145 n 74 44 17 4 3 6 8 6 3274 1000 11 1842 47 350 i 9 422 353 839 I 7329 10 332 1477 Georgia State Sanitatium 137 Bockkeepers Report of Provisions on hand received and issued from June 1st 1904 to January 1st 1905Continued Articles on Hand and Received u T3 0 0 3 bo 03 a m M si M a a sfeq u H m a O flia g sks Gasoline gals Gelatine pkgs Ginger lbs Grease axle lbs Nuts mixed Buckwheat flour Oat meal lbs Oranges boxes Oranges doz Potash cans Bacon breakfast lbs Raisins lbs Currants lbs Citron lbs Cherries crst lbs Turnips sks Soap lurpentine bars 18 i 198 983 1 390 51 3ij 199b 4 422 14 41 1 40 24405 Soap chiped bars 13250 Soap tera cakes Spice lbs Starch lbs Acetic acid carboys Tomatoes cans Tripoli lbs Turpentine gals Tongue canned cans Yeast lbs Sardines boxes Pickles qts Jjamb roast Vanilla pts Butter lbs Corn bus Cow feed lbs Onions sks Onions pks Salmon cans Cream pts Dressing bots Corn starch pkg Pine apples cans Sauce bots Neatsfoot oil gals Rye seed lbs Barley bus Oats seed lbs Oysters cans Oysters fresh gals Mince meat lbs Macaroni pkg 753 5 2991 1 182 154 671J 3 312 120 12 2 n 20646 1050 15525 31 1 30 13 3 1 12 6 1 722 15 20819 36 i 44 6 2 18 1 198 983 1 380 10 51 3J 1413 583 4 422 14 U 1 40 15412 8993 12250 1000 79 5 3 671 2339 1 13 639 134 48 109 6641 3 8 29 37 78 312 120 12 2 H M646l 1050 15525 31 1 30 9 3 4 1 12 6 1 775 lc 2081 3f i A 11 38 Annual Report of the Bookkeepers Report of Provisions on hand received and issued from June 1st 1904 to January 1st 1905Continued Articles qn Hand and Received H T3 o 0 M S BO l a 3 3 3 a H 1 a c c w 02 C3 03 rt Nutmegs Cran berries gals Peas gals Peas cans Beef corned cans Olives bots Grapes lbs Plum puddings Garden seeds bus Garden seed lbs Straw lbs Gall cure cans Beef extract jars Mustard Seed lbs Celery seed lbs Turnip seed lbs Rape send lbs Onion sets bus Cotton seed meal tons Cotton seed hulls lbs Acid phosphate tons Bran lbs 12 2 6 6 4 4 4 2 11 191J 12150 I 1 1 10 4 30 25 25 58 128 200 30 413850 12 2 6 61 4 4 4 2 11 191 12150 I 1 1 10 4 30 25 25 58 128200 30 413850Georgia State Sanitarium 39 Report of Dentist Georgia State Sanitarium January 2nd 1905 Dr T O Powell Superintendent Dear DoctorThe following is a report itemizing the Dental Treatment and Operations of this department during the year 1904 Alveolar Abscesses treated 27 Periodontitis treated 25 Stomatitis treated Il Pyorrhoea Alveolaris treated 32 Acute Odontalia treated 9 Calcarious deposits removed number patients 51 Pulps Devitalized removed and cavites and pulp canals filled 47 Putrescent Pulps removed tooth treated cavites and pulp canals filled 59 Cavites filled with Oxphosphate Zinc 237 Cavites filled with Amalgam 439 Cavites filled pith Guttapercha 3 Cavites filled with gold 44 Crowns made 6 Crowns reset 2 Artificial Dentures made 1 Artifical Dentures repaired 3 Hypersensitive teeth from erosion or attrition cauterized with Nitrate of Silver 6 Teeth cleaned number patients 10 Teeth and roots badly decayed ulceiative extracated 1199 Number of patients during the year 915 Collected from patients for material used 1875 The above amount turned over to the Steward Respectfully submitted J C Richard Dentist 140 Annual Report of the Report of Apothecary Georgia State Sanitarium January 2nd 1905 Dr T O Powell Superintendent Dear SirThe following is my report of Apothecary Depart ment from January 1st 1904 to January 1st 1905 Being the policy of this department to manufacture all pharma ceutials and preparations used by the institution we have done so at all times where it was economy to do so restricting purchases soley to chemicals and such specialties as are requried by the physicians STATEMENT The following is statement of all expenditures etc of Apothe cary Department from January 1st 1904 to January 1st 1905 Amount of drugs purchased including druggist sun dries dental and laboratory supplies etc all prep arations for fumigation disinfecting and sanitary purposes also all alcohol wines and whiskies 3547 36 Amount drugs sold officers and employees 328 52 Amount drugs on hand 2273 5 Fixtures etc 385 5 Number of prescriptions filled 24951 Respectfully submitted D S Carrington ApothecaryGeorgia State Sanitarium 141 Report of Engineer Georgia State Sanitarium Milledgeville Ga January 2nd 1905 Dr T 0 Powell Superintendent Dear SirI have the honor of submitting herewith my report of the workings of this department from January 1st 1904 to Jan uary 1st 1905 Respectfully submitted T H DeSaussurE Engineer IMPROVEMENTS The laundry building has been enlarged by extending the build ing 40 feet and by the addition of a dryroom annex twentyfour by seventyone feet This gives an additional area of 4600 square feet of floor space which was much needed The mechanical equip ment of this building has been improved by the addition of one American Mammoth Maugle one all metal washing machine and two dry rooms of fourteen dryracks each All of the drying rooms have been equipped with automatic sprinklers An addition of one room with a closet attached has been made to one of the cottages A brick wall seventeen hundred and fiftysix and a half 1756 feet long and averaging eleven 11 feet in height above ground has been built around the Whittle and Cabaniss buildings Some 3900 cubic yards of earth has been moved at the back of the Cabaniss building making a recreating yard at that place for the patients and all of the courtyards about the Whittle and Caba niss building save one have been graded with a fall away from the house to carry off the water The grounds around the Central Railroad station near the Green building have been graded and terraced Burmuda sod being placed on all of the slopes and grass roots planted on the levels Of the two wings of the Cabaniss building that remained unfin ished on the interior we have completed one entirely and the other all save some of the plastering the painting hanging the doors plumbing and steam heating142 Annual Report of the Two thousand two hundred and sixtynine 2269 squares of tin roof all of the outside door and window frames and sash on the back of the main female building and all of the buildings at the colony 31748 square feet have been painted All of the floors of the rooms of the Infimary of the Green build ing have been given three coats of floor finish and all of the wood and iron work finished in white enamel All of the walls of the front wing of the Infirmary of the main female building have had the whitewash scraped from them and the entire surface painted The woodwork has also been finished in white enamel and the floors with liquid granite floor finish Twenty drops and jacks have been added to the switchboard of the telephone exchange and six new telephones with the necessary wires between the buildings have been installed in the Whittle and Cabaniss wards The four front porches of the Green building have had wire guards put across the outside enabling the doors of the wards to be left open in good weather when the patients may have free access to the porches Woven wire fences one hundred and fourteen panels in all have been put up in front of the Green and Cabaniss buildings as well as across the space between the fronts of the Whittle and Cabaniss buildings Sixty fire extinguishers have been bought and placed upon the wards and five hundred feet of two and a half inch and three thousand and fifty feet of one and a half inch hose have been added to the fire fighting equipment To the plumbing of the institution has been added sixtysix im proved automatic seat flushing closets to take the place of old ones removed and fortytwo laratories and twentyone urinals have been bought and most of them put up Covered ways with brick floors have been built between the kitchen and the main dining rooms and the basement rooms in the old buildings under the 9th and 18th wards have been connected together by arches in the partition wall forming passage ways which enables the patients and nurses to get to and from the kitchen and dining rooms in bad weather without getting wet The wooden curb of the suction well at the water works has been taken out and replaced with a brick one During the time of extreme dry weather last summer a well eight feet in diameter and seven feet below the bed of the creek was dugGeorgia State Sanitarium H3 near the bank and the suction pipe of one of the pumps extended to it Besides the usual repair work the following has been done in the carpenter shop Dressing and matching 78274 square feet of flooring and ceiling Dressing 7080 lineal feet of door and window casing Dressing 7080 lineal feet of half round moulding Dressing 8690 lineal feet of quarter round moulding 114 Panels woven wire fence 7 Gates 8 Bread paddles 14 Honimy paddles 92 Lattice benches 7 Door frames 5 Sets steps 37 Sets of shelving 220 Curtain strips 1 Latticed partition 17 Step ladders 1 Voucher box 11 Clothes racks 1 Swinging scaffold 2 Wire gaurds 6 Crates for sewing machines 16 Commodes 91 Flushing tank boards 3 Rakes 3 Water troughs 59 Wooden seats for water closets 17 Wagon bolsters 10 Plow beams 368 Coffins 97 Boxes for shipping coffins 643 Head boards for cemetery 7 Sink tables 1 Double sink table 2 Dining tables 2 Seventeen foot ladders 2 Tweniy foot ladders 2 Small porches floored 104 Hoe handles 73 Scrub mops 16 Trays for gas works 1 Fertilizer mixing box 1 Water closet ceiled 2 4 by 7 centers for brick arch 118 by 7 center for brick arch 4 Lattice gates 4 Large solid gates 4 Well curbs 4 Hog troughs 7 Wagons tongues 4 Wagon crates 12 Single trees Georgia State Sanitarium MilledgeviixE Ga January 14th 1904 To the Hon Board of Trustees Georgia State Sanitarium GentlemenPursuant to your resolution authorizing me to in vestigate all possible sources of water supply for the Sanitarium and to present to you an estimate of the probable cost of establishing pumping station etc and further that I should ascertain from the Milledgeville Water Co a statement of the terms upon which iU Annual Report of the they could undertake to supply this institution with water I beg to hand you the following REPORT I have investigated the possibilities of four different means of im proving our water supply namely three from the river with pump ing stations located at different points and a fourth which has as its object the storage of water from Camp Creek In each of the estimates for procuring the water from the river I have included the cost of removing the present pumping outfit from its location on Camp Creek to the proposed site at the river so soon as the new outfit shall have been sumcently completed to enable us to dismantle the old one This would give us duplicate pumps and boilers at the new plant which is essential Each estimate also includes the cost of a complete filtering plant for all of the water pumped The estimates do not include the cost of the land for pumping plant nor of the right of way through the properties crossed by the pipe line The first location investigated is near the mouth of Camp Creek it is on laud owned by the Sanitarium The river at this point ap proaches the Sanitarium nearer than at any other This location has the disadvantage of being below the city of Milledgeville the sewerage of which is emptied into the river The cost of the station located here with the pipe line I esti mate to be 3268435 The next available point for the location of a pumping station is two hundred yards above the point at which Tan Yard branch flows into the river This is beyond almost all of the houses of Milledge ville and is beyond all of the drainage from the city except that from a few houses and the slaughter pen of the local butchers The slaughter pen of the contractors who for many years supplied the Sanitarium with beef is also located in the area which drains into the river above this location but at present this pen is not in use The cost of locating at this point is 50554 84 To get entirely above the few buildings and the above mentioned slaughter pens it would be necessary to go fiftyone hundred feet further up the river or beyond the mouth of Tobler Creek This point is three and threequarter 3 miles from the Sanitarium and a plant located there would cost 6034304Georgia State Sanitarium 145 If the pumping station is placed at either of the points located above Milledgeville we would be to a certain extent dependent upon the stability of the dam of the Oconee River Mill which is located just below Tan Yard branch and measures would have to be taken to insure our supply of water should that dam be washed away The fourth study of the subject considers the plan of placing a dam across a ravine on the futher side of Camp Creek from the in sitution and in this way making an impounding reservoir into which water from Camp Creek could be pumped during the time when it is in best condition The possibly contaminated condition of the water of Camp Creek from the fifteen to twenty negro houses on the water shed of that stream the most distant one of which is not more than a mile above the pumping station and the fact that the water in the storage reservoir will be more or less stagnant should have weight in the consideration of this plan I wish to state in this connection that during times of freshets when the water from the river flows up the creek across the mouth of our sewer and by our present pumping station our water must necessarily be contaminated by our own sewerage If the above mentioned plan of having a storage across the creek were adopted pumping from the creek at such times of high water could be dicon tinued I estimate that the cost of this arrangement to be 21800 I have a proposal from the Milledgeville Water Company in which they state their willingness to furnish us with water from the Moran Springs at the following rates For not less than 50000 gallons per day 8 cents per 1000 gallons For all in excess of 50000 gallons per day and up to 200000 7 cents per 1000 gallons The Company further states that they would be pleased to con sider a proposal for a twentyfive year contract substantially on the above terms All of which is respectfully submitted T H DeSaussure if 6 Annual Report of the Report of Matron Georgia State Sanitarium Milledgfville Ga January 2nd 1905 Dr T 0 Powell Superintendent Dear SirWith thanks to the officers and to my coworkeis who have in any way aided me permit me to submit the enclosed as my report from January 1st 1904 to January 1st 1905 I will add that all repairing has been done for the institution and all scraps and remnants have been put to good use and have been properly accounted for through the Store Keepers Office Yours respectfully Mrs J M Darnell Matron Aprons cotton 745 Aprons rubber 3 Bed ticks 2229 Bonnets 501 Curtains 363 Chemise 3123 Capes flannel 259 Covers table 248 Chair cushions 20 Drawers 3974 Diapers 602 Dresses colico 16 Dresses homespun 1864 Dresses gingham L344 Dresses strong 436 Gowns 1830 Mattresses made over 483 Napkins 520 Pillows sofa 4 Pillows feather 21 Pillows cases 7006 Pillow ticks 1925 Pillows burial 172 Pants 4945 Shades window 143 Sheets 9702 Sheets draw 550 Skirts under 5158 Shirts night 118 Shirts 4074 Shirt waists 58 Suspenders 2876 Skirts flannel 90 Towels 4012 Waists under 478 Wrappers 36 Total 59928Georgia State Sanitarium 147 CANNED FRUITS AND PICKLES Canned fruit gallons 37 Jelly glasses Preserves pounds 93 Catsup gallons Jam pounds 1276 Pickles gallons BANDAGES ETC 12 Iodoform gauze yards Caps surgeon Bandages feet 11081 Steril gauze yards 650 73 616 18 500 ARTICLES MADE FROM GOODS BELONGING TO PATIENTS Chemise Dresses Dawers Dressing sacques Gowns 3 Shirt waists 37 Skirts under 9 Wrappers Tota 1 6 5 25 104148 Annual Report of the Report of Chaplain Georgia State Sanitarium Milledgeville Ga January 2nd 1905 1 Dr T 0 Powell Superintendent Dear SirAs Chaplain of the State Sanitarium from January 1st to October 20th 1904 I preformed the usual duties that devolve on this office Divine services were held twice weekly on Sundays and Thursdays There were few interruptions during the year because of inclement weather or quarantine The patients attended the services in large numbers and manifes ted a very great degree of interest always There is no doubt that the granting of such religious privileges as are afforded by regular public services is deeply appreciated by a large number of the inmates of the institution whose condition permits them to attend They especialy enjoy the singing which is under the efficient care of Mrs Julia West Some visits were made by me to patients from time to time accord ing as the Superintendent and physicians deemed advisable Funeral services were always held for those who died and were in terred in the local cemetery Thanking you and the staff for various courtesies extended I beg to remain Very truly yours D W Brannen ChaplainGeorgia State Sanitarium 149 Report of Librarian Georgia State Sanitarium MilledgeviliE Ga January 2nd 1905 Dr T 0 Powell Superintendent Dear SirPlease find below report of Librarian for the year ending January 1st 1905 By last report of volumes received 11512 Total magazines 54 The Elks Milledgeville magazines 129 The Elks Milledgeville papers 25 Mrs Julia West magazines 55 Mrs W A Bacelor books 3 Mrs W A Bacelor magazines 27 Otis Stevens books 4 Miss Carrie B Lockhart books 1 Mrs Smith Irvin Augusta Ga magazine 1528 Mrs Smith Irvin Augusta Ga books 20 Mrs Smith Irvin Augusta Ga periodicals 152 Miss Carrie B Lockhart books 3 Offical records U S C S Naval Series 1 Mrs S D Wootten magazines 120 Miss Abbie Orme Savannah Ga magazines i6oo Miss Abbie Orme Savannah Ga books 16 Peter J Cline Milledgeville Ga magazines 187 Peter J Cline Milledgeville Ga periodicals 50 Biennial report of Washington State Library books 1 Report of Librarian of Congress books 1 Lot of old pamphlets from Rev Frank Gunsaulus Library of Congress Papers of James Monroe 1 Library of Congress Checklist of foreign newspapers 1 Library of Congress Report for fiscal year ending June 30 1904 Miss Sallie Lockhart books 4 Mrs S D Wootten books 4 Johns Hopkins Press Baltimore Md Journals on Insanity 2 HHHHISixtySecond Annual Report OF THE BOARD OF TRUSTEES OF THE Georgia State Sanitarium FOR THE YEAR ENDING DECEMBER 31st 1905 AUGUSTA GA Richards Sfaver Co Printers and Litkoorafbkrs 1906BOARD OF TRUSTEES Georgia State Sanitarium JOEL BRANHAM PresidentRome Ga THOS G LAWSON VicePresidentEatonton Ga RICHARD JOHNSON Secretary Clinton Ga JOHN T BRANTLEYBlackshear Ga JAS B BAIRD M D Atlanta Ga CHAS J MONTGOMERY M DAugusta Ga THOS M SWIFTElberton Ga JNO L CULVERCulverton Ga W F BRUNNER M DSavannah Ga HENRY BANKS LaGrange Ga COMMITTEES OF THE BOARD OF TRUSTEES Georgia State Sanitarium Jno T Brantley Chairman Trios M Swift PRUDENTIAL COMMITTEE Richard Johnson Thos G Lawson FINANCE COMMITTEE Thos G Lawson Chairman Richard Johnson Thos M Swift Jno T Brantley COMMITTEE ON FARM AND OUTSIDE BUSINESS Jno L Culver Chairman Jas B Baird Henry Banks Chas J Montgomery COMMITTEE ON BUILDINGS MACHINERY AND REPAIRS Thos M Swift Chairman Chas J Montgomery James B Baird COMMITTEE ON SANITATION AND WELFARE OF PATIENTS Chas J Montgomery Chairman W F Brunner Henry Banks COMMITTEE ON DAIRIES AND HOGRAISING Hnry Banks Chairman W F Brunner Jno L Culver COMMITTEE ON RULES REGULATIONS LAWS ETC Richard Johnson Chairman Jno L Culver Thos G Lawson COMMITTEE ON MEDICAL AND DISPENSARY SERVICE Jas B Baird Chairman W F Brunner Jno T Brantley President of the Board of Trustees is exofficio member of all CommitteesELECTIVE OFFICERS OF SANITARIUM T O POWELL M dSuperintendent and Resident Physician J M WHITAKEH M DFirst Assistant Physician L M JONES M D Assistant Physician E M GREEN Jr M DAssistant Physician JNO W MOBLEY M DAssistant Physician N P WALKER M D Assistant Physician R C SWINT M D Assistant Physician J E HUNT M DAssistant Physician R V LAMAR M D Pathologist J C RICHARD D D SDentist D S CARRINGTONPharmacist L J LAMARSteward G W HOLLINSHEAD Assistant Steward W H HUNTERStorekeeper H S JONESSecretary W A GILLESPIEBookKeeper MRS J M DARNELL Matron L H ANDREWSTreasurer T H DeSAUSSURE C E Engineer REV LAMAR SIMSChaplainSixtySecond annual Report OF THE BOARD OF TRUSTEES OF THE Georgia State Sanitarium For the Year Ending December 31st 190 Miixedgeville Ga December 31st 1905 To His Excellency Joseph M Terrell Governor SirIn obedience to statutory requirement the Board of Trus tees of the State Sanitarium submits herewith its SixtySecond Annual Report of the conduct and management of same for the year ending December 31st 1905 Attached to and forming part of this report will be found the reports of the Superintendent and his subordinate officers to which you are referred for detailed information as to the movement of its population and receipts and disbursements of all monies appropria ted for its support In the beginning of this report the Board would make grateful acknowledgement of the cordial support given it by your Excel lency in the discharge of its duties and of the liberal appropriation by the General Assembly for the support and maintenance of the Sanitarium FINANCES The year 1904 closed with an overdraft of 515656 Thisover draft has been met all expenses have been paid and the year closes with a surplus of 30848 in the hands of the Treasurer The expenditures for all purposes was 33719152 daily average 6 SixtySecond Annual Report of patients under treatment was 2938 making a per capita cost of 11300 as against 12179 last year The daily per capita cost was 3096 as against 3328 last year This low cost has not been reached without the practice of closer economy than meets its approval but the large number of patients to be provided for within the appropriation left the Board no alter native With the gradually increasing cost of living the Board does not feel that a per capita cost per diem of 35 cents will be excessive and it is firm in its conviction that future appropriations based upon present conditions should be made on this basis POPULATION 875 patients were received du ing the year 873 recovered eloped died or were removed leaving a net increase of two and making the population to day 2939 The total number of patients under treatment during the year was 3812 the daily average 2938 an increase of 58 over last year The number of officers and employees is 475 making a total pop ulation to day of 3414 The percent of recoveries based upon the number of admissions was 42 y2 The number of deaths from tuberculosis was 121 of which 45 were white and 76 colored patients EPILEPTICS The Board very heartily concurs in the suggestion of the Super intendent regarding the epileptic patients numbering 322 now in the Sanitarium that such patients should by all means be colonized in some other section of the State Epilepsy does not necessarily mean insanity and to confine such patients with the insane works an injury to both classes Such colonies have been established in many of the States with satisfactory results and the Board hopes that such provision will soon be made for them in Georgia SCHOOL FOR DEFECTIVES The Board would again call your attention to the hopeless condi tion of the feebleminded or defective children under sixteen years of age and numbering sixty now confined in the Sanitarium for lack of proper provision for them elsewhere The only door of hope open to them lies in a training school where by scientificGeorgia State Sanitarium methods some few of them may possibly be fitted in some measure for self support No more pathetic sight is to be seen in this insti tution than these helpless little ones and the Board earnestly craves for them the one chance left them Such a school should have no connection with an asylum for the insane TUBERCULOSIS WARDS The Board would call your Excellencys attention to the signifi cant fact that of 500 deaths in the Sanitarium last year 121 were due to tuberculosis Funds should at once be placed at the dis posal of the Board for the erection and equipment of four tubercu lar wards oue for each class of patients to be erected amid proper sanitary surroundings so that such patients can be completely isola ted and given such hygienic treatment as may give them some chance for recovery while at the same time removing from the present wards a grave and ever present danger to patients not so afflicted The Board therefore renews its previous recommendation and earnestly urges an appropriation of 1000000 to be made imme diately available for this purpose WATERWORKS AND ELECTRIC LIGHTS The General Assembly very generously appropriated 7500000 or so much thereof as may be needed to supply these much needed wants As soon as possible after the appropriation was made the Board met and invited proposals for the construction of a complete waterworks filtration plant After careful consideration of such proposals the contract on Nov i6th last was awarded to Messrs Walton Wagner Rome Ga the consideration being 6500000 This plant will be located on the banks of the Oconee River 3 miles from the Sanitarium and sufficiently far above Milledgeville to avoid the drainage of that place It will have a capacity of 1000000 gallons daily and will meet every need of the institution for years to come No contract will be made for an electric light plant until the com pletion of the waterworks IN CONCLUSION The Board has much pleasure in expressing its appreciation of the faithful and able services of Superintendent Powell and hisH88GBHBRnimiUIUUttUB c SixtySecond Annual Report Staff of assistants Each of them seems actuated by the highest motives and each manifests a commendable zeal in the discharge of his duties It is gratifying to see the harmony prevailing among the officers of this institution and to realize the efforts being put forth by each of them for the relief of the afflicted ones in their care Foremost of them all stands Superintendent Powell big of heart and broad of mind whose lifelong work for suffering humanity has endeared him to all our people Respectfully submitted Johl Branham President Thos G Lawson VicePresident Richard Johnson Secretary Jas B Baird M D Chas J Montgomery M D Thos M Swift Jno Iv Culver W F Hrunner M D Henry Banks Jno T Brantley Board of Trustees Georgia State Sanitarium Report of Superintendent For the Year Beginning January 1st 1905 and Ending December 31st 1905 Georgia State Sanitarium January ist 1906 To the Honorable Board 0 Trustees Georgia State Sanitarium Gentlemen In compliance with the law and rules of the Sani tarium I respectfully submit for your consideration the Sixty Second Annual Report of the Institution for the year ending December 31st 1905 together with the reports of the Steward Treasurer and other officers of the institution which I trust will give you a detailed and satisfactory account of the conduct and management of the Sanitarium for the year 1905 On January ist 1905 there were white patients on hand 2052 and colored 885 There have been received since 549 whites and 326 colored making a total reception of 875 There have been discharged removed eloped and died 873 leaving in the Institurion January ist 1906 2939 patients of whom there are 100 whites and 35 colored on furlough not discharged The average number of patients under treatment during the year was 2938 while the total number receiving treatment was 3812 It will be seen that the average number receiving treatment was 58 more than last year We have two more patients on hand than at the close of last year The following tables will give in detail the movement of the white and colored population10 SixtySecond Annual Report STATEMENTWHITE In relation to the number of white patients during the past year or from January 1st 1905 to December 31st 1905 There were patients on hand January 1st 1905 2052 White Male Lunatics 823 White Male Epileptics 119 White Male Idiots 47 989 White Female Lunatics 949 White Female Epileptics 77 White Female Idiots 37 1063 There have been received during the year White Males 280 White Females 269 Total number under treatment Of whom there have been Discharged restored 262 improved 8 removed 16 eloped 6 pardoned 1 There have died White Males White Females 135 138 Leaving on hand January 1st 1906 CLASSIFICATION OF THE WHITES White Male Lunatics 787 White Male Epileptics 134 White Male Idiots 43 White Female Lunatics 947 White Female Epileptics 97 White Female Idiots 7 2052 549 2601 293 273 566 2035 964 1071 2035 Of the white males who have died there Were of acute enteritis 15 pulmonary tuberculosis 16 cerebral hemorrhage 12 paresis 4 chronic enteritis 22 organic brain diseases 3 pneumonia 5 dysenGeorgia State Sanitarium ii tery 6 pleurisy with effusion i acute nephritis 2 chronic nephritis 2 epilepsy 9 acute bronehitis i decubitus 1 cancer of rectum 1 septicaemia 1 unknown 1 cerebral syphilis i pyaemia i erysipe las 1 organic heart disease 2 senile exhaustion 1 abscess of brain 1 valvular heart disease 6 ankylostomyosis 1 acute gastroenter itis 4 typhoid fever 2 exhaustion of acute mania 2 tubercular enteritis 1 inanition 4 chronic gastritis 1 fracture of femur i senility 2 status epilepticus 1 exhaustion of acute melancholia 1 and empyema 1 Total 135 Of the white females epilepsy 8 organic heart disease 7 pulmo nary tuberculosis 24 chronic enteritis 14 gall stones 1 senile ex haustion 4 pneumonia 4 exhaustion 4 influenza 2 old age 3 exhaustion of dementia paralytica 2 organic brain disease 7 acute gastro enteritis 2 uremia 3 pernicious anemia 2 bronchopneumo nia 1 chronic nephritis 1 cerebral hemorrhage 2 dysentery 6 proctltis 1 gastritis 1 meningitis 2 epileptic shock 4 ulcerative enteritis 1 brights disease 1 transverse myelitis i acute endocar ditis 1 acute enteritis 3 tubercular enteritis 3 maniacal exhaustion 4 cerebral syphilis 1 cerebral apoplexy 3 congestion 1 purulent meningitis 1 neurasthenia 1 apoplexy 2 acute diarrhoea 3 status epilepticus 1 hemiplegia 1 pulmonary odema 1 paresis 1 pleuro pneumonia 1 military tuberculosis 1 and suicide 1 Total 138 STATEMENTCOLORED In relation to the number of colored patients received during ihe past year or from January 1st 1905 to December 31st 1905 inclusive There were patients on hand January 1st 1905 885 Colored Male Lunatics 379 Colored Male Epileptics 51 Colored Male Idiots I5 445 Colored Female Lunatics 3 Colored Female Epileptics 29 Colored Female Idiots 12 440 885 There have been received during the year Colored Males 150 Colored Females 176 426 Total number under treatment 1211 12 SixtySecond Annual Report Of whom here have been Discharged restored 66 removed y eloped 0 pregnant 4 brought to the instition in this condition There have died Colored Males 64 Colored Females 143 Leaving in the institution January 1st 1906 CLASSIFICATION OF THE COLORED Colored Male Lunatics 414 Colored Male Epileptics 46 Colored Male Idiots 14 Colored Female Lunatics 334 Colored Female Epileptics 35 Colored Female Idiots n 80 227 307 904 474 430 904 Of the colored males who have died there were of paresis 2 pneu monia 3 tuberculosis 16 epilepsy ri chronic nepritis 4 uremia 3 apoplexy 2 unknown i inanition 6 extravasation of urine 1 sep ticaemia 3 chronic enteritis 7 organic brain disease 5 maniacal exhaustion 2 cerebral softening 3 cerebral tumor 2 senility 2 acute gastroenteritis i enterocolitis 1 senile gangrene of leg 1 chronic ulcerative phthisis 2 pulmonary hemorrhage 1 epileptic exhaustion 3 cerebral hemorrhage 1 aud chronic ulcerative colitis 1 Total 84 Of the colored females acute enteritis 8 cerebral hemorrhage 6 tuberculosis 57 ulcerative gastritis 1 pneumonia 2 carcinoma 1 epilepsy 5 intestinal obstruction i organic brain disease 5 un known 4 dysentery 17 septicaemia 2 exhaustion 1 cerebral soft ening 1 chronic enteritis 3 typhoid fever 2 paresis 5 acute gas tritis 1 senility 7 acute nephritis 3 gastroenteritis 7 organic heart disease 1 uremia i chronic nephritis 1 and uterine fibroid 1 Total 143 Georgia Stale Sanitarium 13 TABLE No 1 Showing the number of whites admitted during the year 1905 and their tespective ages at the time of admission Males Females Total Under 15 years 4 5 10 15to20 14 21 35 20to25 34 25 59 25to30 35 31 66 30to35 38 32 70 35to40 29 29 58 40to45 27 24 51 45to50 24 29 53 50to60 35 34 69 60to70 24 20 44 70 to 80 12 13 2o Over80 2 4 6 Unknown 2 1 3 Total 280 269 549 TABLE No 2 Showing duration of insanity before admission Males Females Total 1 to 3 months 56 50 106 3to 6 months 40 26 66 6 to 9 months 27 21 48 9 to 12 months 9 5 14 12 to 18 months 17 16 33 1 o 2 years 1 4 14 i to 3 15 17 32 3 to 4 11 18 4 to 5 7 14 21 5 to 6 7 10 17 6 to 8 9 I3 8 tolO 7 7 14 10 tol2 4 8 12 12 to 14 4 5 14 to20 8 10 18 20 to30 9 22 31 Unknown 24 7 31 SeveralJ W Total 280 269 549 SixtySecond Annual Report TABLE No 3 Occupation of whites admitted during the year 1905 Housekeeper 151 Farmer 29 Laborer 19 Engraver 1 Moulder 2 Butcher 3 Railroad clerk o Merchant 7 Teacher 9 Mechanic 4 Jeweler Miner 3 Insurance agent 2 Pactory operative 12 Clerk o Drummer 7 Carpenter g Baggage master 1 Watchman Blacksmith 1 Stonecutter 1 Barkeeper 1 Sheriff 1 Upholsterer 1 Barber j Unknown 27 To 549 Domestic Servant Horse trader Lumberman Carriage trimmer Tinker Printer 2 Painter 3 Tailor 1 Seamstress 4 No occupation 100 Physician 3 Brickinason Cooper 1 Bookkeeper 1 Railroad guard 2 Peddler 1 Minister 2 Editor Dentist Druggist Soldier Drayman 1 Iron constructor 1 Commission merchant 1 Married TABLE No 4 Civil condition of the whitesreceived during the year 1905 Total 41 Single 233 Widowed 549 TABLE No 5 Homicidal and suicidal of the whites received during the year 1905 Homicidal Suicidal 89 66 Homicidal and suicidal 4 Total 201Georgia Ssate Sanitarium 15 TABLE No 6 Cause or supposed cause of insanity of whites received during the year Dissipation 19 Epilepsy 23 Heredity 85 Female disease 10 Masturbation 5 111 health 36 Softening of brain 4 Rheumatism 1 Nervous exhaustion 4 Injury 5 Financial trouble 4 Overheat 4 Melancholia 1 Syphilis 4 Typhoid fever 5 Religious excitement 1 Imbecility 2 Morphine 6 Grief 13 Childbirth 6 Catarrhal fever 1 Menopause H Senility I6 Erotism 1 Unknown 232 Total 1905 Fever Meningitis 2 Exposure 2 Blow on head 12 Congenital 19 Domestic trouble H Optic neuritis 1 Cerebral effusion 1 Uterine disease 8 Sunstroke 1 Disappointment in love 1 Organic brain disease 1 Jealousy Spinal trouble 7 Apoplexy 2 Dropsy of heart 2 Congestion of brain 2 Cigarettes 1 Fracture of skull 1 Change of life 3 Nervous prostration 1 Puerperal fever Overstudy 1 Overwork 6 549 TABLE No 7 Showing the number of colored admitted during the year 1905 and their respective ages at the time of admission Males Females Total Underl5years l SSy s 80 to 36 f f 40 to 45 5 18 jlnZ a 10 10 20 45 to 50 1p 50to55 6 6 12 55to60 5 60to70 70to80 I I W9 Unknown Total 150 376 326 16 SixtySecond Ainual Report TABLE No S Showing the duration of insanity of the colored before admission Males Females Total 1 to 3 months 46 3 to 6 22 6 to 9 7 9 to 12 4 1 years 10 3 8 8 1 1 1 1 o 3 6 6 Several 6 Unknown 15 1 to 1 lto 2 2 to 3 3 to 4 4 to 5 5 to 6 6 to 8 8 to 10 10 to 12 12 to 14 14 to 20 20 to 30 47 25 11 9 9 5 12 10 6 7 6 3 3 1 3 3 4 12 93 47 18 13 19 8 20 18 7 8 7 4 5 4 9 9 10 27 Total 150 176 326 TABLE No 9 Occupation of colored admitted during the year 1905 Carpenter Farmer 54 Laborer 89 Farmhand 30 Servant 14 Laundress 16 Housekeeper 23 Blacksmith 2 No occupation 25 Barber 1 Turpentine hand 2 Cook 16 Painter Nurse Railroad hand Teacher Stable boy Hackman Porter Machinist Clerk Coachman Tailor Millhand Janitor Delivery boy Seamstress Brickmason Merchant Waiter Fireman Unknown 30 Total 326Georgia State Sanitarium 17 TABLE No 10 Civil condition of the colored received during the year 1905 Married 152 Single 119 Widowed 52 Unknown 3 Total 326 TABLE No 11 Homicidal and suicidal of the colored received during the year 1905 Homicidal 71 Suicidal 15 Homicidal and suicidal 17 Total103 TABLE No 12 Cause or supposed cause of insanity of the colored received during the year 1905 Lagrippe 1 Heredity 14 Dissipation 2 Ovarian trouble 2 Womb trouble 1 Financial trouble 1 Injury to head 4 Eplepsy 20 Religious excitement 6 Menstrual trouble 8 Masturbation 1 111 health 13 Congenital 11 Grief 4 Childbirth 2 Syphilis 6 Uterine trouble 3 Exposure 2 Sunstroke 1 Injury from fall 2 Paralysis 1 Nervous prostration 1 Unknown 200 Total 326 Old age Change of life Overwork Uterine canctr Domestic trouble Fever Female trouble 5 2 1 1 3 6 1 Softening of brain 1 2i8 SixtySecond Annual Report Form of psychosis of whites received during the year 1905 Mania acute delirious 10 Mania acute 69 Mania chronic 45 Mania recurrent 62 Dementia terminal 13 Dementia organic 14 Dementia senile 31 Dementia primary 7 Epilepsy 34 Paresis 8 Traumatic insanity 2 Cerebral syphilis 1 Feigning 1 Puerperal insanity 6 Dementia precocious 21 Melancholia acute 59 Melancholia chronic 32 Melancholia recurrent 9 Melancholia simplex 5 Toxic insanity alcohol 26 Toxic insanity morphine 8 Toxic insanity cocaine 1 Imbecility 51 Epileptic imbecility 13 Paranoia 7 Neurasthenia 2 Not insane 4 No diagnosis 1 Idiot 1 Hyteroepilepsy G Total 549 Form of psychosis of colored received during the year 1905 Mania acute 72 Melancholia acute Mania chronic 22 Mania recurrent 24 Dementia primary 7 Dementia organic 9 Dementia senile 22 Dementia terminal 7 Dementia secondary 3 Hysteria 1 56 Melancholia chronic 22 Melancholia recurrent 8 Epilepsy 28 Imbecility 33 Paresis 7 Idiot 3 Cerebral softeniny 1 Poranoia l Total 326 HEALTH We had a good many deaths during the year It will however be seen from the statistics giving the causes of death that but few have died from curable diseases paresis epilepsy apoplexy or ganic brain disease and tuberculosis which is alarmingly fatal with the negroes especially have been the principal causes I trust that this session of the General Assembly will make some provision for isolating the tubercular cases and thus prevent to some extent the spread of the disease and give those that are afflicted the benefit of open air treatment with good hygienic and prophylactic surround ings I know you appreciate the necessity of isolating the tuber cular cases and trust that you may see your way clear to call the attention of the General Assembly again to this important measureGeorgia State Sanitarium i From the best information I can obtain there is a larger per cent of tuberculosis with the insane than with the sane in proportion to the population You can readily appreciate the fact that it is im possible to get their cooperation Most of them will not use cloths or cups to expectorate in and will spit anywhere and everywhere hence you can see it is a difficult matter to prevent the spread of the disease and some of them will seek the dark places on the wards where the sunlight never penetrates Open air and sunlight with good nourishing food is regarded as one of the most important treatments of tuberculosis It is claimed by some that strong sun light will destroy the tubercular germs in a few hours We have one tent and one pavilion for the colored females which have been in use for some months but the yard is so small we can not get a strong sunlight and free circulation of air It is too close to the building and walls surrounding the building and on that account we cannot prevent more or less dampness at times though there has been a marked improvement of some cases that were given open air treatment in the early stages of the disease which is perhaps the only favorable stage for treatment It should be remembered that a large majority of the insane inherit an unstable weak mental and physical constitution which furnishes easy prey for tubercular germs A thorough mental and physical examination is made of every patient admitted to the institution where their condition will justify it Many are put to bed on their reception and never get out of it some living only a few days We have had a good many cases of influenza throughout the Institution during the year SUGGESTIONS I have called the attention of the General Assembly through the Honorable Board of Trustees to the fact that there was a number of patients being received in the Sanitarium that should have sepa rate provision made for them in some other section of the State for instance the epileptics by all manner of means should be colonized We have now in the Sanitarium 322 epileptics and it is a decided injury to both classes to have them together Some of the States have established epileptic colonies and the results of their care have been much more satisfactory in every particular I trust the General Assembly will consider carefully the importance of such a provision for this class of our unfortunates While epilepsy is 20 SixtySecond Anuuat Report regarded as incurable by colonizing them their surroundings will be much more pleasant and their condition greatly ameliorated There are other classes that are received in the institution that should have separate provision for their care and training namely the feeble minded and idiots They also should be separated from the insane and placed in schools for feeble minded children It is impossible to accomplish what might be done by training or teach ing them just so long as they are confined in a hospital for the insane These classes should be separated and placed in different sections of the State COLONY FOR A CERTAIN CLASS OF THE COLORED MALE PATIENTS We thought that it would be a rational treatment to establish a colony in what is known as the Piney Woods and an ideal location was selected We began the work in 1898 as an experiment We first put up a one story dormitory accommodating about 25 or 30 patients We have since erected three one story frame buildings T shape 1172 feet x 27 feet onehalf dormitory and the other half rooms for the seclusion of patients should any become excited or dangerous to others at any time Experience has proven however that half of the rooms would have been all that was necessary We had also a one story congregate dining room put up no feet by 272 feet with kitchen and scullery attached 50 feet by 27 feet All of the buildings are thoroughly ventilated large doors at each end of hall and also cross halls with many windows The patients get an abundance of sunlight and pure air They however liter ally live in the open air during the day when the weather will admit The average number of patients at the colony is about 80 The water for the buildings and lots is obtained from a spring branch and raised by rams located about half a mile distant I am gratified to state that the experiment has been a success from the very beginning physically mentally and financially We have had only two cases of tuberculosis at the colony and it is possible that they contracted it before going there It is very rare that they have any sickness of any kind They do not need narcotics or hypnotics to produce sleep I especially call your attention to the report of the Assistant Steward as to the amount of the various products raised there dur ing the year The balance in favor of the colony clear of all expenses this year is I8I4067 While none of the patients areGeorgia State Sanitarium 2T forced to work all are encouraged to do something Perhaps with some of them it will take about three to make one good hand Employment is a very important treatment for the mental and phy sical improvement of the insane when their condition will justify it The colony patients are decidedly the healthiest and happiest class we have RECOVERIES This estimate is based upon the number of patients received dur ing the year Of the 875 received 470 were not regarded as hope ful cases but chronic and incurable With such receptions the percent of recoveries was 42 which I regard as very good indeed It seems to be a difficult matter to impress the layman that early treatment for the insane or at least the large majority of them is of vital importance The first treatment should be to remove them from home relatives and friends and the surroundings under which their insanity occurred It would be infinitely better if they would send them in the early stages when there is hope for restora tion than to wait until the disease becomes chronic and incurable and then send them to the institution for care during their natural life While it is true there are a few cases that may be kept and treated at home such cases however are rare PATHOLOGIST We will have no report from the Pathological Department this year As you know Dr Pumpelly the Pathologist resigned to accept a position in Mercer University Dr Damar is now at Johns Hopkins equipping himself for the position and I am satisfied that he will fill it to the thorough satisfaction of everyone EMPLOYMENT AND AMUSEMENTS The amusements have continued as usual under the direction of Dr J M Whitaker the First Assistant Physician He is very faithful in endeavoring to have them as often as possible and as diversified as he can with the means at our command IMPROVEMENTS AND REPAIRS There have been many improvements and repairs made during the year This of course is to be expected in a Sanitarium as large as this For a full and complete account of the work done22 SixtySecond Annual Report in this department I refer you to the report of the Engineer Capt DeSaussure FIN ANCES You will see by reference to the report of our faithful and pains taking Steward Mr Lamar that the per capita is 3096 per diem His report will give a full and complete statement of all purchases made from whom price paid and aggregate cost and also balance on hand with our Sanitarium Treasurer ASSISTANT STEWARD The Assistant Stewards report will set forth in detail the amount of various products raised in the garden farm and dairies Also the amount of pork which was 28623 lbs I am sorry to say that we have lost a good many hogs from cholera or the amount of pork would have been much larger STOREKEEPER The Starekeepers report gives a full and detailed statement of the management in that departmenta statement of all goods received the amount issued and to whom BOOKKEEPER The report of our faithful bookkeepei Mr Gillespie will give a full account of the work done in his office MATRON By reference to the report of our good Matron you will see the amount of work done in her department PHARMACIST The report of the Pharmacist will give the amount of drugs pur chased the amount on hand and the number of prescriptions filled during the year DENTIST The Dentists report sets forth an itemized statement of the class and character of work done in the dental departmentGeorgia State Sanitarium 23 TRAINING SCHOOL The Training School is kept up by the Staff and Miss Cross Superintendent of Nurses and the usual interest is taken in it RELIGIOUS SERVICES The religious services have been regularly conducted when the weather would permit by our beloved Chaplain Rev Lamar Suns He has buried the dead and visited the sick when called upon ACKNOWLEDGEMENTS We are under renewed obligations to the many friends of the Institution for their liberal donations of papers books periodicals etc for which we desire to express our thanks in behalf of the patients By reference to the Librarians report you will see a list of these donations and the names of the contributors ATTENDANTS AND EMPLOYEES I fully appreciate the fact that tie success of the Sanitarium depends largely upon the loyalty and work of the employees and attendants hence it gives me great pleasure to express my great gratitude to all who have discharged the duties of their respective services faithfully and conscientiously We are also grateful to the Superintendent of Nurses Mis Cross and the Supervisors for the faithful and efficient manner in which they have discharged their respective duties MEDICAL STAFF AND OFFICERS I am gratified to say that I believe the Medical Staff is doing better work than they have ever done They have a Medical Society which meets every month at which papers are read and discussed They also have a clinic monthly Some patient is brought in from some one of the different departments without the knowledge of the others as to his mental and physical condition and he is examined thoroughly by some member of the Staff who has no previous knowledge of his case the symptoms etc are thoroughly discussed and a diagnosis formed This you can readily see must be very beneficial to the entire Staff I want to H Sixty Second Annual Report express my gratitude and appreciation to all the officers for the faithful and efficient manner in which they have discharged their duties CONCLUSION In conclusion it becomes my pleasant duty to express my pro found gratitude to each member of the Board for the enduring kindness and courtesy they have extended to me and the hearty support they have given me touching the welfare of the Institution Your sympathy and encouraging words have really been a benedic tion to me in many ways We begin the duties of another year in the hope that a wise and merciful Providence will guide us in all of the affairs of the insti tution Respectfully submitted T O Powell SuperintendentGeorgia State Sanitarium Report of Treasurer 25 Georgia State Sanitarium MiixEDGEVILLE Ga January 1st 1906 Dr T O Powell Superintendent Georgia State Sanitarium My Dear SirI beg to submit herewith the Receipts and Dis bursements of my office as Treasurer for the fiscal year SUPPORT AND MAINTENANCE RECEIPIS Jan 1 To Cash from State Treasurer 337500 00 Disbursements Jau 1 By Overdraft 515 Subsistence 114358 8 Clothing 38827 U Fuel and Transportation 30380 14 Salaries 30164 85 Wages 89i5675 Incidental Expenses 22284 81 Medical Supplies 3818 23 Contingencies 1304 03 Postage and Stationery 1240 14 337191 52 Balance308 48 337500 00 SPECIAL APPROPRIATION Water Works Sept 20 Requisition from State 3000 0O 1906 1 fi85 96 Jan 1 Expenditures 3 Balance 1itM m 3000 0026 SixtySecond Annual Report L H Andrews Treasurer In account with Georgia State Sanitarium 1906 Jan 1 Balance in M F Bank 24689 08 Jan 1 Balance from Support and Maintenance 308 48 Balance from Special Appropriation 1314 04 Outstanding Vouchers of Steward for Month of December 1905 not paid 23066 56 24689 Off THE MERCHANTS FARMERS BANK Milledgeville Ga January 1st 1906 In account with L H Andrews Treasurer Georgia State Sanitarium 1906 Jan 1 Balance to Credit 24689 08 Signed L C Hall Cashier Respectfully submitted L H Andrews Treasurer Georgia State Sanitarium Milledgeville Ga April 17 1906 This is to certify that Mr L H Andrews Treasurer Georgia State San itarium had on deposit in this Bank subject to check at the close of bus iness December 30 1905 TwentyFour Thousand Six Hundred and Eighty Nine and 08100 Dollars 24689 OS L C Hall Cashier The Merchants Farmers Bank Attest Jno T Day N P Baldwin Co GaGeorgia State Sanitarium 27 Report of Steward Georgia State Sanitarium MiiviEDGEViiLE Ga January 1st 1906 Dr T 0 Powell Superintendent Dear SirI have again the honor to transmit through you to our honorable Board of Trustees this my report as Steward embrac ing the period from January 1st 1905 to January 1st 1906 Abstract A shows the overdraft brought forward from last year the amount drawn from State Treasurer for support and maintenance also a classified statement of the disbursements and the balance on hand to be carried forward to next year Abstract B shows the expenditures on account of Subsistence Abstract C shows the expenditures on account of Clothing Abstract D shows the expenditures on account of Fuel and Transportation Abstract E shows total amount Officers Pay Rolls Abstract F shows total amount Wages Pay Roll Abstract G shows the expenditures on account Incidentals Abstract H shows the dxpenditures on account of Medical Supplies Abstract Abstract Postage Abstract K shows the expenditures on account of Special Ap propriation for erecting and constructing a system of Water Works Abstract I shows the requisitions drawn on State Treasurer for Support and Maintenance Abstract M shows the average number of patients from 1873 to 1906 also the per capita cost per diem and per annum Abstract N shows the cost of maintaining one patient by the year month week and day Our Storekeeper Mr W H Hunter reports stock on hand 1613835 I shows the expenditures on account of Contingencies J shows the expenditures on account Stationery and28 Sixty Second Annual Report Our Apothecary Mr D S Carrington reports stock on hand 245355 Our per capita per diem is 30M By reference to report of Mr G W Hollinshead Assistant Steward you will ascertain results from farm garden dairies hogs etc also a report of stock wagons implements etc on hand In compliance with the law duplicate vouchers of the expenses accom panied by the required certificate approved by yourself and audited by the Trustees have been filed in the Executive Department in Atlanta In closing this report I am gratified to state that I have enjoyed the full confidence and esteem of our Board of Trustees and your self as Superintendent In the discharge of my duties I have brought to bear every faculty with which I am possessed to guard well the interest of the entire people and the comfort and welfare of the inmates of our noble Institution I am Very Respectfully Lucius J Lamar Steward G S S ABSTRACT A Shows the money received with a classified statement of the disbursements from January 1st 1905 to January 1st 1906 1900 Dr Jan 1To State Treasurer 337500 00 1905 Cb Jan 2Overdraft 5156 56 1906 Jan 1Subsistence 114358 87 Clothing 38827 14 Fuel and Transportation 30380 14 Salaries 30164 85 Incidental Expenses 22284 31 Medical Supplies 3818 23 Contingencies 1304 03 Stationery and Postage 1240 14 337191 52 Cash on hand 308 48 337500 00Georgia State Sanitarium 29 ABSTRACT B Showing the Expenditures 011 account of Subsistence from January 1st 1905 to January 1st 1906 Date To Whom Paid What For Amount 1905 Jan 31 Feb 28 Fruit Dates Samples J H Ennis E L Barnes National Packing Co H M Lamar Co Turnips Jno Conn C Siu ar A J CarrGroceries J J WaxWbaum CoFruit J A HomeGroceries IF BellI Fleishman CoYeast Armour Packing Co Butterine S R Jaques Tinsley CojSamples Kenyou Co Robert Buist Co Seed Meat Hams Rice Hams Tobacco Rice J A Home Louisville Packing Co McCloskey Brothers Schwarzschild Sulzberger VV A Brown Tob Co Melchers Co Aussin Nichols CoPepper S R Jaques Tinsley Co Groceries Ball ml BallardFlour K R R M FosterBran A H Motley Co H M Lamar Co Juo Conn Co G Schwartz McCaw Mfg Co Fleischman Co J W Weems J B OQuinu Tobacco Flour Sugar Rice Plaiitene Yeast Butter W Stembridge D W Wilkinson Jesse Miller r A Napier D T Singleton S H Haddocks J A Buck J M Edwards G HTunntll TTreauor J A Brooks G F Edwards Armour Packing Co Oconee River Mills Standard Oil Co J H Ennis JFBell Jno Conn Co Hall Lamar A J Carr Oconee River Mills Butter and Milk Butter Milk Butter and Milk Beef Meal Candles Oysters Groceries Meal 125 25 23 80 6 37 68 91 33 95 23 75 168 40 3 37 21 95 27 30 105 00 8 59 9 87 109 66 846 00 178 71 285 23 211 84 153 50 224 93 28 75 2627 18 705 00 76 37 135 00 412 50 30 96 280 56 75 00 18 90 48 43 151 35 17 65 35 45 27 60 7 40 10 60 14 30 41 14 48 51 33 53 29 09 53 35 27 50 2163 65 361 23 149 60 90 26 50 11 51 57 31 10 75 116 643 SixtySecond Annual Report ABSTRACT BContinned Date To Whom Paid What Fob Amount iuuo Feb 28 Produce Seed Soap Meal Hams Rice Hams Tobacco Rice Groceries J J Waxelbaum Co R Buist Co McCord Mfg Co J A Home Louisville Packing Co McCloaky Br thers Schwarzsch Id Sulzberger W A Brown Tob Co A H Motley Co Melchers Co S K Jaques Tinsley Co Ballard A Ballardj Flour Fleischmaun Co east F WhiteButtter JBOQuinnI u T A NaplTi J W Stembridge S H Haddocks D H Wilkinson G W Wilkinson J W Weems Jesse Miller DT Singleton J M Kdwards J A Buck G HTunuell T Treanor A Brooks Q F Edwards Armour Packing CoHeel Mangels Herold Co megar Oconee River MillsM al Men 31 1 Hall Lamar Flour McCord Mfg CoC S Mea Jno Conn CoOat Meal Hall LamarCrackers A J CarrLemons J J Waxelbaum CoProduce S R laques T CoGroceries J B OQuinn J B OQuinn J B OQuinn Home Andrews C Co S Evans Sons Co E O Whitford Co Dan Taimage 2nd iButterand Milk Butter Seed Groceries Acid Butted ne Rice J A Home Groceries Louisville Packing Co McCloskey Bros Scbwarzschild Sulzberger VV A Brown Tob Co Melcber Co S R Jaques T Co Ballard Ballard JBOQuinn J W Stembridge Hams Molasses Hams lobacco Groceries Bran Butter 47 25 4 60 150 00 846 03 187 56 301 04 226 71 153 50 130 00 220 86 2824 04 705 00 10 80 10 SO 74 85 7 05 1 25 21 95 14 SO 12 60 39 00 11 90 9 20 42 85 28 97 22 35 17 06 47 47 22 50 1803 26 33 63 239 66 412 50 547 50 3 25 20 32 6 75 91 36 146 45 1 00 14 92 20 19 175 49 503 85 SO 33 180 35 774 94 187 41 299 07 387 07 153 00 235 78 2862 61 705 00 106 80 20 75Georgia State Sanitarium ABSTRACT BContinued 3i Date To Whom Paid What For Amount 19U6 March 31 April 30 Butter Butter and Milk Beef Meal Yeast Samples Groceries Seed Fish Groceries GW Wilkinson Jesse Miller S H Haddocks J W Weeins T A Napier D T Singleton Jno Ledbetter J T Williams J M Edwards J A Buck J A Brooks T Treanor G F Edwards GHTunnell Armour Packing Co Oconee River Mills Fleischmann Co Swift Co Armour Packing Co Morris Co J F Bell M W Johnson Seed Co J H Evans Hall Laraar Jno Conn Co S R JaquesTCo A J Carr R C Robson Home Andrews C Co J J Waxelbaum Co E O Whitford Co Oconee River Mills Cudahy Packing CoMeat Home Andrews C CoGroceries S R Jaques T Co Nelson Morris Co Louisville Packing Co R C Robson Hancock Bros Co McCord Stewart Co W A Brown Tob Co C M Gilbert Co McClosky Bros Austin Nichols Co Hall Lamar National Packing Co J A Brooks G W Wilkinson J W Stembridge J B OQuinn S H Haddock J W Weems T A Napier J A Buck J M Edwards Jesse Miller Produce Butterine Cow Feed Hams Lard Bran Tobacco Coffee Rice Pepper Tomatoes Samples Butter and Milk Butter Butter and Milk Butter 33 30 12 50 17 90 36 90 9 90 11 30 5 60 5 00 44 30 34 95 63 55 21 52 28 37 26 57 2218 4 270 38 18 90 2 36 16 90 9 07 39 30 6 15 4 65 37 25 6 50 4 68 5 06 2 46 6 19 156 08 81 78 51 00 1395 00 661 96 2232 56 169 28 37 65 1342 66 65 00 69 37 59 00 757 55 168 47 12 18 34 50 1 45 86 47 65 50 29 90 22 10 10 80 24 45 12 30 34 15 44 35 15 0532 SixtySecond Annual Report ABSTRACT BContinued Datk 19U5 April 30 May 31 June 30 Ti Whom Paii What Fob DT Singleton Mrs S Napier Jno Led better J T Williams J O Barnes GHTunnell T Treauor GF Edwards Fleiscbrnaun Co J H Ermis Juliet Milling Co Armour Packing Co Austin Nichols Co Hall Lamar Jno Conn Co J F Bell A J Carr Armour Packing Co Home Andrews Com Co S R Jaques Tiusley Co Nelson Morris Co Louisville Packing Co W A Brown fob Co CM Gilbert Co MeClosky Bros Juliet Milling Co Armour Packing Co Oconoe River Mills J W Weems S Kapier J A Brooks J A Buck J W Steinbridge JM Edwards U W Wilkinson Annie Hudson Jesse Miller V A Napier Jno Led betterI J T Williams D T Singleton C M Hudson C A Underwood C C Satnmons J A Thomas G F Edwards T Treanor GHTunnell Austin Nichols Co Fleiscbmann Co Hygienic Food Co R C Robson JB OQuinn Petty Cash Petiy Cash Oconee River Mills Butter Butter Milk I Butter Milk Yeast Fish Meal Beef Pepper Cracker Oat Meal Groceries Lemons Hams Groci ries Precedes Hams L Comp Tobacco Coffee Rice Meal Beef Cow Feed Butter Butter and Milk Amount Pepper Yeast Mapl Flake Bran Eggs Produce a Meal 12 40 3 90 5 40 7 40 6 85 33 42 31 51 27 46 16 80 3 03 406 53 1836 59 11 80 13 32 9 75 19 99 13 00 93 00 677 50 2182 25 172 05 38 60 55 60 3S2 32 155 56 244 45 1827 98 90 37 24 45 15 80 79 58 33 89 32 60 43 35 55 70 18 30 27 05 31 65 15 95 22 90 10 05 14 20 11 CO 6 70 6 90 28 89 35 08 28 85 11 86 18 90 6 91 1015 89 23 20 200 00 200 00 102 00Georgia State Sanitarium ABSTRACT BContinued 33 1905 June 30 July 31 Produce Groceries Ltmons Eggs Hams Groceries L Comp Flour Tobacco Molasses Rice Beef Groceries Yeast Butter and Milk 3 Petty Cash Jno Conn Co HallLamar A J Carr J B OQuinn Home Andrews C Co Home Andrews C Co S R Jaques Tinsley Co Louisville Packing Co R C Robson W A Brown Tob Co C M Gilbert Co McCloskey Bros Armour Packing Co R C Robson Fleischmann Co J A Brooks CM Hudson S Napier J T Williams J W Stembridge G W Wilkinson Jesse Miller J M Edwards C A Underwood J WWeems V A Napier J A Thomas Annie Hudson J A Buck Jno Ledbetter C C Sammons DT Singleton GH Tunnel T Treauor G F Edwards Dan forth Carter A H Motley Tob Co A L Ellison Petty Cash Juliet Milling Co Nelson Morris Co WR Ray Petty Cash Petty Cash National Packing Co R C Robson Home Andrews Com Co Jno Conn Co J F Bell 8 R Jaques Tinsley Co Hall Lamar A J Carr Cudahy Packing Co Armour Packing Co Petty CashProduce Tobacao i MuttonV Produce Meal Hams Honey Produce Samples Tobacco Samples Groceries Lemons Samples 200 00 59 05 91 52 6 50 6 80 230 74 314 97 868 88 38 80 1782 88 58 30 206 26 143 80 1751 85 131 22 18 90 75 37 44 75 13 15 37 00 33 00 48 00 19 35 48 20 10 45 34 95 31 05 8 20 20 80 26 98 12 00 3 30 9 40 34 99 41 18 28 15 200 97 196 00 207 20 200 00 382 52 159 10 11 32 200 00 200 00 2 28 55 00 5 87 57 23 16 10 63 25 204 58 3 26 3 60 16 83 200 0034 Sixty Second Annual Report ABSTRACT BContinued Dath To Whom Paid What Fob Amount lyuo July 31 Aug 31 Petty Cash Cudahy Packing Co Home Andrews Com Co Armour Packing Co Ballard Ballard Hall Lamar McCord Stewart Co S R Jaques Tinsley Co W A Brown TobCo McCloskey Bros CM Gilbert Co M Ferst Sons Co Fleischmann Co GW Wilkinson J W Stembridge C M Hudson C C Sammons JT Williams C A Underwood A C Westbrooks Jesse Miller S Napier J W Weems T A Napier Jno Ledbetter DT Singleton Annie Hudson J A Thomas J A Brooks J M Edwards J A Buck G F Edwards TTreanor GHTunnell G Schwartz Little Co R C Robson Armour Packing Co A L Ellison Hygienic Food Co Petty Cash Oconee River Mills Hall Lamar Petty Cash Robert Buist Co Petty Cash Cudahy Packing Co Home Andrews Com Co Armour Packing Co Ballard fc Ballard Hall Lamar S R Jaques Tinsley Co W A Brown Tob Co McClosky Bros CM Gilbert Co R C Robson 200 00 707 70 702 80 317 41 Flour 691 60 883 84 u 150 1 u 1320 84 81 50 219 60 Coflee 186 83 Pepper 14 00 18 90 Butter 56 40 ti 35 40 a 57 70 t i 4 00 i 48 20 29 60 tl 4 20 k 30 95 i 21 10 il 39 45 II 33 05 II 15 50 u 0 00 II 36 70 II 17 35 Butter and Milk it 11 n ii Butter Milk 72 65 36 95 28 30 29 29 u 43 65 ti 33 54 449 61 226 26 616 06 Beef 2268 76 254 57 7 15 200 00 C Seed 102 00 38 38 Produce 200 00 Seed 5 05 Produce 200 00 703 49 tt 1026 06 375 67 Flour 691 60 it 605 88 Groceries 604 55 Coffee 81 50 221 77 143 15 617 04 Georgia State Sanitarium ABSTRACT BContinue J5 1905 Aug 31 Armour Packing Co5e Sept 30 Butter J W Weerns T A Napier S Napier C M Hudson J W Stembridge GW Wilkinson Annie Hudson Jesse Miller J T Williams C A Underwood DTSingleten Jno Led better J A Thomas J A Brooks J A Buck J M Edwards G F Edwards TTreanor G HTunneU A L Ellison Fleischmann Cor LittleCo MeL Home Andrews Com Co Wits Jno Conn CoSyrup Butter and Milk Butter and Milk Mutton A J Carr Hall Lamar JFBellVX S R Jaques Tinsley Co J J Waxelbaum Co Hygienic Food Co Cudahy Packing Co Home Andrews Com Co Armour Packing Co Ballard Ballard Hall Lamar W A Brown Tob Co WcCloskey Bros R C Robson J J Waxelbaum Co C M Gilbert Co Fleischmann Co A L Ellison S Napier C M Hudson W Stembridge G W Wilkinson J T Williams Jesse Miller T A Napier C A Underwood D T Singleton Annie Hudson Jno Lekbetter AC Westbrooks J A Thomas Lemons Groceries Produce Mapl Flake Meat Lard Flour Tobacco Rice Bran Produce Molasses Yeast Mutton Butter 1650 61 47 45 30 30 8 40 49 05 28 10 28 90 25 40 20 65 38 30 44 25 18 70 12 10 13 40 48 93 22 64 27 90 29 13 43 82 28 19 207 05 18 90 377 27 23 50 33 42 3 25 147 U 41 15 153 16 55 50 10 73 722 95 840 00 300 93 696 80 700 50 81 50 184 44 514 81 90 00 113 60 16 80 215 19 19 50 42 80 33 60 45 75 86 70 18 35 16 80 24 65 14 90 32 25 6 30 4 60 8 8536 SixtySecond Annual Report ABSTRACT B Continned Datb Sept 30 Oct 31 To Whom Paid J A Brooks J M Edwards G F Edwards T Treanor GHTunnell J A Buck Little Co Milledgeville Oil Mills Lamar T R Drug Co Geo Jenkins Armour Packing Co Milledgeville Oil Mills Allen Bros Tob Co S R Jaques Tinsley Co S R Jaques Tinsley Co S Evans Sons Co A H Motley Tob Co Mangels Herold Co National Packing Co Cudahy Packing Co Home Andrews Com Co Jno Conn Co S R Jaques Tinsley Co M W Johnson Co Nelson Morris Co Robert Buist Co McCord Stewart Co JFBell Hall Lamar Armour Packing Co Garland Mills CM Gilbert Co Home Andrews Com Co S R Jaques Tinsley Co National Packing Co Hall Lamar Louisville Packing Co RCRobeon Cudahy Packing Co W A Brown Tob Co G Schwartz McCord Stewart Co JB Taylor Tob Co Fleischmann Co Armour Packing Co Jesse Miller T A Napier 8 Napier J W Btembridge GW Wilkinson J A Thomas DT Singleton C A Underwood J T Williams Annie Hudson A C Westbrook What Fok Amount Butter and Milk Butter Milk Hams Groceries Samples Seed Samples Seed Groceries Meal CSMeal Ginger Butter Beef CSMeal Tobacco Groceries Acid Tobacco Syrup Samples Samples Flour Coffee Grits Groceries Meat Flour Meats Meal and Bran Lard Tobacco Rice Fruit Tobacco Yeast Beef Bntter 29 60 27 00 28 33 29 30 20 42 26 17 355 20 667 50 5 94 2 90 2249 09 667 50 102 90 377 58 181 50 435 30 138 30 474 00 2 5 3 71 42 81 138 89 7 56 22 30 5 58 48 25 5 59 18 75 231 52 29 23 652 50 592 51 421 28 1230 16 663 05 631 74 898 16 1615 86 60 45 102 08 327 48 171 44 84 00 18 90 1628 42 12 25 12 70 5 25 25 20 38 30 S 50 15 20 22 25 18 25 27 60 3 75Date Oct 31 Nov 30 Georgia State Sanitarium ABSTRACT BContinued 37 Dec 31 To Whom Paid What Fob Amount Butter Milk Mutton Seed Groceries Butterine J A bruuio G F Edwards T Treanor G HTunnell J A Buck H M Edwards J M Edwards A L Ellison M W Johnson Co Hall Lamar Jno Conn Co J F Bell Armour Packing Co E O Whitford Coy J J Waxelbaum CoTurnips H WrightSeed Swift Co Roush Produce Co Nrlson Morris Co Hygienic Food Co Garland Mills C M Gilbert Co Home Andrews Com Co S R Jaques Tinsley Co National Packing Co Hall Lamar Louisville Packing Co R CRobon Cudahy Packing Co W A Brown Tob Co Armour Packing Co G W Wilkinson J W Stemoridge C A Underwood JT Williams Annie Hudson Jesse Miller D T Singleton J BOQuinn S Napier J A Brooks JA Buck T Treanor Hines Edwards G F Edwards J M Edwards FleischmannCo W T Conn Jno Conn Co Armour Packing Co Hall Lamar JFBell F R Block Co Nelson Morris Co RBuistCoSeed Garland MillsI Flour Butterine Turnips Butterine Maple Flake Flour Molasses Grits Groceries Meat Fish Meat Meal and Bran Lard Tobacco Beef Butter Butter Milk Yeast Corn Rice Butterine Groceries Candy Butterine 54 22 28 95 25 46 4 31 22 45 6 55 27 90 189 03 6 25 103 05 25 97 17 97 96 00 80 33 38 40 48 70 87 00 45 00 78 00 10 71 652 50 235 93 110 34 1417 46 659 81 250 40 933 50 1464 78 120 01 108 08 1699 95 32 10 32 05 42 30 30 00 16 20 7 65 11 80 8 55 7 40 60 69 26 77 24 35 2 90 26 40 27 00 18 90 40 00 89 75 90 00 112 48 86 60 140 00 81 00 33 20 543 7538 SixtySecond Annual Report ABSTRACT BContinued Date To Whom Paid What Fob Amount Dec 31 CM Gilbert Co National Packing Co Hall Lamar Louisville Packing Co R C Robson Cudahy Packing Co W A Browne Tob Co Armour Packing Co The Fleischmann Co JBOQuinn J W Stembridge GW Wilkinson Annie Hudson 8 Napier C A Underwood D T Singleton J T Williams J W Weems J A Brooks J A Buck J M Ebwards TTreanor GF Edwards S R Jaques Tinsley Co Home Andrews Com Co JHEnnisf T Treanor J H Ennis Total Syrup Meat Fish Meat Bran Lard Tobacco Beef Yeast Butter Butter Milk Groceries Grits Cows Cream Poultry 292 40 602 14 501 30 931 81 1690 84 61 75 104 40 1480 06 16 80 12 10 35 20 34 00 4 35 2 65 43 65 9 80 14 05 24 45 49 02 29 16 24 80 35 29 26 88 1277 57 342 67 185 00 1 60 27 35 114358 87Georgia State Sanitarium 39 ABSTRACT C Showing in detail the Expenditures on account of Clothing from January 1st 1905 to January 1st 1906 Date 1905 Jan 31 Feb 28 April 30 To Whom Baid What Fob Amount Dry Goods Shoes Samples Shoes Samples Domestics Jeans Hosiery Domestic Samples Mch 31 P JCline J KOrrShoe Co W H Brigham Co Burton Taylor Wise Co W A Doody Co 8 Putney Shoe Co W H Thomas Co Goodman Wooten Dannenberg Co P DHorkan Co EE Bell Harris Davis Co Carson Pirie Scott Co Burton Taj lor Wise Co EE BellShoes J KOrrShoe Co Goodman Wooten11 hread M C Kiser CoI106 IV V W H Brigham Co1 Tandkerchiefs F Hauglhoes W H Thomas Co J Ohlman J C W Mills Harris Davis Co J G Swift Co W A Doody Co Dannenberg Co P DHorkan Co W H Thomas Co Burden Smith Co Howett Warner Co Burton Taylor Wise Co E E Bell JK OrrShoe Co M C Kiser Co W H Brigham Co CofGEy Co Goodman Wooten E A Waxelbaum Bro F Haug W H Thomas Co Danl Miller Co Burton Taylor Wise Co EE Bell J KOrrShoe Co M C Kiser Co J Putney Shoe Co P J Cline Harris Davis Co A VetsburgCo W H Brigham Co Ragan MaloneCo F Haug Buttons Shoes Samples Sheeting Domestics Shoes Hosiery Freight Shoes Domestics Hosiery Shoe3 Calico Samples Shoes 66 34 II 93 61 1 17 23 66 22 23 5 99 22 21 11 28 13 82 17 79 3 37 2 07 587 50 160 88 196 35 92 20 133 20 63 75 121 50 126 00 III 10 183 20 96 53 186 60 26 74 4 50 18 00 95 00 4 00 675 54 625 00 150 00 242 50 130 70 96 87 16 85 202 55 72 48 10 60 750 00 69 61 113 30 145 48 48 50 93 62 280 25 10 39 1 36 24 1 93 44 2 3840 SixtySecond Annual Report ABSTRACT CContinued Date To Whom Paid What Fob Amount iyuo April 30 May 31 June 30 July 30 Burton Taylor Wise Co Dannenbeig Co arson Pierre Scott Co P D Horkan Co W H Thomas Co Harris Davis Co EE Bell W H BriguamCo JGSwifrCo Empire Mercantile Co Harris Davis Co Burton Talor Wise Co DaiiMPiiberg Jo VV H Thomas Co M C Riser Co R A Waxelbaum Bro J K OrrShoe Co Harris Davis Co Howei t Warner Co Dannenherg Co Burden Smith Co S Putney Shoe Co Meinhard Schaul Co E E Bell J G Swift Co Harris Davis Co Dannenberg Co Howetr Warner Co VV H Thomas Co M C Riser Co E A Waxelbaum Bro J K OrrShoe Co P JCline Burden Smith Co Dannenberg Co E E Bell VV H Thomas Co E A Waxelbaum Bro Chamberlin J DuBose Co Ho wet t Warner Co I K OrrShoe Co Joseph DQCi Burden Smith C A Vetsburg do Atkins McK Brown Co Burton Taylor Wiss Co J Roseiibaum Sons Goodman Wooten McKenna Mercantile Co Caison Pirie Scott Co Dannenberg Co E E Bell M C Riser Co W H Thomas Co Harris Davis Co Gans Lipman Samples Domestics Shoes Sheeting Domestics Shirting Checks Ginghams Sheeting Coats Shoes Checks Bleaching Hosiery Spreads Shoes Checks Domestics Samples Coats Shoes Calico Spreads Samples Shoes Clothing Shoes amples Shoes Samples Hats Samples Shoes Samples Shoes Samples Shoes Crash Samples Hats 6 63 4 38 3 00 3 86 18 42 303 96 264 00 371 33 299 62 286 35 237 SO 183 75 226 64 671 69 125 00 77 40 171 36 184 00 120 56 92 60 54 34 2 05 20 85 234 00 431 60 741 58 167 87 14 90 703 26 149 49 120 96 128 52 20 23 175 45 85 166 40 663 00 72 18 5 22 80 28 30 11 4 17 12 3 44 85 79 3 1 14 55 16 05 11 50 5 29 30 14 60 14 25 09 194 98 2 00 22 50Georgia State Sanitarium ABSTRACT CContinued 41 Date To Whom Paid ii05 July 31 Aug 30 Sept 30 Oct 31 What For Amount W H BrighamCo P D Horkan Co Bibb Mfg Co W H Thomas Co Middletown Hat Co Carson Pirie Scott Co Middle Ga C Mills EE Bell VV H Brigbam Co Dannenberg Co F Haug Goodman Wooten IPringle Bros Burden Smitb Co I Middletown Hat Co arson Iirie Scott Co Middle GaC Mills P D Horkan Co E E Bell W H BrighaiM Co Diriuenberg Co FHaug Goodman Wooten Pringle Bro3 W H Thomas Co Middletown Hat Co E E Bell P B Horkan Co P D Horkan Co Carson Pirie Scott Co Gdman Wooten EE Bell Dannenberg Co E Wolf Co M C Riser Co P D Horkan Co Joseph D G Co Gans Lipman Julius WSDCo Atkins McK B Co A M Robinson Co P Haug Shoe Co Burden Smith Co J KOrr Shoe Co McKenna Mer Co Munhar Schaul Howett Warner Co Guggenheimer Co W H Thomas Co Guggenheimer Co E B Ezell Co Dannenberg Co Carson Pirie Scott Co Goodman Wooten P T Roll Atkins McKldden B Co Samples Thread Ticking Hats Domestics Hosiery Shoes Calico Hosiery Spreads Hats Ginghams Domestics u Shoes Hosiery u Shoes Calico Hosiery Dry Goods Hats Domestics Blankets Shoes Samples Shoes Samples Hats Samples Hats Samples Shoes Samples Shoes Samples Domestic Hosiery Blankets Thread Shoes Hats 9 30 9 22 90 00 922 39 78 10 375 99 321 14 677 02 250 00 112 50 112 50 77 82 250 11 246 39 105 60 525 00 161 03 152 09 277 20 144 37 107 50 112 50 19 42 177 04 493 11 74 30 464 43 121 90 64 89 106 90 26 65 45 78 102 80 85 26 29 98 12 60 76 68 1 57 4 20 2 58 9 53 40 40 45 71 15 95 10 25 19 17 29 90 32 26 142 53 446 64 636 61 116 25 600 00 86 85 184 10 133 02 4 SixtySecond Annual Report ABSTRACT CContinued Date To Whom Paid What Fob Amount 1905 Oct 31 Haber Bloch Hat Co Hats 90 00 77 50 E Wolf Co McKenna Mer Co 105 40 u 18 75 Duck 306 21 P D Horkan Co 65 10 J C Woolen Mills 264 64 J K OrrShoe Co 1228 39 71 40 W H Thomas Co 1390 30 P DHorkanCo 133 92 Nov 30 F Haug Shoe Co 146 15 it 278 17 E B Ezell Co 387 95 W H Thomas Co Blankets 2804 09 JC Woolen Mills 215 34 112 50 Shoes 68 62 Carson Pirie Scott Co EEBell Haber Bloch Hat Co 202 51 1741 85 37 23 203 00 Hats 149 00 E Wolf Co 77 00 64 60 J K OrrShoe Co IC 484 56 Dec 31 WH Thomas Co 160 09 Burden Smith Co Blaikets 312 53 28 76 RE Bell Good n an Wooten W H Thomas Co J C Woolen Mills it 104 85 Coats 1 871 12 444 69 Quilts 107 53 F Haug Shoe Co Oil Cloth Carson P Scott Co 57 00 EEBell J KOrr SboeCo Shoes 107 47 11 254 88 Howett Warner Co Howett Warner Co Total 11 737 25 685 00 30164 85 43 Georgia State Sanitarium ABSTRACT D Showing in detail the Expenditures on account of Fuel and Transport lion from January 1st lfc05 to January 1st 193H 19U0 Jan 31 Feb 28 Men 31 Freight Coal Freight April 30 Coal Freight Coal Freight Coal GBR Co So Ex Co So Ex Co Quenn C C Co U of G By Co So Ex Co GRBCo Quenn C C Co 8oEx Co H B Bowling C Co H B Bowling C Co H B Bowling C Co GBBCo So Ex Co H B Bowling C Co H B Bowling C Co Quenn C Coal Co H B Bowling C Co Quenn C C CoI So Ex CoFrelht G K BCo H B Bowling 0 Co H B Bowling C Co H B Bowling C Co H B Bowling C Co GaBBCo So Ex Co H B Bowling C Co Quenn C C Co So Ex Co Quenn C C Co H B Bowling C Co H B Bowling C Co H B Bowling C Co So Ex Co Cof GBy Co So Ex Co Coal Freight Coal Freight Coal May 31 GBRCo So Ex Co So Ex Co OR RCo So Ex Co C of G Ry Co So Ex Co GRRCo So Ex Co Red Ash C Co So Ex Co H B Bowling C Co H B Bowling C Co H B Bowling C Co So Ex Co H B Bowling C Co Freight Coal Freight Coal Freight Coal 46 65 22 60 35 55 38 55 72 50 5 25 113 42 73 43 7 78 498 49 404 78 308 71 22 80 8 55 281 14 339 41 38 40 123 64 39 08 9 95 74 29 187 43 98 44 189 79 183 49 405 03 9 35 122 85 127 95 6 85 121 57 88 99 183 49 92 93 4 85 11 89 7 80 76 28 6 55 7 60 40 57 7 35 21 75 4 83 5 60 61 40 32 94 8 95 190 58 218 93 221 29 4 20 370 91u SixtySecond Annual Report ABSTRACT DContinued DitTB To Whom Paid What Fob Amount May 31 June 30 July 31 GKKCo H B Bowling C Co H B Bowling C Co H B Bowling C Co H B Bowling C Co So Ex Co CofG Ky Co H B Bowling C Co H B Bowling C Co H B Bowling C Co So Ex Co HB Bowling C Co H B Bowling C Co H B Bowling C Co GRRCo So Ex Co H B Bowling C Co H B Bowling C Co tf B Bowling C Co H B Bowling C Co H B Bowling C Co So Ex Co H B Bo ling C Co JRHines HEMcComb So Ex Co H B Bowliug C Co HB Bowling C Co Cof GRy Co G R R Co H B Bowling C Co So Ex Co H B Bowling C Co H B Bowling C Co H B Bowling C Co H B Bowling C Co So Ex Co H B Bowling C Co H B Bowling C Co H B Bowling C Co H B Bowling C Co So Ex Co H B Bowling C Co H B Bowling C Co H B Bowling C Co HB Bowling C Co So Ex Co H B Bowling C Co Cof GRy Co GRRCo H B Bowling C Co H B Bowling C Co So Ex Co Proctor C Co H B Bowling C Co E Becker Freight Coal Freight Coal Freight ii Uoal Freight Coal Harness Liniment Freight Coal Freight Coal Freight Coal Freight Coal Freight Coal Freight Coal Freight Coal Freight k Coal Freight Coal Axles VZ 43 186 64 215 78 08 69 180 34 5 45 20 98 185 07 370 13 175 61 4 55 180 34 207 90 658 35 4 67 4 70 169 31 700 88 376 43 274 84 177 98 6 75 355 95 10 40 1 00 18 35 359 89 434 71 9 66 47 16 596 14 7 60 125 21 189 00 92 14 186 64 4 30 85 05 182 70 183 49 228 38 2 75 160 65 358 31 247 28 256 73 6 80 226 01 12 45 69 17 385 09 200 81 7 55 40 94 171 68 16 00Georgia Statt Sanitarium ABSTRACT DContinued i5 Date To Whom Paid 1905 Jluy 31 Aug 31 Sep 30 What For Amottkt Coal Wood Freiaht Coal Wood Coal Freight Coal Freight Coal Freight Coal Oats Coal Freight Coal Freight Coal Stock W P Overman CC Hurt H B Bowling Co H B Bowling C Co So Ex Co HB Bowling C Co Hunt Overman HB Bowling C Co H B Bowling C Co GRRCo H B Bowling C Co So Ex Co C of G By Co Mingo C Coke Co So Ex Co HB Bowling C Co Arthur Butts H B Bowling C Co So Ex Co H B Bowling C Co H B Bowling C Co So Ex Co CofGRy Co G R R Co H B Bowling C Co H B Bowling C Co M U Stock Yards Ragsdale C M H Co H B Bowling C Co W B Richardson C C Hurt W P Overman H B Bowling C Co H B Bowling C Co H B Bowling C Co Mingo C Coke Co H B Bowling C Co H B Bowling C Co CofGRy Co H B Bowling C Co G R R Co H B Bowling C Co HB Bowling C Co SoKx Co H B Bowling C Co H B Bowling C Co H B Bowling C Co So Ex Co H B Bowling C Co H B Bowling C Co CofGRy Co H B Bowling C Co G R R Co H B Bowling C CoCoal So Ex CoFreight H B Bowling C CoCoal Coal Wood Coal Freight Coal Freight Coal Freight Coal Freight Coal Freight Coal Freight 51 00 102 85 126 79 365 40 6 45 378 00 26 35 31 08 291 38 214 82 396 91 3 85 16 04 42 99 4 60 122 85 69 70 501 64 8 S3 91 35 118 13 8 25 19 07 15 18 273 26 166 16 601 50 877 18 252 00 70 79 159 80 60 77 355 16 188 21 118 91 40 31 213 41 96 86 32 49 196 09 79 18 339 41 202 39 14 55 192 94 782 78 193 73 8 50 198 45 389 81 6 59 192 94 37 28 189 79 5 35 392 1846 Date 1905 Sept 30 Oct 31 Nov 30 Dec 31 SixtySecond Annual Report ABSTRACT DContinued To Whom Paid H B Bowling C Co CC Hurt W P Overman H B Bowling C Co C of GRy Co H H Bowling C Co H B Bowling C Co H B Bowling C Co HB Bowling C Co So Ex Co HB Bowling C Co H B Bowling C Co Miugo C Coke Co Mingo C Coke Co C of Ga Ry Co H B Bowling C Co GRRCo CC Hurt H B Bowling C Co H B Bowling C Co H B Bowling C Co So Ex Co H B Bowling C Co Mingo C Coke Co H B Bowling C Co C of G Ry Co Mingo C Coke Co H B Bowling C Co So Ex Co GRRCo CCHurt W P Overman So Ex Co CofGRy Co C C Hurt W P Overman GRRCo C of G Ry Co Mingo C Coke Co So Ex Co What Fok Coal Wood Coal Freight Coal Freight Coal Freight Coal Freight Wood Coal Freight Coal Freight Coal Freight Wood Freight Wood Freight Coal Freight Amount Total 30380 14 185 85 136 85 37 82 191 36 30 08 388 20 196 09 192 94 493 77 13 25 200 03 286 65 57 57 58 44 30 38 125 21 256 20 136 00 210 26 365 40 104 79 20 05 172 46 38 35 124 43 48 14 51 40 228 38 12 70 70 03 182 75 69 70 8 20 15 83 113 47 56 10 97 09 34 72 44 37 35 85Georgia State Sanitarium ABSTRACT E 47 Showing amount of Salaries paid Officers per month together with the ag gregate amount from Jan 1st 1905 to Jan 1st 1906 1906 Jan 1 Pay Roll January 1905 2512 4J February 2512 45 March 251245 April 2523 55 u MaY 254580 June 254580 July 254580 August 2545 80 September 2470 80 October 250000 November 2516 65 December 2433 30 30164 86 ABSTRACT F Showing amount of Wages paid to Employees per month together with the aggregate amount from Jan 1st 1905 to Jan 1st 1906 1906 Jan 1 Pay Roll January 1905 7074 00 February 7120 40 March 7162 20 April 725105 ii May 7350 75 June 7354 15 ii u July 7637 15 August 7674 50 September 7754 65 October 7936 00 November 7676 85 December V56MJ5 Z 89665 7548 SixtySecond Annual Report ABSTRACT G Showing in detail the Expenditures on account of Incidental Expenses from January 1st 1905 to January 1st 1906 Date To Whom Paid What Fob Amount 1905 Jan 31 Feb 28 M E Light Co Bnckeye 8 Co C J Montgomery J L Culver Henry Culver SS White DM Co Am L Maoh Co Lombord I W S Co Standard Oil Co TC Burke EJPD Willingham Merchant Co F J Cooledge Bro Little Co Morning News Cook Lumber Co J Staley CSB Supply Co Phenix Supply Co uyler Mohler Lamar Hdw Co F W Wolf Co Beck G Hdw Co A m Radiator Co Carter G Elec Co Merrit Hdw Co Foote 1 avies Co Conklin T P M Co Stevens Bros Co R W Hatcher Buckeye S Co G D Case Spencer Sons Co J RHines Bailey Libby Co Ermer Amend M S D A Byck S W Broom Co MerrittHdwCo G D Case Sav W Ware Co Dr J B Baird M E Light Co J Branham Buckeye S Co S W Broom Co Atlanta W Ware Co Boyce Barrow Teague Supply Co TBerndCo Standard Oil Co Journal of Med R Union Carbide Co Lights Soap Services D Supplies Repairs Pipe Turpentine Paints Cane Tin Plates Glass Pipe Books Cement Hardware Pipe Starch Pipe Hardware Ammonia Brushes Radiators E Supplies Crockery Printing B Pans Pipe Hardware Soap Brushes Lab Supplies Lime Pipe Lab Supplies Ink Brooms Crockery Brushes Buckets Services Lights Services Soap Brooms Brushes Straw D Supplies Leather Oil Subscription Carbide 72 97 70 00 107 45 78 24 159 53 2 31 4 00 10 92 74 53 45 82 5 25 47 04 59 46 18 94 10 00 22 50 7 64 36 75 46 71 39 30 59 52 47 19 24 54 14 40 3 75 18 00 36 00 60 64 22 10 78 05 70 00 5 03 38 57 21 00 12 18 23 55 9 30 50 6 49 50 87 50 51 3fr 91 00 68 61 193 20 109 74 49 59 19 04 35 80 4 97 10 80 43 66 4 00 37 saDate 1905 Feb 28 Mch 31 Georgia State Sanitarium ABSTRACT GContinued 49 To Whom Paid What Fob Amount Apl 30 4 Lombard I WSCo S S White DM Co G D Case Union Recorder Galey Towne M Co L W Loornis J W McMillan AhrensOtt M Co RifssHvd Ena M Co F J Cooledge Bro Am L M Co Phenix S CoSoap H Cannon CoA11 Hinges D Supplies Pins Printing Locks Tinware Brick Repairs Repairs Glass Repairs Crockery Merritt Hdw Co G D Case Lamar T R Drug Co Franklin P Pub Co M E Light CoLights S W Broom CoBrooms Copperas Printing Co Baskets Services Journal Advertising Bits Printing Books D Supplies Repairs Choi Cure M Juice Press Oil Pipe Harnware Printing Lime Phenix S Co J L Culver J H Press Con Pub Co Cordisman M Co Union Recorder P Blakeeton Sons SS White D M Co Lagonda Mfg Co Ga PineTurp Co C S Osborne Co T C Burke Lombard I W S Co Beck G Hdw Co Augusta Chronicle Co J RHines E J P D Willingham I urmture Morning NewsBooks Foote Davies Co G D Case J Stacey R W Hatcher IM S D A Byck iF Wolf Co ConklinTPMCo Semmes Hdw Co Standard Oil Co Merritt Hwd Co G D Case Ahrens Ott Mfg Co M E Light Co Am LMach Co G D Case Dr W F Brunner Standard Oil Co Teague Supply Co SS White D MCo Brushes T Ware Hardware Paper c Ammonia B Pans T Ware Oil T Ware Brushes Pipe Lights Repairs Paints Services Candles D Supplies 5 10 12 79 1 40 23 15 29 16 54 00 40 00 35 82 18 60 26 49 35 50 183 98 57 62 53 40 82 50 17 85 19 50 58 53 51 75 12 94 28 24 5 00 4 80 3 50 8 50 9 00 35 1 25 7 35 a so 32 00 19 50 18 17 5 25 21 00 32 50 8 40 9 25 25 37 6 40 84 54 27 60 68 85 73 71 49 01 29 00 15 77 71 60 73 71 60 3Q 31 46 64 50 74 03 139 44 8 37 1 70 50 SixtySecond Annual Report ABSTRACT GContinued Date To Whom Paid What For Amount 1905 April 30 May 31 Co Cordesman Mach Aug Crou Co Savannah Press Macon Tel Pub Co Hall Larnar J R Hinea K J P D Willingham Union Recorder R W Wooteu Morning News G Bernd Co Atlanta Journal Co 1 S Home 1 Co RW Hatcher Bashliu Co Dunlap Hdw Co Dowman Johnson Foote Davies Co WP Goldsmith H M Ashe M Rich Bros Co J Staley WH Thomas Co Layondo Mfg Co Cameron B M Co L W Loomis Augusta Broom Co Anderson Hdw Co Semmes Hdw Co Merritt Hdw Co Sciple Sous J R Torrev Co Beck G Hdw Co Savannah W Ware Co Lombard I W S Co C SB Supply Co G W Stone Anderson Hdw Co Beck G Hdw Co Merritt Hdw Co MS D A Byck Standard Oil Co Standard Oil Co Cook S Co Macon Tel Publishing Co AhrensOtt Mfg Co J W McMillan Platt Iron Works W W Moran M E Light Co Buckeye Soap Co Milledgeville Tel Co Cen Ga Tel Co Lawson Co Op Pub Co Williams Brannan J L Culver Bits Printing it u Soap Lime Rugs Printing Crockery L Heads Leather Printing Instruments Nails Valves Locks Books Repairs Ink Carpet T Ware Glasses Repairs T Ware Samples u Plaster Samples it a Pipe Belting Brooms Tubs T Ware Crockery Twine Oil Turpentine Shingles Printing Pipe Brick Material Lumber Lights Soap Rent Messages Books Lumber Services 3 50 6 00 5 00 8 00 55 00 56 00 G 00 15 25 2 45 35 00 9 24 4 00 10 41 56 03 29 40 32 82 35 00 16 25 34 4 50 19 60 1 40 12 00 62 SO 6 00 36 00 30 7 27 1 61 94 6 00 1 97 8 50 2 82 107 13 8 04 48 00 72 00 30 00 92 08 5 86 31 90 76 50 5 00 9 00 4 87 120 50 140 51 117 81 55 65 137 17 19 00 8 95 12 00 115 00 28 00DAT May 31 Georgia State Sanitarium ABSTRACT GContinued 5 To Whom Paid What Foe Amount June 30 Services D Supplies Instrument Paper Tacks Bits Turpentine Bits Glass Blanks Repairs T M Swift SB White D M Co Lamar T R Drug Co J W Burke Co Dunlap Hdw Co J A Fay Egan Co Standard Oil Co Lombard I W S Co Tripod Paint Co Morning News Atlas Engine Works Ahrens Ott M Co Stevens Bros Co Keystone Chem Co M S D A Bjck J Sialey L V Loomis G D Case R W Hatcher V E Perry man E C Dent Standard Oil Co G W W Stone Beck G Hdw Co Merritt Hdw Co Standard Oil Co Pheuix Supply Co M E Light Co Buckeye Soap Co Beck G Hdw Co Milledgeville Tel Co CenGa Tel Co G Bernd Co Leather G W W Stone C Rosenstein Co Richard Johnson J L Culver Teague Supply CoD Supplies SS White D M Co Int GasA B Co Aug Chron Co Macon Tel Pub Co Savannah Press Union Recorder Hall Larnar Connor J J P Co J E Burke Eot Mfg Co E J P D Willinigham FranklingP P Co Lagonda Mfg Co J RHines j S Hoge Drug Co Richards Shaver Co jCodman Shurtliff R W Hatcher Pipe Material Paper Hardware Tinware Brushes Hardware Instrument Material Candlee Brooms Tinware Crockery Oil Starch Lights Soap Hardware Rent Messages Matches Services Material Printing Soap Book Material M Chopper Carpet Printing Material Lime Instrument Reports Material Hardware 1 2 4 8 3 136 65 28 50 30 99 50 61 43 2 60 35 00 20 00 1 00 16 50 8 05 13 13 7 00 5 55 36 00 5 80 91 47 25 90 5 00 76 50 46 00 36 20 75 81 21 75 17 64 48 30 68 55 12 50 4 00 3 60 8 44 46 00 22 05 96 72 14 12 4 81 7 88 8 21 6 00 8 00 5 00 16 50 27 50 10 00 8 75 10 10 32 40 32 50 15 30 28 00 2 34 284 80 1 50 33 0252 SixtySecond Annual Report ABSTRACT GContinued Date To Whom Paid What Fob Amount 1905 June 30 July 31 Jno Van Range Co Standard Oil Co Morning News Cook L Co Atlanta J Co JStaley Platt I ron Works Dow Wire Works Dunlap Hdw Co Babcock Wilcox Co Carter G Elec Co W H Thomas Co Buckeye Soap Co Standard Oil Co Standard Oil Co W G Hawki ns S W Broom Co WU Tel Co Phenix S Co ME Light Co J T Brantley AhrensOlt Mfg Co SSBedCo T G Lawson Henry Banks C J Montgomery W W Moran Hall Lamar S S White D M Co Am L Mach Co Morning News E JP D Willingham EntMfgCo TC Burke Babcocks Wilcox Co Cameron Barklcy Co Cook L Co Standard Oil CojCandles Fred W Wolf CoI Ammonia Foote Davies CoBooks Dowman Johnson R W Hatcher C S B Supply Co G D Case Lombard I W S Co Pnenix S Co Buckeye S Co SS Bed Co Richard Johnson S W Broom Co Dr W F Brunner J H Brooks Standard Oil Co M S D A Byck Jones Hopkins Mfg Co Semmes Hdw Co Repairs Turpentine Books Cement Printing Locks Material Guards Hardware Material E Supplies B Robes Soap Candles Oil Lumber Brooms I elegrams Aneline blue Lights Groceries Repairs B Springs Services Lumber Soap D Supplies Repairs Printing Rugs Moving Paints Repairs Lime Hardware Belting Brushes Pipe Starch Soap Springs Services Brooms Services Kerosene Candles C Books Tinware 72 7 63 3 16 5 155 20 11 24 37 137 17 26 70 52 8 1 41 144 27 213 82 21 80 65 30 2 17 7 17 10 14 11 94 32 157 46 12 28 19 30 12 105 46 137 73 14 52 37 24 153 17 41 64 00 03 00 00 20 13 00 00 40 05 03 50 10 00 10 80 67 63 76 47 30 28 20 10 24 58 75 25 72 50 50 5a 20 85 45 65 00 12 25 oa 50 15 90 83 06 85 10 50 84 67 50 65 00 77 16 80July 31 Aug 31 Georgia State Sanitarium ABSTRACT GContinued 53 Sept 30 M E Light Co GT Whilden Beck G Hdw Co Henry Banks T G Lawson J L Culver S8 White D M Co O D Case J R Hines J C Thornburg Cook L Co Merritt Hdw Co Beck G Hdw Co J E Sterubridge E J P D Willingbatn Tripod Paint Co Trov L M Co J SHoge Drug Co Platt Iron Works Foote Davies Co Morning News Lights Hack hire Tinware Services D Supplies Books Lime Repairs Lime Chambers Tinware Shingles Seats Paints Repairs Instruments Repairs Printing L Heads Lester Book S CoInk etc Paper M S D A Byck R H Wooten 1 StaleyHardware H Cannon CoApron H M AsheT Writer CS BSCoPipe Ahrens Ott Mfg Co J B Baird Sciple Sons Standard Oil Co A R Phillips E Becker S W Broom Co A R Phillips Jones Hopkins M Co Standard Oil Co ME Light Co JT Brantley Buckeye Soap Co Am Med Assn MilledgevilleTelCo Cen Ga Tel Co T M SwiftServices J L Culver S S White DM CoMacnine Dunlap Hdw Co Hardware Macon Tel Pub CoPrinting Aug Chron Co J Staley Union Recorder 1 S Schoflelds S Co Dennison Mfg Co G BerndCo Services Cement Turpentine Faathers Repairs Brooms Feathers Tinware Oil Lights Services Soap Fees Rent Mesages Tinwar e Printing Pie Tags Rivets E J P D WillinghamI Linoleum 45 15 12 00 41 16 15 88 20 16 43 38 I 91 5 25 102 00 6 00 7 00 21 47 42 10 15 75 5 63 127 50 4 25 8 68 13 60 12 00 80 75 22 15 3 50 11 55 6 05 30 53 100 00 71 90 213 50 87 80 47 92 89 01 28 40 3 30 52 67 8 35 48 50 24 65 50 40 44 49 137 10 5 00 12 00 5 95 187 28 15 62 41 28 12 51 8 00 6 00 2 80 II 25 107 64 35 5 00 668 lr54 SixtySecond Annual Report ATCTTAnT dfrlinn Date To Whom Paid What Fob Amoumt Sept 30 Oct 31 8 Kvans Sons Co C F Barrett Standard Oil Co Lombard I WSCo Bashlin Co L W Loomis RW Hatcher M S D A Byck Smith Courtney Co 1 B Torrey Razor Co W H Armstrong Co Ahren Ott Mfg Co G D Case J R Hines Ermer Amend U S Badiator Co Bunsch S Opt Co W GHawkius So Med Co Phenix S Co Jones Hopkins Mfg Co M M Johnson Milledgeville Oil Mills Standard Oil Co Milledgeville E L Co Atlanta J Co Buckeye S ap Co Milledgeville Tel Co Cen UaTel Co Stevens Bros CoPipe Henry BanksIRE fare J StaleyT Ware G D CaseBrushes Standard Oil CoCandles J S Sohorields Sons CojPipe Conklin TPM CoT Plates Ahrens Ott Mfg CoRepairs Dunlap Hdvv Co Crane Co Bausch L Opt Co BeckGHdwCo Carter G Elec Co YaleTowne M Co C S Osborne Co Eureka B Bath Co Cook Lumber Co J K Hoffman Harrison Bros Co Jones Hopkins M Co E JPD Willingham S Evans Sons Co J R Hines Lombard I WS Co Hartford F Insurance Co Home Ins Co Union Recorder Bagging Linament A Grease Pipe Valves Tinware Hardware Paper Pipe Samples Instruments Repairs Books Repairs Instruments Repairs Lumber Journals Starch T Ware Services Iinters Oil Lights Printing Soap Rent Messages Hardware Pipe Instruments Hardware Supplies Locks M J Press Pads Lime Guasre Paint Samples Linoleum Ties Lime Pipe Insurance Pointing 24 1 16 82 33 147 25 1 15 1 36 10 8 2 5 6 6 18 17 45 12 228 20 60 4 137 4 1 166 9 16 4 216 76 24 35 43 143 11 3 63 260 5 1 30 12 3 592 2 53 181 62 37 5 15 00 22 25 11 00 52 75 75 55 00 74 90 n0 43 07 68 54 00 64 13 00 80 30 37 00 10 00 70 45 42 20 75 03 86 30 56 38 60 10 45 63 59 60 50 00 50 45 00 32 64 00 55 50 50 25Date 19U5 Oct 30 Nov 30 Dec 31 Georgia State Sanitarium ABSTRACT GContinued 55 To Whom Paid What For Amount Services D Supplies Crockery Ink Tinware Brooms Oils c Balls Lumber Services Dr W FBrunner S S While D M Co Jones Hopkins M Co Merritt Hdw Co M S D A Byck Beck G Hd vv Co G VV W Stone Standard Oil Co A G Spalding Bros W W Moran TM Swilt Richard Johnson Henrv Banks M E Liuht Coj Lights Union Recorder Printing SS White DM CoSupplies Dow Wire Worksi wire Dunlap Hdw CoIron T C Burke Paints Crane Co Pipe Standard Oil CoTurpentine Enterprise Mfsr CoM Chopper E 1 P D WillinghamFurniture Morning News Printing Lombard I W S Co Material Lester B Sta CoInk Foote Da vies ColBooks A Blue Scales Hardware Phenix S Co Fair bank Co R VV Hatcher J Staley R H Wooten J R Hines K Becker Buckeve Soap Co D W Brwn Art Parker Russell M M Co Geo Tiemann CoInstruments J L CulverServiees Standard Oil CojOil G W W StoneBrooms Beck G Hdw CoIBrushes Merrett Hdw CoCrockery MSDAByck Twine Books Lime Material Soap Mattress Retorts Jones Hopkins JT Brantley Milledgeville E L Milledgeville E L T G Lawson Richard Johnson J Branham W W Moran Dr J BBaird Richard Johnson Foote Davies Co S S White D M Co M Co Co Co T Ware Services Lights Services Lumber Services Book Material 49 27 7 71 35 81 109 50 21 30 24 12 26 00 149 26 5 88 455 93 72 66 14 32 160 62 67 10 16 00 3 39 45 75 23 72 173 82 19 06 74 71 11 25 186 00 61 75 3 81 6 00 46 00 4 00 49 20 42 20 3 95 7 65 14 75 1 50 137 10 10 00 185 20 13 32 28 12 17 00 24 00 178 62 60 00 17 86 37 41 150 39 70 72 218 91 84 94 104 79 204 00 76 75 107 60 37 50 14 00 1 7056 SixtySecond Annual Report AR8TRACT G Continued Date To Whom Paid Amount iyut Lee 31 Union Recorder C Books 5 50 11 00 n 5 00 Aug Chron Co ii 6 00 12 00 1 E Burke 5 45 G Bernd Co 10 53 K J P D Willingham F V Wolf Co Knowles 8 P Works G I Case J Slalev 22 50 10 13 Pads 75 543 43 64 00 K F Spoons 162 55 45 62 532 00 87 24 21 95 T Ware 8 30 Geo Tieman n Co A H Thomas Co Yale Towne Mfg Co H M Ashe Instruments 3 51 10 50 9 00 W Ribbon Dowman Johnson 28 00 So States E leo Co VV H Armstrong Co 22 50 Op Tabl 58 50 Merritt Hdw Co 41 48 Jones Hopkins M Co P W Brown Dr C J Montgomery M K Light Co 38 01 23 40 120 84 74 91 Dunlap Hdw Co 9 00 137 10 C McKinley 68 52 Macon Tel Pub Co u 8 00 Atlanta Journal Co 3 20 Milleclgeviile E Light Co Total 3 31 22284 81 Georgia State Sanitarium 57 ABSTRACT H Showing in detail the Expenditures on account of Medical Supplies from January 1st 1905 to January 1st 1906 Date To Whom Paid jyu5 Jan 31 Feb 28 Men 31 Apl 30 May 31 June 30 July 31 Aug 31 Colburn Birk9 Co Pocono Laboratories W S Turuer Dis Co G D Case Lamar T R Co Mason Tablet Co H J Lamar Co Blutheuthal Bickart Hall Lamar Parke Davis Co Pocono Laboratories G D Case Lamar T R D Co W H Armstrong Co McKesson Robbins LamarTR D Co Blutbenthal Bickart G D Case Sharp Dohme LamarTR D Co Meyer Bros Drug Co Altmaver F Liquor Co CE StultsCo Armour Packing Co Sharp Dohme LamnrT R D Co Jno Wyeth Bro McRsson Robbins H Kline LamarTRDCo Colburn Birks Co Armour Packing Co McKesson Robbins jSharp Dohme Bluthenthal Bickart Lamar T R D Co i Parke Davis Co j Bluthenthal Bickart R Hoehn Co Sharp Dohme lLamarT R D Co Lamar T R D Co Sharp Dohme R Hoehn Co McKessod Rnbbins Lippman Drug Co Sharp Dohme Parke Davis Co Bluthenthal Bickart Parke Davis Co Lamar T R D Co Lamar T RD Co Armour Packing Co What Fob Amount Alcohol Virus Disenfec Drugs Whiskey Vigoral Drugs Virus Drugs Instruments Drugs Whiskey Drugs Whiskey Wine Glycerine Drugs Alcohol Glycerine Drugs Whiskey Drugs Whiskey Thermometers Drugs Whiskey Drugs Glycerine 23 61 15 00 22 50 I 00 60 01 30 00 25 92 84 65 15 00 67 90 25 00 6 25 47 40 22 32 165 23 10 59 85 01 15 95 62 3S 33 47 11 50 87 51 38 50 9 72 35 00 23 12 3 36 70 22 44 30 21 82 25 26 15 00 59 57 62 49 81 16 39 85 35 33 85 53 57 99 38 98 32 17 13 00 II 63 69 49 10 23 26 18 38 55 40 82 74 13 47 5 27 37 24 20 5058 SixtySecond Annual Report ABSTRACT HContinued Date To Whom Paid What For Amount 1905 Aug 31J Sept 30 Oct 31 Nov 30 Dec 31 So Label Box CoLabels H J Lamar CoDrugs Mason Tablet Co C E StultsCoWine McKesson BobbinsiDrugs 1 Ell wood Lee CoTrusses Jobnson JohnsonPlasters Chesapeake Glass Co JBottles Sharp Dohme H B Gilpin Co Bluthenthal Bickart Col burn Birks Co Parke Davis Co Parke Davis Co McKesson Robbins LamnrT R D Co Lamar T R D Co Seaburv Johnson Lamar T R D Co Armour Pkg CoVigorol Eli Lilly CoDrugs Parke Davis Co Sharp Dohme Frederick Disinft Co Green R Dis Co Lamar T R D Co Lamar T R D Co Colburn Birks Co Bluthenthal Bickart Armour Pkg Co McKesson Robbins Lamar T R D Co CE StultsCo Sharp Dohme McKesson Robbins Bluthenthal Bickart Drugs u Whiskey Alcohol Drugs Plasters Drugs Disinfectants Whiskey Drugs Alcohol Whiskey Drugs u Drugs Wine Drugs Whiskey Total s818 23 21 25 28 90 40 15 39 38 12 28 82 69 7 92 9 90 14 11 11 23 86 46 23 20 18 75 31 13 401 75 18 01 21 73 36 83 13 00 9 72 16 72 18 10 48 13 56 38 96 4 25 40 33 16 22 88 84 76 14 50 45 74 33 12 39 38 137 30 109 54 84 16Georgia State Sanitarium ABSTRACT I 59 Showing the Expenditures on aocount of Contingencies from January 1st Iftftfi to Tnniiarv 1st 1906 Date lauo Jan 31 Feb 28 Mch 31 To Whom Paid May 31 April 30 W U Tel Co CofGRy Co Cen Ga Tel Co Milledgeville Tel Co Simeon Bland CofGRy Co CofGRy Co CofGRy Co CofGRy Co Cof G Ry Co W H Mansfield C of G Ry Co R B Bostick C of G Ry Co W U Tel Co Cof G Ry Co Danl Daniels C of G Rv Co Arthur Foster Gof G Ry Co G R RCo C of G Ry Co W U Tel Co Cof G Ry Vo CofGRy Co Cof G Ry Co J P Warren Cof G Ry Co Postal Tel Co J A Cleveland C of G Ry Co Maggie Meadows J of G Rv Co W C Pinkard C P Ivey CofGRy Co Cof G Ry Co GRRCo VV U Tel Co Cof G Ry Co GRR Co A V Cross Cof G Ry Co CofGRy Co C of G Ry Co J A Riley CofGRy Oo GRRCo C of G Ry Co J J Williams C of G Rv Co W U Tel Tel Co CofGRy Co What Fob Amount Telegrams Dis Patient Messages Rent Escaped Patient Dis Patient Escaped Patient Dis Patient Escaped Patient Dis Patients Telegrams Dis Patient Escaped Patient Dis Patient Escaped Patient Dis Patient Telegrams Dis Patients Escaped Patient Dis Patient Telegrams Dis Patient Escaped Patient Dis Patient Telegrams Dis Patient Escaped Patient Dis Patient Telegrams Dis Patient 12 58 6 90 5 35 3 00 4 00 4 57 3 28 14 15 e 08 3 18 5 56 4 11 26 25 8 03 18 30 4 73 2 50 4 25 1 00 3 65 6 83 3 75 25 86 22 56 3 86 28 72 1 21 30 11 82 73 48 25 00 20 18 80 6 70 3 80 2 41 2 04 6 20 4 00 20 67 5 00 411 3 50 3 51 4 10 9 22 7 226o Date lauo May 31 June 30 July 31 Auar31 SixtySecond Annual Report ABSTRACT IContinued To Whom Paid What Fob Amount Dis Patient Escaped Patient Dis Patient Telegrams Escaped Patient Dis Patient Telegrams Escaped Patient Dis Patient Escaped Patient Dis Patient Escaped Patient Dis Patient Escaped Patient Dis Patient Cof G Ky Co Luther Midlin Cof GRy Co CofGRv Co C of G Ry Co C of G Ry Co Postal Tel Co E L Lawson Cof GRy Co G R R Co W U Tel Co Jerry Brooks C ofG Ry Co Cof G Ry Co Cof G Rp Co GRRCo J R Smith C of G Ry Co J W Seals GRRCo A T Allen Amanda Powell C of G Ry Co C of G Ry Co C of GRy Co C of G Ry Co E L Lawson C of G Ry Co Cof GRy Co E L Lawson C of G Ry Co Mauris Mustln Sidney MoColman C of G Ry CoDis Patient Cof GRy Co C of G Ry Co E L Lawson Cof G Ry Co WUTelOo J H Bateman Cof G Ry Co Cof GRy Co C of G Ry Co Co of G Ry Co VivaCollis Robert Davis Escaped Patient Dis Patient Escaped Patient Dis Patient Escaped Patient Escaped Patient Dis Patient Telegrams Escaped Patient Dis Patient C of G Ry Co Cof GRy Co C of G Ry Co GRRCo Cof G Ry Co J W Seals Cora McCoy W U Tel Co R H Bloodworth Cof GRy Co Escaped Patient Dis Patient Escaped Patient Dis Patient Telegrams Escaped Patient Dis Patient 4 67 1 00 2 46 7 10 6 20 3 18 76 16 14 9 96 4 23 14 56 1 50 40 80 11 85 2 25 2 00 5 48 2 00 2 79 4 30 2 50 6 95 5 73 3 01 7 50 22 71 6 20 3 43 38 40 00 00 18 7 22 96 10 79 8 21 15 50 5 00 10 86 3 18 2 21 12 50 2 01 1 50 10 80 4 95 4 40 2 25 1 58 2 00 4 87 17 49 5 00 5 64Date 1905 Aug 31 Sep 30 Oct 31 Georgia State Sanitarium ABSTRAC1 TronTinp1 6i To Whom Paid Nov 30 CofGRy Co Mack Thomas E L Lawson J Collins CofGByCo E L Lawson CofGRy Co M J Warper Gene Willis C of G Ry Co Buster Baron SF Miller C of G Ry Co C of G Ry Co G R R Co C of G Ry Co R W Blood worth C of G Ry Co C of G Ry Co W U Tel Co CofGRy Co C of G Ry Co C of G Ry Co C of G Ry Co CofGRy Co GRRCo PhenixSSCo Cora McCoy C of G Ry Co Jas Thornton 8am Simpson C of G Ry Co CofGRy Co C of G Ry Co WUTelCo C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co Cof G Hy Co C of G Ry Co C of G Ry Co C of G Ry Co Cof G Ry Co Cof G Ry Co GRRCo C of G Ry Co Cof G Hy Co JT Hollis CofGRy Co W Z Edwards CofGRy Co CofGRy Co C of G Ry Co C of G Ry Co What Fob Amoumt Dis Patient Escaped Patient Dis Patient Escaped Patient Dis Patient Escaped Patient Dis Patient Escaped Patient Dis Patient Escaped Patient Dis Patient Telegrams Dis Patient L Supplies Dis Patient Escaped Patient Dis Patient Telegram Dis Patient Dis Patient Escaped Patient Dis Patient Escaped Patient Dis Patient 6 16 3 00 20 81 5 92 3 00 4 38 9 64 16 17 2 00 5 47 2 21 11 85 2 70 10 67 5 30 5 80 2 00 5 93 16 68 17 01 3 42 5 64 18 61 2 76 6 35 2 79 47 15 9 54 2 78 8 98 11 84 96 5 22 8 90 7 35 4 70 4 07 32 39 5 25 1 42 5 40 5 46 2 21 5 64 5 64 3 80 2 79 4 75 5 86 4 78 96 16 54 2 00 4 50 6 16 4 82 62 DATS JVKJO Nov 30 Dec 31 SixtySecond Annual Report ABSTRACT IContinued To Whom Paid What Fob Amount iMilledgevilleTel Co Central Ga Tel Co C of 1 Ry Co W U Tel Co Cof GRy Co C of G Ry Co las Thornton Sid Butts Asbury Dowdell Cof GRy Co C ofG Ry Co C of GRy Co C ofG Ry Co C of G Ry Co Cof GRv Co C of G Ry Co Cof G Ry Co C of G Ry Co C of G Rv Co Will Hal SL Terry Cof GRy Co J W Williams C of G Rv Co WUTelCo E L Lawson Cof GRy Co Cof GRy Co R M Daniel Rent Messages Dis Patient Telegrams Dis Patient Pscaped Patient Dis Patient Escaped Patient Total Dis Patient Escaped Patient Dis Patient Telegrams Escaped Patient Dis Patient Escaped Patient t 8 00 2 60 4 03 15 31 8 27 2 01 2 67 5 00 2 50 26 24 3 80 6 46 6 35 4 97 6 15 3 18 6 63 5 00 4 11 2 00 2 00 3 06 15 50 3 18 14 40 10 79 5 64 11 16 5 00 1304 03Georgia State Sanitarium 63 ABSTRACT J Showing the expenditures on account of Stationary and Postage from January 1st 1905 to January 1st 1906 Datk To Whom Paid What For Amount 19U5 J L Sibley P M 40 69 it 67 40 Feb 28 u it 25 00 a 20 60 11 ii 42 10 March 31 1 ii 25 00 1 u 62 40 11 u 15 00 April 30 1 it 35 60 it 11 62 40 May 31 t it 25 00 11 it 42 04 1 it 42 40 June 30 11 it 56 60 I it 40 00 July 31 11 tt 57 40 11 ii 25 60 ti ti 20 90 Aug 31 11 it 40 00 tt if 20 60 1 it 52 40 It tt 15 60 Sept 30 I 11 20 60 a it tt 25 60 if 20 00 it tt 52 40 Oct 31 t it 25 60 ti tt 35 60 u ii tt 25 00 Nov 30 it 57 40 u it 25 00 ti tt 20 60 Dec 31 it ti 46 50 u ft 30 00 a ti 21 20 1 240 14 H SixtySecond Annual Report ABSTRACT K Showing expenditures on account of Special Appropriation for erecting and constructing a system of Water Works from January 1st 1905 to January 1st 1906 1905 DR Sept 20 To Requisition State Tr 3 000 00 Cb Date To Whom Paid lauo Sept 30 Sol Barett Union Recorder Man R Pub Co Kueffer Esser Co Engineers Record Cou Pub Co Oct 31 J D Howard J L Moore Son Union Recorder Rubve Meadows J HEnry Emmett Ray ford Stevens Bros Co W J Caraker Sol Barrett T B Dumas G F Edwards T g Bayley O M Cone Mary Harrison K V Montgomery W R Robison Sol Barrett The Tradesman Nov 30 J L Moore Son lEngineers Record THDeSaussure J B Baird ILudwig Co Foote Davies Co Dec 31 Balance on hand Dec 31 What Fob Site Printing Advertising Draw Paper Advertising Atty Fees D Paper Printing RightofWay Total Advertising Blue Print Advertising Trav Ex Estimates Printing Amount 1 766 59 2 00 34 40 20 04 45 60 24 80 200 00 6 00 26 50 6 00 26 00 2 00 54 00 25 00 21 00 3 00 59 00 7 00 50 00 9 00 15 00 8 00 30 00 16 50 3 00 43 80 32 18 12 80 75 00 61 84 314 04 3 000 00Georgia State Sanitarium 65 ABSTRACT L Showing Requisitions drawn on State Treasurer for Support and Mainte nance from January 1st 1905 to January 1st 1906 1905 Jan 2 Jan 19 Feb March April May June July Aug Sept Oct Nov Ded To Requisition S000 00 11 11 23125 00 11 i 28125 00 i u 28125 00 11 i 28125 00 11 11 28125 00 a 28125 00 1 1 28125 00 ii 11 28125 00 11 11 28125 00 11 11 28125 00 11 28125 00 u 11 28125 00 337500 00 566 SixtySecond Annual Report ABSTRACT M Showing average number of patients the per capita per diem and per annvm from 1873 to 190 Year No of Patients Per Diem Per Annum 1873 550 57J 190 70 1874 550 m 177 6 1875 600 37J 136 88 1876 600 37f 137 77 1877 658 Qa 6 3 5DTJ5 133 70 1878 725 34yW 126 11 1876 548 32A 120 10 1880 820 36M 130 09 1881 886 43T 31 123 74 1882 942 140 98 1883 1005 83 121 46 1884 1179 34 26 90 1885 1232 84A 124 76 1886 1237 334 123 19 1887 1266 34A 127 40 1888 1340 34T8 127 40 1889 1438 34M 126 81 1890 1538 QI 43 114 73 1891 1616 82 A 117 09 1892 1618 QO 3 3 118 33 1893 1523 31tV 116 62 1894 1709 32 118 60 1895 1783 32 116 80 1896 912 32i 118 33 1897 2085 oq 11 120 85 1898 2247 32ft 118 50 1899 2383 32jV 117 00 1901 2495 29M 108 99 1900 2573 on i 110 56 1902 2625 30AV 112 68 1903 2596 QO 95 112 97 1904 2770 30 109 94 1905 2880 33 121 79 1906 2938 su5o 113 00 ABSTRACT N Shows cost of maintaining one patient per year month week and day For 1 year113 00 1 month 9 42 1 week 2 17 1 day 30Georgia State Sanitarium 67 Report of Assistant Steward Milledgeville Ga January 1st 1906 Mr LJ Lamar Steward Dear SirI herewith hand you my report as Assistant Steward for the year 1905 of the Dairies Garden Farm Pork and Trans portation Also statement of stock wagons etc on hand January 1st 1906 We have lost since our last report 206 head of hogs from cholera 2 mules aud 5 cows 1 from calving and 4 from un known causes The stock are now all in good condition and I think the showing for the year in all the departments except the pork very good Very respectfully Geo W Hoixinshead Asst Steward 1905 OLD DAIRY Cr By Sweet milk gallons 33227 at 20 6645 40 Sale of empty sacks No 185 at 5c 9 25 Sale of hides 35 68 Beef lbs 3975 at 510 202 72 5384 12 Dr To Wages of hands 997 25 Bran lbs 345175 at 1061 3667 48 Cotton seed meal tons 15 at 2225 333 75 Cow feed lbs 20475 at 85c 174 03 Peavine hay lbs 21380 at 40c 85 52 Shreded corn lbs 23040 at 40c 92 16 Salt sacks No 30 at 42c 12 75 Cotton rope lbs 23 at 14c 3 25 Ax helves No 1 at 7c 07 Stock powders lbs 35 at 14c 4 90 Well lope lbs 8 at 12c 96 Lantern globes No 3 at 5c 15 Grass blades No 2 at 65c 130 Well buckets No 1 at 30c 30 Seed bailey bushels 5 at 110 5 50 Seed rye bushels 2J at 190 4 75 5384 12 By balance in favor of Old Dairy 1508 93 68 SixtySecond Annual Report 1905 NEW DAIRY By Sweet milk flallons 29990 at 20c Sale of empty sacks No 150 at 5c Sale of bull calves No 5 at lo0 Sale of hides Beef lbs 3099 at 510 To Wages of hands BraD lbs 338100 at106J Cotton seed meal tons 15 at 2225 Cow feed lbs 20400 at 85c Pewvine hay lbs 21380 at 40c Shreded corn lbs 23040 at 40c Salt sack No 22 at 42Jc Pad locks No 2 at 30c Lamp wicks No 4 at c Lanterns No 2 ot 46c Stock powders lbs 35 at 14c Grass blades and stocks No 1 at 115 Wheelbarrows No 2 at 185 Lantern globes No 1 at 5c Feed buckets No 6 at 18c Cotton rope lbs 16 at 14c Milk buckets No 3 at 75c Well rope lbs 9 at 12c Well buckets No 1 at 30c Seed barley bushels 5 at 110 Seed rye bushels 2 at 190 Purchase cows No 1 at 4000 By baance in favor of New Dairy Cb 5998 10 7 50 5 00 39 94 158 04 6208 58 Dr 1032 00 3592 31 333 75 173 40 85 52 92 16 9 35 60 02 92 4 90 1 15 3 70 05 1 08 2 24 2 25 1 08 30 5 50 4 75 40 00 5387 03 821 55 GARDEN By Cabbage heads 11501 5c Turnip Greens bushels 3338 at 20c Rough Turnips bushels 26531 at 30c Sweet Potatoes bushels 3998 at60c Asparagus bushels 21 I at 200 Kale bushels 1532 at 20c Rape bushels 2626 at 20c Radishes bushels 935V at 50c Onions bushels 1806i at 90c Snap Beans bushels 107 at 75c Ofcra bushels 323 at 1C0 Beets bushels 693J at 50c Cb 575 05 667 60 796 05 2 398 80 15 75 306 40 525 30 407 62 1 685 25 80 25 823 00 346 75Georgia State Sanitarium By Tomatoes bushels 418 at 50c Butter Beans bushels 164 at 100 White Peas bushels 15 at 2 00 Mixed Peas bushels 117 at 80c Scuppernongs bushels 1 at 1 00 Salisfy bushels 23 at 100 Figs bushels 46 at 100 Cucumcers bushels 421 at 100 Irish Potatoes bushels 286 at 100 English Peas btfshels 125J at 100 Lettuce bushels 100 at 20c Squash bushels 234J at 60c Green Pepper bushels 7 at 5oc Pears bushels 23 at 100 Cantaloupes No 11373 at 3c Peaches crates No 294 at 75c Green Corn dozen 4052 at 10c Hay Peavine lbs 42760 at 40c Hay Mixed lbs 160022 at 40c Shreded Corn lbs 46080 at 40c Sheaf Oats lbs 38283 at 75cf Pecans lbs 18 at 25c Dr To Wages and board Mr Simpson 450 00 Wages and board Mr Bateman 390 00 Wages and board Mr Leonard 224 15 Wages of hands 1 160 75 Farm implements 127 64 Garden seed 46 10 Seed Irish Potatoes 79 70 Onion Sets 48 25 Sulphur 90 Lime 70 Fertilizers 500 50 Two balls twine 1 30 Oat Cutters 14 05 Feed wear and tear mules 720 00 By balance in favor of Garden 1905 COLONY By Peaches crates No 298 at 75 Canteloupes No 2346 at 03 Watermelons No 18532 at 05 Sweet milk gallons 1052 at 20 Syrup gallons 582J at 30 Corn bushels 5985 at 75 6p 209 37 164 75 30 00 94 20 1 00 47 00 46 75 42 50 286 75 125 25 20 05 140 70 3 50 23 50 341 19 220 50 405 20 171 04 640 08 184 32 287 12 4 50 11 677 09 3 764 04 7 913 05 Cb 223 50 70 38 926 60 390 55 174 75 4488 75 Mff WSSySK V 70 SixtySecond Annual Report By Sweet potatoes bushels 4362 at 60 Irish potatoes bushels 9 at 100 Field peas bushels 579 at 80 Onions bushels 19 at 90 Rough turnip bushels 213 at 30 Beets bushels 23 at 50 Okra bushels 35 atl 00 Squash bushels 27i at 60 Turnip greens bushels 225 at 20 Tomatoes bushels 32 at 50 Snap beans bushels 16 at 75 Butter beans bushels 13 at 100 Radish bushels 7 at 50 Cucumbers bushels 3 at 100 Cotton seed bushels 1120 at 20 Cabbage heads 2210 at 05 Green corn dozen 63 at 10 Eggs dozen 173 at 16 Grapes lbs 3363 at 05 Pork lbs 7450 at 7 Lard lbs 106 at 8 Hay lbs 30800 at 40 Fodder lbs 74176 at 75 Sheaf oats lbs 166145 at 75 Lint cotton lbs 17652 Dr To Wages and board Mr Massey 446 00 Wages and board hands 2212 05 Wages and board cook 267 50 Farm implements 154 74 Seed Irish potatoes 6 75 White wash brushes 2 00 Hay wire 3 45 Sulphur 90 Lime 70 Cotton ties 4 40 Cotton bagging 19 75 Fertilizers 1489 80 Box Shells 45 Watermelon seed 5 90 Twine 1 98 Meat saw 35 Peach baskets 80 Well rope 2 16 Well whirl 17 Well buckets 70 Speying pigs 1 80 2617 20 9 25 463 20 17 10 64 05 16 50 35 25 16 50 45 00 16 00 12 19 13 50 3 62 3 00 224 00 110 50 6 37 28 83 168 15 521 50 8 48 123 20 556 32 1246 08 1762 83 14363 15 Georgia State Sanitarium 71 To Pad locks 2 40 Poultry netting 31 5 Staples 2 2 i in Boat chain L lu Oat cutters 78 98 Ginning Cotton U 13 Feed wear and tear Mules 1440 006222 48 By Balance in favor Colony 8140 67 PORK Cb By Pork pounds 21173 at 1482 14 DR To 49 gallons Hog Cholera Cure 7 35 Speying Pigs 5 30 2 gallons spts Turpentine J 12 20 pounds Coperas 30 Hog Cholera Cure made by Apothecary 2 37 16 44 By balance in favor Pork 1465 70 TRANSPORTATION Dit To Corn bushels 2651 at 75c I987 92 Sheaf Oats pounds 32171 at 75c 241 28 Hay pounds 89145 at 40 356 58 Bran pounds 21975 at 106 233 48 Stock Powers pounds 48 at 14 6 72 C S Meal tons 1 110 at 2225 24 48 2850 46 Number of head of stock fed at stalles for the year 1905 Xo head 32 showing cost of feed for one head Of stock for one year one month one week and one day For one year 897 For one month 7 42J For one week j For one day By total credit Dairies Garden Farm and Pork 40024 01 To total debit Dairies Garden Farm and Pork20774 11 By total bal in favor Dairies Garden Farm and Pork 19849 90WKSjyjj5iLtiiStitfcc rTvT3s 72 SixtySecond Ainual Report INVENTORY OF STOCK WAGONS ETC ON HAND JANUARY 1st 1906 Mules 38 Horses 4 Carriages aud Harness 2 Buggies and Harness 1 TwoHorse Wagons Harness 9 TwoHorse Wagons old 2 OneHorse Wagon Harness 1 Dray Wagon 1 Dump Carts Harness 6 Hearse Wagon 1 Ox Carts c Ox Wagon 1 Plow Stock and Gear 24 Dixie Plow Stocks 16 TwoHorse Plows 3 Road Plow 1 Eoad Machine 1 Pea Huller 1 Mowers 2 Horse Rake 1 Roller 1 Disk Hai row old 1 Tooth Harrow Wheelbai rows 8 Separator 1 Reapers and Binders 2 Seed Drill 1 Cultivators 2 Shredders 1 Bone Mill 1 Lawn Mowers 2 Potator Digger 1 Openi g Pluw 1 Pitchforks 10 Rakes 8 Spades 3 Shovels 14 Weeding Hoes 40 Pcks 6 Mattocks 6 Stretcher prs 3 Hand Saw 1 Hammer 1 Square 1 Brace and Set Bits 1 Grass Blades 6 Grain Cradles 9 Double Piow Stocks 3 Cotton Planters 2 Stump Puller 1 Milch Cows 142 Calves 43 Heifers 92 Steers ifj Work Oxen 8 Bulls 9 Hogs and Pigs 154 Georgia State Sanitarium 13 Report of Storekeeper Georgia State Sanitarium MiliEdgeviile Ga January ist 1906 Mr L J Lamar Steward Geotgia State Sanitarium Dear SirMy report of issues for the fiscal year beginning January 2st 1905 and ending January ist 1906 is on file in the Stewards office Stock on hand January ist 1906 1613835 Respectfully submitted W H Hunter StorekeeperIBBBDEDEDDB 74 SixtySecond Annual Report Report of Bookkeeper Georgia State Sanitarium Miixedgevilie Ga January ist 1906 Dr T O Powell Snperintendeit Georgia Slate Sanitarium Dear SirI hand you herewith my report as Bookkeeper showing purchases for Apothecary and Engineer Also a state ment of the provisions supplies furnishing clothing etc on hand and received and the issues of same from January i 1905 to January r 1906 and the balance on hand as invoiced Jan 1 1906 Yours very respectfully W A Gileespie BookkeeperBookkeepers Report Showing Purchases for Apothecary from January 1st 1905 to January 1st 1906 Dates of Invoices Names from Whom Purchased 1904 Dec 2 1905 Jan 5 1904 Dec 31 29 The Pacona Laboraories The Pacona Laboratories 11 14 it 12 1904 Nov 21 1905 Jan 19 ii 11 ii 27 it 28 u 30 11 17 Feb 3 Jan 16 Feb 2 u 8 Jan 30 Feb 16 C 15 Blutheuthal Bickart The S S White Dental Mfg Co LamarTaylor Riley Drug Co Mason Tablet Co The S White Dental Mfg Co Union Recorder Wm S Turner Distilling Co Colbern Birks Co McKesson Robbins Lamar Taylor Riley Drug Co H M Lamar Co LamarTaylor Rilty Drug Co McKesson Robbins Wm H Armstrong Co McKesson Robbins Bluthenthal Bickait Geo D Case Porke Davis Co LamarTaylor Riley Drug Co Sharp Dohme a a o a 10 00 84 65 43 57 15 30 00 68 1 10 22 50 23 61 143 46 5 35 15 00 38 30 20 97 22 32 80 85 01 6 25 27 50 10 70 35 be a SjJh blo a p a 3 fioQ 5 00I 5 00 30 00 143 46 5 35 15 00 34 20 20 97 80 6 25 27 50 10 71 35 10 0 57 15 1 00 4 68 52 3 o o q p 03 3 a 11 4 10 22 50 23 61 a 03 at o t3 2 SdS a St a 3 3 01 teas 4 65 85 01 POg SVnaQ I 22 32 in SI nBook keepers Report Showing Purchases for Apothecary fom January 1st 1905 to January 1st 1906 Continued Dates of Invoices Namps from Whom pukcuased on O a bo Q v biC PlOQ 055 e X if S O A 3 o q as n GO a 2 d Si 3 00 C3 O 3 3 ocoq OB ao a C a 3 5 goo Feb 18 Geo D Case 1 70 11 50 26 30 87 31 16 43 9 00 51 45 25 33 81 13 55 52 47 35 0d 89 30 17 75 38 50 3 36 3 85 7 65 9 72 2 76 1 70 19 27 12 00 1 70 11 50 Jan 28 Myer Brothers Drug Co Feb 25 ii j7 The S S White Denial Mfg Co 26 17 31 16 Mch 2 1 The S S White Dental Mfg Co 43 4 4 The 8 8 White Dental Mfg Co Geo D Case 45 51 9 00 6 7 LamarTaylor Riley Drug Co 25 33 81 13 55 52 47 35 00 13 15 7 McKesson Robbing 16 89 30 14 McKesson Robbins 17 75 10 Chas E Stulfcs Co 38 50 2 John Wveth fe Brother 3 36 3 85 13 LamarTaylor Riley Drug Co 24 7 65 21 9 72 30 John 8 Hoge Drug Co 2 76 29 rhe 8 8 White Dental Mfg Co LamarTaylor Riley Drug Co Wm H Thomas Co 19 27 1 70 April 3 3 12 66 ii i4 3 37 3 37 I s Bookkeepers Report Showing Purchase8 for Apothecary from January 1st 1M5 to January lt 1900 Continued Dates of Invoices Names kbom Whom Puwjuased April May June 28 24 23 25 2 20 8 13 16 16 17 8 12 14 15 20 29 24 23 July May July s IS 1 1 It 7 11 1 U 15 The S White Dental Mfg Co Sharp Dohnie McKesson Rohbins McKesson Robbins Armour Packing Co V K Ferryman Co Lamar Taylor Riley Drug C Cod man SliurtUft The S 8 White Dental M fg Co Blut hen thai Bickart Parke Davis Co LamarTa lor Riley Drug Co The 8 S White Dental Mfg Co McKesson Robbins McKescon Kobbins Foote Davies Co LamarTaylor Riley Drug Co Bluthenthal Bickart The R Hoehn Co The 8 S White Dental Mfg Co Colberu Birks Co Sharp Dohme Sharp Dohme Larmir Taylor Riley Drug Co Parke Davis Co Sharp Dohme 1 28 62 49 90 58 67 15 00 25 90 22 04 1 50 2 97 84 OS 35 33 40 251 3 91 3 22 36 88 4 00 13 00 85 23 59 17 2 72 25 26 h9 11 63 32 50 55 40 18 75 Q SpS s a 62 49 90 58 67 15 00 22 04 40 25 36 88 13 00 21 70 55 40 18 75 Q si a p a 3 1 28 u o o 3 11 CC T3 I n 83 3 3 ODOQ So a o 3 to P 3 4 00 2 97 84 08 3 91 59 17 39 11 63 10 80 2 72 85 23 25 26 35 33 25 90 1 50 Co 8 F Book keepers Report Showing PurcLases for Apothecary from January 1st 1905 to January lt 1906 Continued Dates of Invoices Names from Whom Purchased m a E 00 So Q 00 ScJh bto 00 fitjQ 3 s o o 2 A a s SI S3 00 S a 2 a ei S 2 33 5 ii 00 t 3 3 0D0O Assistant Physicians Supplies 5 July 1 18 I 1 8 19 1 24 1 24 11 25 AU 3 July 25 21 Aug 9 t 9 a 16 K 9 II 8 a 5 July 26 Aug 5 1 8 U 19 f 19 I 11 July 20 Aug 31 Sept 13 u 12 Lippman Drug Co Armour Packing Co Geo D Case The S S White Dental Mfg Co LamarTaylor Riley Drug Co Parke Davis Co Bluthenthal Bickart LamarTaylor Riley Drug Co Southern Label Box Co John S Hoge Drug Co Johnson Johnson McKesson Robbins Henry J Lamar Sharpe Dohme The Henry B Gilpin Co Mason Tablet Co Chesapeake Glass Co Chas E Stults Co J Ell wood Lee Co The S S White Dental Mfg Co Bluthenthal Bickart McKesson Bobbins VVm H Armstrong Co Parke Davis Co Eimer Amend Bausch Lomb Optical Co 23 50 20 50 20 50 23 50 1 1 10 10 1 91 1 91 5 32 5 32 13 fill 13 til 84 43 37 62 84 43 37 62 21 25 21 25 4 18 4 18 8 00 8 00 12 28 12 28 28 8o 19 50 28 80 19 50 11 34 40 15 11 34 40 15 10 00 10 00 39 38 39 38 83 53 83 53 36 13 36 13 88 22 88 i2 370 47 370 47 36 00 36 00 31 13 3i i3 2 43 2 43 6 68 6 68 H Si a 3Bookkeepers Report Showing Purchases for Apothecary from January 1st 1905 to January 1st 1906 Continued Dates of Invoices Sept Oct Names from Whom Purchased McKesson Robbins Colbem Birks Co Frederick Disinfectant Co The Eli Lilly Co Sharp Dohme Sharp Dohme Bausch Lomb Optical Co Parke Davis Co Sharpe Dohme Sharpe Dohme LamarTaylor Riley Drug Co LamarTaylor Riley Drug Co Armour Packing Co Green River Distilling Co LamarTaylor Riley Drug Co LamarTaylor Riley Drug Co The S S White Dental Mfg Co J K Hoffman McKesson Robbins Seabury Johnson McKesson Bobbins McKesson Robbins LamarTaylor Riley Drug Co McKesson Robbins Geo D Case LamarTaylor Riley Drug Co o a SbE a a fico a cs us o ft ft ft CS 3 a s 3 13 03 m os a O 3 SfiS a uT ft s a 3 OQCC 5 a n o s 32 23 56 17 11 32 11 18 1 2 IS 13 37 16 1 2 1 33 32 28 17 72 11 16 32 92 18 10 1 20 2 85 18 19 9 72 7 00 14 95 16 20 25 65 19 09 1 00 33 50 13 00 9 20 37 20 1 25 7 71 11 10 50 23 20 f 96 42 56 38 8 S J Bookkeepers Report SLowfng Purclases for Apothecary from January lstf J905 to January lot 1900 Continued Co o Biits of Invoices Namks fbom Whom rUKCHASbu Amounts so Q Druggists Sundries en 0 33 y a a a Ogq u o m a 2 i o a 2 CO 3 Am T3 V a en a S o a 53 3 w 00 a 6Xg S 3 GOOD Assistant Physicians Supplies 27 The 8 S White Dental Mfg Co The s S White Dental Mfg Co 75 2 64 14 50 86 49 22 88 1 50 13 32 33 45 118 48 18 82 12 97 92 10 1 34 9 00 3 51 b8 50 1 70 3 13 39 38 2 09 5 04 85 88 10 00 75 2 64 Nov 1 Oct 27 14 50 86 49 22 88 0 Oct 31 Geo Tiemann Co LamarTaylor Riley Drug Co 1 50 Nov 1 13 32 11 22 15 118 48 18 82 12 97 11 30 ii 7 7 13 13 92 10 1 34 14 8 9 00 Dec 4 George Tiemann Co Wm H Armstrong Co The S S White Dental Mfg Co 3 51 Nov 23 58 50 25 1 70 Dec 6 3 13 4 Chas E Stults Co 39 38 26 The S S White Dental Mfg Co 2 09 5 04 29 23 Bluthenthal Bickard 85 88 19 The Pocona Laboratories Total 10 00 100 72 3974 50 1853 68 562 68l76 23 31 21 987 16 117 26 151 01 87 H2 I to s 8Bookkeepers Report Showing Purchases for Engineer from January 1st 1905 to January 1st 1906 Dates of Invoices Names prom Whom Purchased DO 3 O a Pipe and Fittings Lime Cement and Brick 5 of So a s k3 Packing Machinery and Hardware Telephone and Electric Lights CO M U o 0 o M GO eo n a a 3 m 1904 Dec 12 21 The Fred W Wolfe Co The BaileyLebby Co Cotton States B S Co 47 19 13 Iff 31 87 1 85 39 30 14 40 24 54 4 38 18 94 21 00 78 05 47 04 G 42 53 04 45 84 1 00 22 50 40 00 35 82 35 50 29 16 26 49 37 50 13 17 47 19 27 31 37 16 85 Cuyler Mohler 39 30 14 40 Beck Gregi Hdw Co Cotton States B 8 Co Little Co 28 24 54 29 4 38 31 18 94 1905 Jan 4 J R Hines 21 00 5 R W Hatcher 78 05 1904 Dec 29 Merchant Co 47 04 1905 Jan 4 F J CoolidgeBro F J Coolidge Bro T C Burke 6 42 53 04 45 84 6 12 Cotton States B S Co The Cook Lumber Co J W McMillan 1 00 35 82 12 22 50 40 00 21 23 The Ahren Ott Mfsr Co tibe Amer Laun Mach Co TEe Yale Towns M fg Co F J Coolidge Bro 5 35 50 29 16 11 7 26 49 37 50 Sp Ob S fBookkeepers Report Showing Purchases for Engineer from January 1st 1905 to January 1st 1906Continued Co Dates of Iuvoices Names from Whom Purchased s a 3 o 2 03 c 5 Lime Cement and Brick o a So 4a s M P 2o a Ph Machinery and Hardware Telephone and Eleetric Lights 00 M h O a S M 00 2 T3 a 3 R W Hatcher 2 87 18 60 5 10 19 50 32 00 2 71 9 57 2 15 58 80 2 00 68 85 3 50 1 25 21 00 7 05 3 50 2 38 8 00 17 33 9 70 2 25 93 58 75 21 6 00 31 46 62 50 9 9 9 9 2 87 16 60 5 10 9 37 50 Feb 10 Rifes Hydraudil E Mfg Co Lombard I W 8 Co Lombard I W 6 Co T C Burke 9 31 19 50 Feb 11 32 00 14 Conklin Tin Plate M Co R W Hatcher 2 71 9 57 2 15 21 22 10 58 80 27 2 00 21 The Fred W Wolfe Cordesm an Machine Co The Lagonda Mfg Co J R Hines 68 85 25 3 50 1 25 28 Meh 3 21 00 7 05 18 Cordesman Machine Co Fred Hang 9 3 50 22 2 38 14 8 00 Feb 20 Standard Oil Co 17 33 27 Lombard I W S Co 9 70 23 2 25 18 Lombard I W S Co The Ahren Ott Mjg Co Cameron Bart ley Co The Amer Laun Mach Co 93 58 20 29 75 21 6 00 31 46 24 21 62 50 8 s a 8 ft 8 5Bookkeepers Report Showing Purchases for Engineer from January 1st 1905 to January 1st 190GContinued Dates of Invoices Names from Whom Purchase a a o 4 3 B 2 M a c SO g 5 off Id u u a a Hi be a o ss ft Machinery and Hardware Telephone and Electric Lights m M u o 9 M 9 o a s 50 Apr 4 Mch 30 28 00 153 50 65 81 29 40 28 00 5 33 9 00 5 00 35 00 i i s no is 1 The Platt Iron Works Co Geo D Case 153 50 Apr 10 29 40 5 33 9 00 65 81 Mch 27 TheBashlin Co Apr 15 28 00 7 The Ahrens Ott Mfg Co Cotton States B S Co The Cook Lumber Co The Tripod Paint Co 10 13 5 00 24 35 00 May 1 W WMoran 117 81 117 81 2 Lombard I W S Co Atlas Engine Works The Keystone C Mfg Co The Ahrens Ott Mfg Co J A Fay Egan Co 2 60 2 00 13 13 16 50 8 05 3 50 2 00 8 75 28 00 8 21 8 00 28 00 24 08 15 30 35 00 11 05 2 60 Apr 25 2 00 13 13 28 16 50 May 4 8 05 2 3 50 19 2 00 17 J E Buerk 8 75 9 The Cook Lumber Co International G A B Co The John Van Range Co Carter Gillespie Elec Co The Lagonda Mfg Co The Cook Lumber Co The Babcock Wilcox Co 28 00 20 8 21 19 8 00 27 28 00 23 24 03 15 30 Jun 8 11 05 35 00 9 8 Bookkeepers Report Showing Purchases for Engineer from January 1st 1905 to January 1st 1906Continued Oo Names from Whom T PUROIlAfcKD a 3 0 a so 53 2 at Lime Cement and Brick 5 hi a s a i w a 73 Pi Machinery and Hardware Telephone aud Electric Lights M o 0 S M 0Q a 3 Jun 5 13 28 26 July 1 3 10 155 13 5 00 11 05 l 81 17 50 70 88 12 24 30 90 27 84 46 25 32 00 14 85 29 60 94 65 19 20 3 30 61 71 5 63 75 00 7 00 21 25 8 50 102 00 4 25 10 50 5 25 155 31 The Platt Iron Works Co tfhe Babcock Wilcox Co Lombard I W S Co The Amer Laun Mach Co W d TTawbino 5 00 11 05 F P 27 81 17 50 70 88 Lombard I W S Co Cotton States B S Co The Ahrens OH Mfg Co The Fred W Wolfe Co The Crok Lumber Co T C Tlnrke 12 24 30 90 27 84 Jun 27 26 22 27 July 8 Jun 20 46 25 32 00 14 85 29 60 Standard Oil Co Lombard T W S Co Lombard I W S Co EJPD WMTingham Southern Spring Bed Co The Cook Lumher Co Cotton States B S Co Cotton Stales B S Co 59 98 34 67 10 20 July 8 330 61 71 2f12 24 17 IS 27 6 24 n 5 63 75 00 7 30 21 25 8 50 102 00 Troy Laundry Machine Co Stembridge Lumber Co Stembridge Lumber Co 4 25 10 50 5 25 Co sBookkeepers ReporShowhgh Dates of Invoices Namrs from Whom Purchased July 31 Aug 29 4 12 15 18 23 30 Sept 1 5 9 8 12 li 11 1 Aug 31 Sept ID 20 27 25 16 Cotton States B S Co tton States B S Co H Cbannon Co The Platt Iron Works Co The Ahren Ott Mfg Co The Tripod Paint Co Sciple Sons 1 he Ahrens Ott Mfg Co The Ahrens Ott Mfg Co Bashlin Co Lombard I W S Co Geo D Case standard Oil Co Lombard I W S Co Lombard I W S Co Lombard I W S Co Geo D Cafe Keuffler Esser Co Lombard I W S Co J S Schofieids Sons Co United Statee Radiator Co J S Schofieids Sons Co Jno L Moore Sons J R Hines Eureka Blotter Bath Co The Yale Towne Mfg Co a o 2 B 60 22 Pnh B oi B 3 So SI a a 4 60 S OS Hi o TO 33 OS 2 60 B 1 40 98 1 17 30 53 13 60 213 50 127 50 47 92 9 90 84 33 11 24 92 3 50 16 22 30 20 85 4 00 2 00 20 04 37 41 107 64 5 07 26 25 3 00 52 5C 1 50 260 59 213 50 9 90 47 92 5 07 127 50 52 50 3 50 16 22 2 00 40 98 117 iseo 30 33 11 24 92 20 85 4 00 37 41 107 64 2625 270 59 I 30 53 84 20 04 s 66 io6 Si in 3 Bookkeepers Report Showing Purchases for Engineer from January 1st 1905 to January 1st 1906Continued Dates of Invoices Names from Whom Purchased Oct 2 Sept Nov 25 26 27 30 2 4 10 7 16 5 10 14 23 18 6 The Joseph Dry Goods Co Lombard I W S Co J S Schofleldss Sons Co Crane Co The Ahrens Ott iVfg Co Conklin Tin Plate M Co Standard Oil Co Harrison Bros Co Standard Oil Co Crane Co Lombard I W S Co The Cook Lumber Co Carter Gillispie Elec Co Jno L Moore Sons Stevens Bros Co Stevens Bros Co J S Schofields Sons Co Josoph Staley Crane Co Lombard I W S Co ParkerRussell M M Co ParkerRussell M M Co Dow Wire Irom Works Jno L Moore Sons Lombard I W S Co Geo D Case a a a o a 1 a at Lime Cement and Brick m a o a u x a 3 4 a 3 V OS Machinery and Hiardware Telephone and Electric Lights Ice Works Sundries 42 79 52 18 13 19 20 19 20 18 17 79 52 42 1813 8 35 56 7 39 24 30 24 30 18 50 18 50 12 45 51 84 12 45 51 84 k 124 40 124 40 8 102 03 102 03 30 00 63 63 30 00 ft 63 63 3 00 120 25 47 88 V 47 88 33 50 33 50 4 00 4 00 19 06 19 06 3 90 3 90 167 50 167 50 7 20 45 45 7 20 45 45 3 00 3 00 90 90 1 00 1 00 Bookkeepers Report Showing Purchases for Engineer from January 1st 1905 to January 1st ISCntinueo Dates of Invoices Names from Whom Purchased a 3 o a 03 p DT3 Oct 7 Nv 7 Oct 20 Nov 3 6 20 Dec 1 Nov 27 11 25 Dec 2 1 Nov 25 Dec 8 23 25 T C Burke W W Morm ParkerRussell M M Co Knowles Steam Pump Wks The Fred VV Wolfe Co The Yale Towne Mfg Co UnionRecorder Southern States Elec Co J E Buerk The Cook Lumber Co Lombard I W S Co Foote Davies Co The Amer Laun Mach Co Harrison Bros Co Conklin Tin Plate M Co Conkliu Tin Plate MCo 173 82 455 93 10 5d 532 00 45 62 9 00 2 00 22 50 5 45 12 00 10 13 61 84 87 24 7 50 26 90 56 60 6498 11 M fepq M3 a 3 i5 so a 03 173 82 455 93 50 12 00 03 as a a 3 0D 10 50 532 00 900 10 13 87 24 22 50 45 62 2 00 6 45 61 84 26 90 56 60 912 38 542 02 724 56 705 37 34 31 2295 49 110 16 207 91 965 91 a Co s s 3 088 SixtySecond Annual Report Bookkeepers Report Showing Furnishing Clothing etc on hand received and issued from January 1st 1905 to January 1st 1906 Articles on Hand and Received Awning iloth yds Anvils Aprons Axes Axles steel Blades meat saw Bands rubber gross Bands back Baskets grata Bedtieks Bed spreads Bridle bits Bits auger Blacking boxes Brushes counter Blades grass and stoiks Blankets pairs Bleaching 44 yards Bleaching 34 yards Blotters Bolts tire plow point heel carnage Bonnets Books prescription opy and letter time hiank receipt histories histories bound indexes Bowls and pitchers Boards checker and men Brooms Brushes hair shoe I shaving scrub whitewash wall tooth Buckles harness doz Buckets water tin well Bells dinner Bedsteads iron Biscuit cutters 32 32 1 1 1111 925 53 30 2 2 21 9 3 3 20 s 20 173 2690 i 2 147 2 5 5380 8992 671 If 600 200 150 60 506 3211 1000 27 39 297 3 1 I 64 2 3 602 656 58 154 444J 344 44i 596 6 49o 108 37 1 30 1 1612 2051 6 A 94 2 5 3142 7091 J 38554 600 200 150 60 506 312 1000 27 15 228 3 1 1 O 43 2 3580 414 30 78 40 267 19 516 6 363 105 29 A 13 10 23 12 3 125 648 40 2238 189o 28561 24 61 21 22 242 28 68 43 77 25 80 132 3 7Georgia Slate Sanitarium 89 Bookkeepers Report Showing Furnishing Clothing etc on hand received and issued from January 1st 1905 to January 1st 1906Continued Articles on Hand and Received 3 o SO M QQ 5 tj QQ iliil Boilers rice granite Batting cotton lbs Bed pans Burial Robes Bowls wash Buttons dress doz rice doz pants doz Bolt dies and collars clippers Braid bunches Bagging jute yards Bridles Blowers Blanks order to storekeeper Broom inventories nurses daily report asst physician ward inventories circulars for supplies Combs coarse Combs tine Chair bottoms or seats Curtains Clucks offee pots Cups and saucers Cups tin Chairs Rocking invalid Cards playing decks Candlesticks Chambers Chemise Casting boyvdixie wings points slides Capes Carving sets Crayons gross Coffee mills Clippers prs Carpeting yds Cologne hots Calico yds Chewing Gum pcs Cans milk 1 1 3 6 296 1 7579 16 878 4921 3 1 9 200 4 3 13500 10000 300 30000 1000 6010 2000 2386 1002 288 208 55 56 3072 3130 63 24 5 373 185 1017 5189 42 156 60 280 1 1 z 1 1 3331 36 859J 100 13 1 1 3 6 257 1 1711 11574 3999 3 1 9 200 4 3 13500 10000 ojooo 1000 1772 2000 1689 445 288 208 30 30 1955 3001 63 24 5 318 181 808 4834 42 156 60 280 1 i 1 1 3331 36 859 100 1 5868 5 304 922 12 300 4238 697 545 25 26 1117 129 55 209 350 129o SixtySecond Annual Report Bookkeepers Report Showing Furnishing Clothing etc on hand received and issued from January lift 1905 to January 1st 1906Continued Articles on Hand and Received 6 a t i a 03 M M 3 a E o 3 H OD C a n 25 Cans lard Can openers Card jim crow Clothes suits Christmas goods lots Chains well trace prs Checks and Chevoits yds Clevises Cloth oil yds Coats duck Collars horse Cottonades yds Curry combs Cupbard bolts Crash yds Commodes Coats rain Covet cloth yds CorkB gross Dippers large small Dishes granite butter sugar Dish paus Dishes pivserve Door mats Drawers Dresses calico homespun and wrappers strong ginghams Diapers Drilling yds Drapery yds Duck yds Dnstrs feather Envelopes Egg beaters Elastic yds Erasets Fans Fly fans Fencing wire rods Fenders Jones Files doz Flannel yds Forks liesh 2 2 9 1 2 1 3 10360 24 925 2693 60 24 6327 12 12 3038 12 8 3995 2 32 1921 726 139 139 83 12 8 7937 86 3378 610 1982 600 14 000 559J 2521 i 83 50250 2 15 2 700 1 12 9 1A 1822 27 1 2 2 1 2 1 3 10360 24 9194 1755 1 24 6327 12 12 3038 12 8 3 994 2 9 1551 335 66 61 67 12 2 6701 86 3 378 601 1982 600 14100 15595 2 521 78 41825 2 15 2 671 1 12 9 1W 20 4 25 5 918 55 21 345 391 73 75 16 6 1227 5 8425 29 24Georgia State Sanitarium 9i Bookkeepers Report Showing Furnishing Clothing etc on hand received and issued from January 1st 1905 to January 1st 1906Continued Articles on Hand and Received T3 0 h a en 03 60 S3 sa M j 93 3 0 H 5j ajs o 03 Faucets Felt yds Foot balls Fastners paper clipped boxes Gowns Gingham yds Glass window boxes Globes lautern Fruit jar rubbers dozen Fruit jars doz Hose ladies prs Handkerchiefs Hats and caps Hamestrings Hammers Hatchets Handles axe pick Heads letter Hose rubber feet Horns guano Harrows Hoes scovil Horse shoe rasps Ink oz Irons saddle lbs Irons wafrles Ice shavers Iron and steel lbs Jeans yds Knives and forks Knives extra butcher drawing Kettles Knitting needles sets Lanterns Lamp burners Locks Lampwicks Linen glass yds table yds Leather sides Lawn white yds Ledgers Labels boxes Lonsdale homspun yds Linoleum yds Lemons doz Mowers 4 4 21 2 21 2 1 1 3457 3457 28527 4Q 5 7 121 25049 19 60 43 66 66 6 6 10750 7449 4134 2576 143 2260 1538 35 35 4 4 1 1 82 42 13 4 40000 40000 12 12 12 12 4 4 73 73 6 6 772 562 732 559 1 1 1 1 1484 1484 6016 1 6016 1 75 33 2 1 1 10 10 10 10 59 36 11 6 209 168 296 162 5 12 12 116 116 5 5 851 1 825 1 25 6 6 10 10 643 10671 146 1030 36 1 1 1 3435 30 P 7 ournTj 61 3301 1415 722 40 9 207 173 40 23 5 41 129 497SixtySecond Annual Report Bookkeepers Report Showing Furnishing Clothing etc on hand received and issued from January 1st 1905 to January 1st 1906Continued Articles on Hand and Received Mow er bolts section boxes Guaids rivets boxes Flv wheel shafts M 290 and 308 Mattresses cotton Muzzles wire Matting coco yds straw yds Measures peck i bus Moldboard pis Mowers Lawn Marbles Meat choppers Netting mosquito pc Napkins Nails horse shoe lbs Nainsook muslin yds Needles papers sewing machine doz Nuts blank lbs Letter riles Matches doz Osnaburg yds Picture wire rolls Plow standards Plates soup granite and desert tin Pencils lead Pans mess wash Muffin tin bake Pitchers glas tin granite syrup Pillows feather burial and cotton Plates scrap Pillowcases Pillowtioks Pins papers hair paper safety doz Pants prs 01 si o a 5P M a si CO 15 15 3 3 12 12 2 2 1 1 2 2 1 1 18 18 908 455J 56 56 1 1 1 1 3 3 2 2 48 48 2 2 24 24 902 878 75 75 500J 134 948 416 2 2 6 6 1 1 1964 10855 5751 5751 1 1 3 3 586 475 1843 1090 2862 1638 2745 1981 49 28 4318 3592 32 9 28 9 182 111 12 12 164 152 269 164 125 120 24 24 314 314 48 48 7257 6294 1067 1006 35 910 701 1 1130 980 48 461 4426 4000 4 453 24 366 532 853 111 753 1224 680 21 561 4 69 9 105 5 963 626 209 150 H 422Georja State Sanitarium 93 Bookkeepers Report Showing Furnishing Clothing etc on hand received and issued from January 1st 1905 to January 1st 1006Continued Articles on Hnd and Received P 0 p so 03 M 9 u a Pan duck prs Paper rolls toilet caseK T W lote writing quires journals sheets Pens fountain writing Picks R R Pch forks Picks tooth boxes Powder face boxes Polish stove pkgs Pictures Plo8 steel lbs each Protectors chest Plow stocks bandies Powders stock lbs chicken pkgs Props for carriage top Rubber stamp pads Rugs Refrigerator Razors Reports trustees Ribbon velvet yds T W Rings muffin Rake teeth Rivets lbs Ripe col ton and well Rims wagonv Sweep wings and castings lots Shears pruning Scissors and shears t Slo ns basting table and tea doz Scoop coal Shades Sheets Slippers prsy Shoestrings prs Shirts nuder top long night Skirts iannel under under 63 3 1 1 2710 1000 3265 11 3 24 24 2 24 4042 64 i 2 15 4 1 4 1 64 1 72 2000 236 2 3 1 1 2182 1000 1 2761 2 3 24 24 2 21 4042 64 9 15 2 153 4 1 4 1 64 1 72 2000 167 1 2 3 1Q 265 1 1 2 69 15 309J 36 32 10491 370 5910 2195 6533 4681 eo 3126 60 553 564 69 217J 7 30 114J 6 232 321 366 831 1190 875 9 SixtySecond Annual Report Bookkeepers Report Showing Furnishing Clothing etc on hand received and issued from January 1st 1905 to January 1st 1906Continued Articles on Hand and Received Salt and pepper shakes Strainers milk Spittoons Saucers extra Saws butcher Screw drivers Sheets oil Soap toilet cakes Sacques dressing Singletrees Spring leaf Scuttles coal Sets fire Sheeting unbleached 44 yds 74 yds 84 yds bleached 104 yds Qu 64 yds Shirting J yds Scrim Shoes mule kegs horse kegs Saddles Shells shot boxes Shovels L handle Sifters Socks Springs bed Stone fire pots Staffs pen Swiss yds Staples lbs Si raps razor Suspenders prs Scales platform Scrapes steel lbs Sockets for carriage top Spoke pointers Smith hardees Spokes Saws hand Shoes men and women pre Sealing wax lbs Ties cotton bunches Tape rolls Tacks papers Tapers wax Thimbles Thread ball lbs Thread knitting lbs 13 3 o 146 1 7 134 1 1 603 6362 2 1 1 5 3 38254J 11383 16192 14161 1574 37852 99 11 7 1 1 33 11402 102 4 306 360 11 109 7331 1 88 1 1 1 26 3 6514 3 6f 84 445 594 722 60 146 500 6133 2 1 1 5 3 38254 11383 16192 890 202 37822 99 1 3 9704 100 4 186 285 11 90 3059 I 88 1 1 1 26 3 5925 3 6f 84 199 132 632 47 e 60 si M a S 0Q a s a a a 3l a 37 1 128 103 192 23i 523 1371 2 1 1698 2 120 51 i9 4272 42 2 589 204 462 88 13Georgia State Sanitarium 95 Bookkeepers Report Showing Furnishing Clothing etc on hand received and issued from January lut 1905 to January 1st 906Continued Articles on Hand and Received 13 3 O E 68 JO a XI 0 o3 3 2 2 3 a irttfiM Thread spools Traps rat Ticking yd Tongs shop Towels Tubs foot Tumblers Turners battercake Tables Small Tents hospital Tugue irons Twine balls Table covers Table cloths Tea pots Typewriters Tubs wooden Tire measuring wheel Tobacco cutters Tablets writing Trucks Laundry Tape measures Under waists and bodies Vests men Wrappers white lawn Whet rocks Wheelbarrows Waiters tin Waists shirt Wrenches monkey Washers iron lbs Wagons two horse Wire hay bundles Whips buggy Well whirls Water coqjers Molasses gates Forks extra doz Pots gallon 14695 6 11078 1 3448 699 1574 20 6 1 1 215 382 59 11 1 1 2 32 4 1 731 1041 1 10 2 173 5 1 5 2 8 11345 6 11078 1 3349 266 1228 1 6 1 1 108 382 59 3 1 l 2 18 4 1 347 639 1 10 2 97 5 1 5 2 8 1 1 1 1 23 3327 433 316 19 107 384 396 76P6 Sixty Second Annual Report Bookkeepers Report of Provisions Supplies etc on band received and issued from January 1st 1905 to January 1st 1906 Articles ox Hand and Received u O o u 3 50 g H M C 3 a 3 O Shri Acid Oxatic lbs Ammonia carb lbs Apples bbs Apples doz Asparagus cans Acid plfosphate tons Bacon and D S Ribs lbs Keef lbs Baking powders lbs Brains sets Biskets Beeswax lbs Blue an line lbs Banannas duz Beans qts Beans cans Buckwheat flour sks Bacon breakfast pc Butter and oleomargarine lbs Barley seed bus Beef c irned and chipped cans Beef extract jars Btan wheat lbs Cheese lbs Cherries cans and bottles Coflee lbs Cabbage lbs Celery bunches Corn canned caus Candles lbs Candy lbs Cane bunches Cigars Cinnamon lbs Cloves lbs Cociauts Copperas lbs Crackers lbs Chocolate lbs Currants lbs Citron lbs Cranberries gals Corn seed bus Cow feed lbs Cream pts Cream of wheat pkg Clover seed lbs 90i 1 5i 6J 6 55 199829 450990 172 49 11 9 21 9 10 3 2 41860 5 24 l 718 250 17790f 10 38698 283 16 18 7347 1200 J16 400 6 1 626 24 24471 2 14 5 4 3 408731 22 6 200l 48 2 49j 6 55 190138 437435 1 172 49 11 7 21 9 10 3 2 41860 5 24 1 718250 17445J 10 37578A 281 16 18 6300 1200 116 400 6 1 626 24 2303 2 14 3 40875 22 a 200 42 12839 11 6704 6715 32J 313 1120 lie 1347 28Georgia State Sanitarium 97 Bookkeepers Report of Provisions Supplies etc on hand received and issued from January 1st 1905 to January 1st 1906Continued Articles on Hand and Receivkd a V s 03 bo c3 r a H M 3 O a H 0Q SJo Celery seed lbs Cotton seed meal tons Dates lbs Dried fruits lbs Dressing bots Eggs doz Flour lbs Flowerseed lots Grits lbs Gelatine and Jello pkg Ginger lbi Grease axle lbs Grapes lbs Gras3 seed lbs Gold dust pkg Garden Seed lbs bus Hams lbs Ham devijed cans Hominy cans Ice Cream Powders pkg Kainit tons Lime chlide lbs Lard lbs Lobsters cans Lettuce heads Lamb roast Linament gals bots Mackerel lbs Mapl flake pkg Meal lbs Mutton lbs Moth balls lbs Meat juice press Mince meat lb Macaroni pkg Machine oil cans Nuts mixed lbs Neatsfoot oil gal Nutmegs Oatmeal lbs Oranges boxes doz Orange peel lhp Onions sks bus 85 950 9614 3500J 637654J 1 145663 48 85 950 9604 1 3388 615 702 1 134785 48 55 426 6 22 1 39 3 36320 6 12 12 10 240 39158 24 5 1 u 2 21330 360 308460 21214 50 3 60 11 2 1173 2 3 1126 55 4 i 11 21 55 426 6 22 1 39 3 35684 6 12 12 10 240 38215 24 5 1 1 2 21183 248 4492 21214 i 50 3 60 11 2 1173 3 36 1074 55 4 i 11 21 5 21952 10878 636 493 147 3 109 13988 46 798 SixtySecond Annual Report Bookkeepers Report of Provisions Supplies etc on hand received and issued from January 1st 1905 to January 1st 1906Continued Articles on Hand and Received S Onions doz Oats seed bus Oysters cans fresh gals Olives bots Onion sets bus Prunes lbs Pepper black lbs boxes Pork lbs Potatoes Irish sks fresh qts sweet pck Potash cans Pine apples cans Peas cans gals Pinoil soluble gals Rice lbs Rosin lbs Raisins lbs Rye seed bus Rape lbs Salt sacks boxes Soda lbs Sugar lbs Syrup gals Strawberries basksts Soap turpentine bars Soap chipped lbs Soda caustic Sope tera cakes Spice lbs Starch lbs Shad Sausage meat lbs Sardines cans Salmon cans Starch corn pkg Sauce bots Shrimp cans Tea lbs Turnips sks Tumeric lbs Tomatoes cans Tomatoes baskets 2 2 10 10 135 135 U u 1 1 25 25 29 29 930 920 4 4 21173 20498 675 873ft 798ft 2 2 3 3 2416 2383 34 34 18 18 3 3i 49 49 63885 61152 8 8 1022 1022 5 5 10 10 636 500 1 1 1 2131 1975 12 91170 822721 898 15731ft 15429ft 16 16 36000 30 630 22897 22390 7 240 240 673 319 3J 3i 5131 4901i 9 9 6 6 126 126 84 84 5 5 8 8 6 6 174 132 7 435 427ft fi 9 J i 1302 1290 9 5 5 10 75 33 2733 135 144 7999 302 5370 500 354 230 35 1Georgia State Sanitarium 99 Bookkeepers Report of Provisions Supplies etc on hand received and issued from January 1st 1905 to January 1st 1906Continued Articles on Hand and Received o u si P 3 3 m 0 c3 M M P O 3 H SD Tomatoes dozen Tripoli pkg Turpentine gals Tongues cans Tongues fresh Turkey lbs Tripes Turnip seed lbs Tobacco lbs Vinegar gal Vanilla bots Wheat sed bus Watermelon Seed lbs White Mustard seed lbs Yeast lbs j on p 5T S J JO 3 c8 o u 325 89 15243 6 1180J 6 182J e 93 i 91 1 24 24 10792 9610 81 1417 7 10874 7 1364 7J 6 74 6 8 8 702 702 236 161J 1101 193IOO SixtySecond Annual Report Report of Dentist Georgia State Sanitarium January ist 1906 Dr T O Powell Superintendent Dear DoctorThe following is a report itemizing the Dental Treatment and Operations of this department during the year 1905 Alveolar Abscesses treated 37 Facial Neuralgia treated 2 Periodontitis treated 46 Stomatitis treated 2 Pyorrhoea Alveolaris treated 10 Acute Odontalia treated 13 Calcarious deposits removed number patients 105 Pulp Devitalized removed and cavites and pulp canals filled 89 Putrescent Pulps removed tooth treated cavites and pulp canals filled 77 Cavites filled with Oxphosphate Zinc 259 Cavites filled with Amalgam 929 Cavites filled with Gold 12 Crowns made 5 Crowns Reset 2 Artificial Dentures made 14 Artificial Dentures repaired 8 Hypersensative teeth from erosion or attrition cauter ized with Nitrate of Silver number patients 9 Teeth cleaned number patients 3 Teeth and roots badly decayed ulcerative and offen sive extracted 807 Number of patients during the yqpr 1082 Respectfully submitted J C Richard DentistGeorgia State Sanitarium iot Report of Apothecary Georgia State Sanitarium Milledgeville Ga January ist 1906 Dr T 0 Powell Superintendent Dear SirThe following is my report of the Apothecary De partment from January 1st 1905 to January ist 1906 Being the policy of this department to manufacture all pharma ceuticals and preparations used by the institution we have done so at all times where it was economy to do so restricting purchases solely to chemicals and such specialties as are required by the physicians STATEMENT The following is a statement of all expenditures etc of the Apothecary Department from January 1st 1905 to January ist 1906 Amount of drugs purchased including druggist sundries dental and laboratory supplies etc all prepara tions for fumigation disinfecting and sanitary pur poses also all alcohol wines and whiskies 3818 23 Amount of drugs sold officers and employees 329 73 Amount of drugs on hand 2453 55 Fixtures etc 3 5 5 Number of prescriptions filled 36182 Respectfully submitted D S CarringTon Apothecary202 SixtySecond Annual Report Report of Engineer Georgia State Sanitarium Miixedgeviiie Ga January ist 1906 Dr T 0 Powell Superintendent Dear SirI have the honor of submitting herewith my report of the workings of this department from January 1st 1905 to Jan uary ist 1906 Respectfully submitted T H DeSaussdre Engineer IMPROVEMENTS The interior finish of the fourth wing of the Cabaniss building including floors ceiling plastering doors painting steam heating plumbing and wiring for electric lights has been completed The south court yard of the Cabaniss building has been graded with a fall from the building to carry off the surface water and six hundred and seventy feet of twelveinch sewer pipe has been laid through the hill back of that building to take care of such water as falls on the yards The down spouts of the unfinished wing of the Whittle building have all been connected to the sewer about that building five hun dred feet of sixinch terra cotta pipe and thirty feet of fourinch cast iron soil pipe being used in that work The blowoff pipe header from the boilers of the Twin buildings has been connected to a line of old two and onehalf inch pipe and run under ground to a point outside of the yard walls All of the wood work of the Infirmary ward of the Whittle build ing has been painted and finished in white enamel and fly screens have been put to all doors and windows of that ward as well as to those of the four office rooms of the Whittle and Cabaniss buildings A latticed partition on one side and a lath and plastered one on the other has been placed lengthwise of the sun room of the In firmary Ward of the Whittle building making a dining room on one side and an operating room on the other with a hallway beGeorgia State Sanitarium I03 tween Electric lights in suitable number for the respective pur poses of each room have been placed in position The operating room has been supplied with a suitable cabinet tables shelving and a sink and in the dining room a sink has been placed with hot and cold water supply as well as tables safes etc On Ward O of the Cabaniss building two single rooms have been made into one by cutting out the partition wall between them Electric light wires have been run into this room and a single 16 c p lamp installed One cottage has been given two coats of paint on the outside and five dining rooms have been painted during the year Twelve panels of heavy retaining fence were put up in coal yard of the building for male convalescents Two pavillions one 24x36 and the other 25x40 feet each with eaves overhanging four feet all around the open sides were built in the yards of the building for male and female negro patients These structures are built of wood with open sides wood floors and shingle roofs with ventilators in top A separate water closet has been put in each of these yards for the use of the patients occupying the pavillions Pipes have been run from the main building to the Whittle and Cabiness building and also to the negro building for furnishing drinking water from the artesian well supply Four automatic seatflushing water closets have been substituted for the oldfashioned ones on Wards 19th and 20th male Three urinals with automatic flush tanks have been put in water closets of 19th 20th and 21st male Twelve lavatories and six urinals have been put in the Twin buildings A duplex steam pump for the proper handling and distribution of artesian water has been purchased and set up in the Engine room of the main building A complete survey has been made for the new system of filtration and water works plans drawn and specifications written Twenty four sets of plans and many sets of specifications without plans were sent out to prospective bidders A survey has also been made to determine the amount of land purchased for the water works plant Two hundred and twentyfour trees Water Oaks have been planted in the yards and about the front of the Whittle and Cab aniss buildings10 SixtySecond Annual Report Six chicken coops each nine by fourteen ieet have been built in as many yards of the several buildings Six steam direct radiators have been placed in the nurses rooms of the 8th 9th iStb 19th and 20th Wards to take the place of the indirect radiators which were removed from the base ment iu making room for the passage under cover for inmates going to and from kitchen for meals Besides the usual repair work the following work has been done 458 Coffins 2 Room floors 139 Boxes for shipping coffins 1 Closet in apothecary department 330 Perforated wood seats in chairs 1 Pair of crutches 130 Cane seats in chairs 95 Bed springs placed in beds 650 Chairs repaired 45 Tables repaired 15 Lounges repaired 4 Awnings for windows made 8 Aprons for mangle 15 Carpets put down 16 Rolls of linoleum put down 5 Rolls of cocoa matting put down 5 Sides of harness leather worked into repairs 8 Plow beams 2 Bolsters 2 Deep wagon bodies for hauling corn 6 Stepladders 3 Sets of steps 28 Voucher boxes 6 Lattice doors 2 Panel doors 9 Tables 4 Sink tables 2 Compoit mixing boxes 10 Commodes 3 Hopper seats 4 Feed troughs 1 Clothes rack 34 Yard benches 96 Hoe handles 140 Mop handles 104 Lineal feet of swinging scaffold 4 Sets of clothes shelves 60 Shuck mops 1 Gate 8 Bread paddles 1 Hominy paddle 3 Window shelves 1 Boat 2 Boat paddles 3 Record boxes 1 Box lounge 1 Large cabinet with shelving cupboard and doors 7 Door frames 6 Window framesGeorgia State Sanitarium Report of Matron 105 Milledgevillk Ga January 27 1906 Dr T 0 Powell Superintendent Dear SirWith thanks to the officers and to my coworkers who have in any way aided me permit me to submit the enclosed as my report from January ist 1905 to January 1st 1906 I would add that all repairing has been done for the institution and all scraps and remnants put to good use and have been prop erly accounted for through Store Keepers Office Mrs J M Darneu Matron Aprons cotton 1182 Aprons rubber 1 Bed ticks 1000 Bonnets 255 Coats 6 Curtains 214 Chemise 4789 Capes flannel 288 Covers table 49 Chest protector 3 Drawers 6458 Drawers bleached 56 Drawers flannel 288 Diapers 6o Dresses calico 88 Dresses homespun 2993 Dresses gingham 2159 Dresses strong 732 Gowns 4454 Gowns bleached 303 Napkins 6 Pillows feather 4 Pillows cotton 5 Pillow cases 6900 Pillow ticks 790 Pillows burial 264 Pants 4344 Rugs 58 Sacques dressing 2 Shades window 32 Sheets 9254 Sheets draw 45 Sheets bleached 190 Skirts under 3477 Skirts flannel 25 Shirts 7487 Shirts bosom 300 Shirts night 318 Shirts flannel 25 Shirt waists 5 Suspenders 3732 Swiss neck ties J1 Towels 2431 Wrappers 1o8 Wrappers lawn 4 Waists under 402 Total 66800io6 SixtySecond Annual Report BANDAGES ETC Bandages cotton feet 18464 Mattresses made over Bandages flannel feet 806 Pillows made over Sterile gauze feet 400 CANNED FRUITS AND PICKLES Canned fruit gallons 237 Jelley glasses Preserves lbs x oo6 Catsup gallon Jamlbs i397 Pickle gallon CLOTHING MADE FROM GOODS BELONGING TO PA TIENTS DURING YEAR 1905 444 48 932 18 800 Aprons cotton Bonnets Chemise bleached Corset cover Dresses cotton Dresses wool Drawers bleached Drawers wool Gowns bleached Skirts dress cotton Total 1 10 6 1 56 6 25 2 1 1 Skirts dress wool Skirts under bleached Skirts under flannel Shirt waists cotton Shirt waists silk Shirt waists flannel Sacques dressing Wrappers Wrappers wool 2 2 22 2 2 16 32 1 203Georgia State Sanitarium loy Report of Chaplain Georgia State Sanitarium Mihedgeville Ga January ist 1906 Dr T 0 Powell Superintendent Dear SirThe duties of Chaplain were performed by me from January ist to October 20th 1905 Preaching services every Thursday and Sunday afternoon of each week were held in the Chapel for the patients and seem to result in much good These half hour services were not only of some comfort but I believe a real pleasure to most of those who came Funeral services were also conducted by me for those who died and were buried in the local cemetery With thanks for courtesy from your self and staff I am Yours truly IvAMAR Sims Chaplainio8 SixtySecond Annual Report Report of Librarian Milledgevillh Ga January 1st 1906 Dr T 0 Powell Superintendent Dkar SirPlease find below report of Librarian for the year ending January 1st 1906 By last report of volumes received 1 r6o2 Total magazines 3924 Sidney Jones magazines 3 Dept of Interior Bureau of Education 1 Official record of war between States vol 18 1 Mrs Fannie W Perkins magazines 50 Report of Smithsonian Institute 1903 1 Canadian Year Book Toronto Canada 1 From Atlanta donor unknown 35 D E Kibbe East Lynn x Judge T G Lawson magazines 36 Judge T G Lawson old papers 37 Dept of Interior report of Commissioners of Educa tion Congressional Library Washington D C Patriotic Studies x Judge T G Lawson magazines 14 D H Hollis 1 vol x Dept of Interior Statistical Atlas for 1903 1 Dept of Interior Abstract of same 1 Judge T G Lawson magazines and papers 22 Frank Connor magazine z Library of Congress Washington D C 1 Dr J M Whitaker 27 Dr J M Whitaker vols of books 7 Thos G Lawson parcel of magazines and papers 20 Mrs T O Powell parcel of magazines and papers 115 Thos G Lawson parcel of magazines and papers 20 Rev Joel T Daves lot of Advocates 55 Mrs R H Wooten magazines 0Georgia State Sanitarium icp 1906 Newspapers received for year to January 1st Atlanta Journal daily Macon Telegraph daily Savannah Morning News Columbus EnquirerSun from the Editor daily Rome Tribune from the Editor weekly Albany Herald from the Editor weekly Augusta Herald from the Editor daily August Chronicle from the Editor daily Savannah News from the Editor twiceaweek Americus TimesRecord from the Editor Cuthbert Leader from the Editor Brooklyn Eagle from the Editor dally Union Recorder weekly Athens Banner by the Editor weekly Christian Index from the Editor Christian Advocate weekly Calhoun Times from the Editor weekly The Golden Age from the Editor Very respectfully N Maddox LibrarianSIXTYTHIRD ANNUAL REPORT OF THE BOARD OF TRUSTEES OF THE Georgia State Sanitarium FOR THE YEAR ENDING DECEMBER 31st 1906 AUGUSTA GEORGIA Shaver Printing Co Printers and Lithographers 1967BOARD OF TRUSTEES Georgia State Sanitarium JOEL BRANHAM PresidentRome Ga THOS G LAWSON VicePresidentEatonton Ga RICHARD JOHNSON SecretaryClinton Ga JOHN T BBiNTLETBlackshear Ga JAS B BAIRD M D Atlanta Ga CHAS J MONTGOMERY M DAugusta Ga THOS M SWIFT Elberton Ga JNO L CULVERCulverton Ga W F BRUNNER M DSavannah Ga HENRY BANKSLaGrange GaCOMMITTEES OF THE BOARD OF TRUSTEES Georgia State Sanitarium EXECUTIVE COMMITTEE Richard Johnson Jno T Brantley Chairman Thos G Lawson Thos M Swift Henry Banks FINANCE AND AUDITING COMMI TEE Thos G Lawson Chairman Richard Johnson Jno T Brantley Henry Banks Jno L Culver COMMITTEE ON SANITATION MEDICAL AND DISPENSARY SERVICE Jas B Baird Chas J Montgomery W F Brunner Jno L Culver COMMITTEE ON FARM AND OUTSIDE WORK Thos M Swift Henry Banks COMMITTEE ON BUILDINGS AND GROUNDS Thos M Swift Henry Banks Jno L CulverELECTIVE OFFICERS OF SANITARIUM T ELL M DSuperintendent and Resident Physician J M WHITAKER M D ysician L M JONES M D Assistant Physician E M GREEN Jr M D Assistant Physician JNO W HOBLET M d Assistant Physician N P WALKER M D Assistast Physician R C SWINT M D Assistant Physician T A LITTLE M D Assistant Physician R V LAMAr M DZI Assistant Physician J C RICHARD D D SPathologist D S CARRINGTON Dentist L J LAMAR Pharmacist G W HOLLINSHEAD Steward W H HUNTER Assistant Steward C H WHITFIELD Storekeeper W A GILLESPIE Secretary MRS J M DARNELLZZZZZIBookKeeper L H ANDREWS Matron T H DeSAUSSURE C E ZZZZTreasurer HEV D W BRANNEN EnBineer ChaplainSIXTYTHIRD ANNUAL REPORT OF THE BOARD OF TRUSTEES OF THE Georgia State Sanitarium For the Year Ending December 31st 1906 MiuEdgeville Ga January ist 1907 To His Excellency Joseph M Terrell Governor SirThe Board of Trustees of the Georgia State Sanitarium has the honor to submit herewith their annual report for the year ending December 31st 1906 The accompanying reports of the Superintendent and other offi cers will supply you with full details of the years work The Board through its Committees has visited the Sanitarium regularly once each month and has met for the transaction of bus iness once each quarter in the year A constant oversight has been had of the management All receipts and disbursements have been carefully audited Supplies have been prudently bought on com petitive bids from samples submitted The best interests of the State have been constantly studied The affairs of the Sanitarium have invariably been found in excellent condition and its records kept squarely up The Board takes this occasion to express its appreciation of the zeal shown by each of the officers in tbe discharge of their duties It gives the Board pleasure to again attest the untiring vigilance of Superin tendent Powell in his efforts in behalf of the patients Georgians have just cause for pride and gratitude in the splendid success of his administration and in the enviable standing of the Sanitarium among her sister institutions in America Since the last report of the Board 871 new patients have been leceived The total number treated during the year was 38106 SixtyThird Annual Report The daily average under treatment for the year was 2978 The daily average for 1905 was 2938 and for 1904 2880 making a net increase in the two years of 98 patients 35039093 was expended for the support of these patients and the Board now has on hand a balance of 991755 witn which to guard against any emergency which may arise The annual per capita cost was 117 68 as against 11300 in 1905 and 12179 in 1904 The daily per capita cost was 3224 as against 3095 in 1905 and 3328 in 1904 The increased cost over last year will be found principally in the expenditures for clothing wages and repairs Such a low cost is made possible only with the aid of the Colony Farm and by the practice of close economy It means that the patients are deprived of some essentials and of many simple pleasures which would contribute much to their happiness and possible cure The new year begins with a scarcity of nurses and employes The present cost of living and the higher wages being paid every where makes the situation serious since the means of the Board does not permit any substantial increase in the present rate of wages paid by it The expense of repairs grows heavier from year to year from per fectly natural causes An even larger sum needs to be expended for the better preservation of the States extensive property The cost of supplies still remains high and will likely continue so In view of these things and to enable it to meet them the Board is constrained to ask for the support and maintenance of the Sanitarium in 1908 and 1909 approximately as follows For 3078 patients in 1908 the sum of 39321400 For 3128 patients in 1909 the sum of 39960200 Thirtyfive cents a day is allowed for the support of each patient in these amounts The increase in numbers is estimated at fifty annually The new waterworks and electric light plant for which an appro priation of 75000 was made in 1905 have not been completed Excessive rains in the summer and difficulties experienced by con tractors in securing materials and deliveries promptly have retarded the work Fortunately the abundant rains furnished plenty of water from the old plant during the summer and no serious incon venience has been felt thus far The Engineer estimates thatGeorgia Stale Sanitarium eightyeight per cent of the work on the waterworks is now completed The attention of your Excellency is again called to the lack of suitable wards for the isolation and proper treatment of tubercular patients Of the deaths in the Sanitarium the past year 128 of them were from this dread malady The danger to the other patients who must associate with them isconstant and growing The Medical Staff feels this lack most keenly and the strong words of Superintendent Powell on ths subject should meet with prompt response It is estimated that such wardsiour in number can be built and furnished for a total cost of 1500000 and the Board asks for an appropriation of this amount to be made immediately available Your attention is also directed to the largenumber of senile im beciles and helpless paralytics now being received by the Institu tion These two classes do not constitute the slightest danger to society nor is there the remotest chance of benefitting them here Other than providing them a home no good object is attained by receiving them and yet under the present State law the Board has no right to deny them admission while there is room These classes could in most cases be just as well cared for at home and this expense to the State saved There are two other classes for whom suitable provision should be made elsewhere Reference is had to the feeble minded children and to the epileptics who are not insane An insane asylum is not the place for them and their presence in it is injurious to all three classes Under the present State law no special provision is made for them and the Board must receive them Absolutely nothing can be done here for the first and little for the second class To the first named a commitment here closes the last door of hope and death must come as a merciful release They present the saddest of all the sad scenes witnessed in the Sanitarium It is made the sadder because it is possible to ameliorate their condition They should be in a Training School where amid pleasant surroundings and with proper care training and treatment they can be fitted in some measure for usefulness to themselves and others Such a School should be as separate and distinct an institution as is the SanitariumSixtyThird Annual Report The Sanitarium now contains about ninety of this class which number by no means represents the total in the State Only the grosser types are committed here while the others remain at home where unrestrained unconfined and unprotected they are a danger to society and where by the propagation of ther kind they aid in keeping the Sanitarium filled From the standpoint of economy alone if for no higher and loftier reason they should be properly protected and cared for The segregation and colonization of epileptics is the modern method of combatting this insidious disease Out door employment and cottage life present the ideal conditions for their treatment By the useful and selfhelpful labor of its inmates such a Colony can contribute largely to its own support Experts are now agreed that taken in its beginning much can be done towards a cure Eike the School for the feeble minded such a colony should be separate and distinct from the Sanitarium About 270 of this class are now in the Sanitarium all of whom are chronic cases and who in conse quence must remain a charge upon the State as long as they live Early and proper treatment might have effected a cure and this expense to the State saved Their proper treatment cannot be given in an insane asylum The Board would commend to your Excellencys attention the presentation made by Superintendent Powell on these subjects His preeminent ability and life long experience give to his words weight and meaning It would be glad to see a Commission created by the General Assembly charged with the duty of inquir ing into the need for these institutions in the State with inspecting similar instititutions in other States and of making due report thereon with such recommendations as it deems proper to the Gen eral Assembly By the direction of the Board Trustee Brantley Chairman of the Executive Committee attended the annual meeting of the Ameri can Psychological Association which was held in Boston in May last and visited a number of insane asylums while enroute His report to the Board on his return is deemd of sufficient importance to form a part of this report and it is hereto attached In conclusion the Board thanks your Excellency for the cordial support and cooperation given it throughout your entire adminisGeorgia State Sanitarium 9 tration Your affectionate interest in the welfare of the afflicted citizens cared for by the Sanitarium has been an inspiration to the members of the Board in the discharge of their duties Respectfully submitted Joel Branham President Thos G Lawson VicePresident Richard Johnson Secretary Jas B Baird M D Chas J Montgomery M D Thos M Swipt Jno I Culver W F Brunner M D Henry Banks Jno T Bjantley10 SixtyThird Annual Report Report of Superintendent For the Year Beginning January 1st 1906 and Ending December 31st 1906 Georgia Stats Sanitarium January i 1907 To the Honorable Board of Trustees Georgia State Sanitarium GentlemenIn compliance with the law and rules of the San itarium I respectfully submit for your consideration the Sixty Third Annual Report of the Institution for the year ending December 31st 1906 together with the reports of the Steward Treasurer and other officers of the Institution which I trust will give you a detailed and satisfactory account of the conduct and management of the Sanitarium for the year 1906 On January 1st 1906 there were white patients on hand 2035 and colored 904 There have been received since 539 whites and 332 colored making a total reception of 871 There have been discharged removed eloped and died 792 leaving in the Institution January 1st 1907 3018 patients of whom there are 204 whites and 54 colored on furlough not dis charged The average number of patients under treatment during the year was 2978 while the total number receiving treatment was 3810 It will be seen that the average number receiving treatment was forty more than last year We have seventynine more patients on hand than at the close of last year The statistical tables which form a part of this report will give in detail the movement of the white and colored population SUGGESTIONS The rules of the Institution require me to make such recommen dations as I may deem advisable for the welfare of our unfortunate charge My apology for pressing the following recommendations from year to year upon the General Assembly is not only to em phasize the crying necessity for speedy action in making the proper provisions for certain classes of patients sent to this Institution but should I not do so I feel I would be guilty of criminal neglectGeorgia State Sanitarium ii in the discharge of my duty All of the dictates of Christianity humanity and civilization demand that there should be some legis lation in regard to proper and generous provisions for these afflicted classes It will be a reflection upon the State not to appreciate their relation and obligation to our helpless wards 0 Separate Wards for Tubercular Patients There should be separate wards or galleries for tubercular cases It will be necessary in this Institution to have four separate wards or galleries one each for the white female and male and one each for the colored female and male No hospital for the care of the insane is up to date that is not provided with separate depart ment for the isolation of tubercular cases as soon as the disease is detected It is utterly impossible to treat the disease satisfactorily or successfully in the general wards They should have plenty of sunlight and air the best hygienic snrroundings personal attention and nourishment This cannot be given in the general wards It should be remembered that our patients are sick mentally and a large number both mentally and physically with a feeble and an inherited unstable constitution which makes them very susceptible to tubercular infection You can readily see that it is impossible to check the spread of this fearfully fatal malady without the isola tion of all cases as soon as the disease is detected There is a greater per cent of tuberculosis with the insane than with the sane Our Pathologist reports 483 per cent of active tuberculosis from post mortem investigations Dr Naegeli a dis tinguished German Pathologist says that out of 284 cases he only found six free from tuberculosis 2 Training School for Feeble Minded I visited the training school for feeble minded near Boston Mass last spring It is said to be one of the best in America I exam ined the children and heard what improvement they had made and inquired into the general conduct of the institution I felt with what pride and gratitude I could look upon such an institution in Georgia doing such noble and humane work for the helpless and dependent In this school the children were taught or trained to do work of some sort and they were neat and cleanly in their habits I understood many when they came to the school were untidy They also had a colony several miles from the main building which I did not visit but was told they were about self12 SixtyThird Annual Report supporting being very little expense to the State Is it not incum bent upon the State of Georgia to provide and care for this depen dent class in a way that their condition may be improved before it is too late and also to protect society If they are allowed to grow up without any care and without safeguards being thrown around them they will intermarry and perpetuate this defective class for it is a physical impossibility for the children of such marriages to have a perfect mental and physical organism except in exceed ingly rare cases coming under the head of reversional heredity perhaps skipping a generation or two but this is so rare it is hardly worth considering It will be a violation of Gods inexorable law for any other results We are taught in the Holy Book that like will beget like Is it not then the duty of those blessed with men tal integrity to conform with the teachings of the Divine Book in which we are taught that We then that are strong ought to bear the infirmities of the weak and not to please ourselves Romans xv and 1 We are confronted with these teachings as to what we ought to do in regard to the infirmities or maladies of the weak and is it not clearly our duty to be obedient to these requirements The children of such marriages will ultimately become the wards of the State and when we consider the number in this State it is very evident that a school should be established for them so that as many as possible may be made productive powers of the State instead of an expense and it is of vital importance that the increase of this defective class be checked which would be at least to some extent if they were placed under the care and protection of such a school We have about ninety in this Institution and it is utterly impossible to give them the necessary training in a hospital for the insane The influence from mixing is positively hurtful to both the feeble minded and the insane 3 Epileptic Colony The epileptics are perhaps neglected more than any other class of the afflicted Very little attention is given them until the dis ease becomes chronic and incurable The most favorable time for successful treatment is upon the first manifestations of the pre monitory symptoms They are to be pitied and their appeals for help are strong and pathetic They are shunned by friends the doors of associates entertainments of all kinds and even the door of the church is closed against them Is it then strange and sur prising that they should become irritable and insane under suchGeorgia State Sanitarium 13 circumstances and ultimately land in a hospital for the insane for life If we had a colony in Georgia where they could be employed in various ways systematically receiving proper attention and diet which perhaps is more beneficial than medical treatment I think many would go to such colony in the early stages of the disease and be restored to full and complete health and then they could go out into the world and be self supporting instead of a burden to the State their entire life Epileptics frequently marry Nothing will result from such marriages but unstable constitutions and defective children Dr William P Spratling who has charge of the splendid Craig Colony forepileptics at Sonyea N Y shows good results from the colony plan treatment In the preface of Vol 1 and 2 issued by the National Association for the study of Epilepsy and the Care and Treatment of Epileptics he says that we must do everything possible to lift up these people we must urge states and communi ties and philanthropist of means to build and sustain suitable homes for them we must teach them trades and study faithfully their extraordinary disease with a view to effecting a greater num ber of cures Dr Spratling further states that the purpose of the above mentioned organization makes it incumbent upon its members to do everything passible for the class whose appeal for aid is strong and farreaching Dr Frederick Peterson a distinguished physician of New York and expresident of the National Association for the Study of Epi lepsy and the Care and Treatment of Epileptics advocates strongly colonizing all epileptics I know of no one in America who has more intelligently investigated as to the best care and treatment of epileptics than this distinguished physician who has seen the good and satisfactory results of systematic treatment on the colony plan Dr M L Perry Superintendent of the Epileptic Colony at Par sons Kansas in a plea for early diagnosis and treatment of epilepsy says if epileptics are sent to a properly arranged colony for their care and treatment epilepsy if taken in time is not so hopeless as it was formerly considered to be Under the new therapy how ever it is all the more important that treatment be instituted before by long continued habit it becomes second nature with the individual I fully agree with Dr Perry that with an early diagnosis and prompt treatment many cases would be restored while to remain at4 SixtyThird Annual Report home means that they will ultimately become chronic and incur able perhaps insane hence it is of vital importance that they have early treatment Georgia is far behind many of the other States in providing for the different classes mentioned above The great State of Georgia cannot afford to be behind any State in providing for her helpless and dependent To neglect these classes will simply increase the burden of the State with their care for it will only be a question of time before they will be under the care of the State for life Such neglect will be a blot and reflection upon our civilization No epileptic is ever brought to this Institution until the disease is chronic and incurable We now have in the Institution 272 epi leptics and they will in all probability remain during life Provision should be made for the feeble minded and epileptics in some other section of the State and should not be connected with this Institution in any way Health The general health of the Sanitarium has been as good as could be expected when we consider that there have been under treat ment during the year 3810 patients many of whom are old and feeble and totally unable to resist the slightest attack of sickness and some have been in the Institution for many years Of the 871 received during the year suffering from various forms of brain dis ease four hundred and seven were chronic and incurable cases old feeble paralytics and tubercular some in the last stages of the disease and living only a short while after their reception The reception of such cases simply adds to the large number of chronic cases that have been accumulating in the Sanitarium for many years and will increase the mortality and diminish the percentage of recoveries By reference to the statistical report showing causes of death it will be seen that very few died of curable diseases The principal causes of death were tuberculosis paralysis epilepsy apoplexy senility and organic brain disease We have had no general epi demic during the year only a few cases of influenza and some slight eruptive cases with the children in the Female Department Recoveries The recoveries are calculated upon the number received during the year Of the 871 admitted 407 were regarded as chronic andGeorgia State Sanitarium 15 incurable The percentage of recoveries was 303 which is a fair percentage considerngi the large number of incurables received Reception of Patients All patients who are not too feeble are placed upon the recep tion wards when admitted Dr Mobley is in charge of the white female reception ward Drs Green and Swint are in charge of the white male Dr Walker of the colored female and Dr Eongino of the colored male A thorough examination is made of every organ in the body if their condition will justify it together with a men tal examination and if necessary the sputum blood and urine is sent to the Laboratory and the analysis is filed with the history made by Ward Physician There is a history of the case sent with the patient from home but this history is generally imperfect and useless Those that are two feeble are sent to the Infirmary Wards on reception The nurses make notes for ten days of the pulse temperature amount of urine passed each day their habits conversation and general conduct so that the physician in charge of the ward can see if the patient entertains delusions hallucinations or illusions and the notes together with the general conduct of the patient will assist the physician greatly in forming a correct diagnosis as to what form of psychosis patient is suffering with The following example will indicate the character of the mental and physical examinationand the nurses notes will give a detailed account of their observations from day to day Mental and Physical Examination Date of admission Feb 19 1906 Name white female Age 38 Sex W F Weight 115 Height 5 ft 3 in PRESENT STATE Violent No Dangerous No Destructive No Homicidal No Suicidal No Nutrition Good Articulation Normal Facial Ex pression Confused Excited at times Melancholy No Mental State Delusions Various Illusions No Hallucinations Yes HabitsCleanly Yes Untidy No Motor FunctionsEyes Normal Face Normal Trunk Nor mal Arms Normal Inf Extremities Normal Convulsive Seizures None Gait Normal16 SixtyThird Annual Report Cutaneous SensationTactile Normal Heat Normal Cold NoJtnal Pain Normal SecretionCutaneous Normal Glandular Normal Reflexes Patella Is slightly exaggerated Angle clonus Absent Superficial Special SensesHearing Good Eyesight Good Reaction of Pupils Normal in size reacts normally to light and accommodation Tropic DisturbancesSkin Normal Muscles Normal Bone Normal Hair Normal Circulatory SystemPulse ioo regular volume good Arteries Soft Heart Apex beat normal in position area and force Heart beats normal Respiratory SystemNose Normal Mouth Normal Lungs Chest is broad and full expansion good and uniform percussion note and breath sounds normal SphinetersAnal Normal Vesicle Normal GenitoUrinary SystemThe abdomen is soft rather full non sensitive Liver comes two fingers breadth below costal border Spleen normal in size non sensitive The externals genitals are normally formed The Vagina admits one finger cervix presents well up the Uterus is not freely movable is retroverted to slight degree Ovaries not palpatated but ovarian region appears to be clear RemarksExamination not satisfactory on account of patient resisting DiagnosisManic depressive insanity Nurses Notes on New Cases Name White Female Admitted Feb 19 1906 20 First DayTemperature resisted excited appetite poor one movement of bowels voided urine three times normal quantity and color slept very well 21 Second DayAx Temperature resisted excited delu sional appetite poor no movement of bowels voided urine three times normal quantity and color slept very well 22 Third DayAx Temperature 98 pulse 90 respiration 20 excited delusional appetite poor no movement of bowels voided urine four times normal quantity and color slept very well 23 Fourth DayAx Temperature 98 pulse 84 respira tion 20 excited delusional appetite improving no movement ofGeorgia State Sanitarium 17 bowels voided urine three times normal quantity and color slept well 24 Fifth DayAx Temperature 98 pulse 72 respiration 20 excited delusional appetite good one movement of bowels voided urine three times normal quantity and color Slept very very well HISTORY Has never borne any children Date of first symptoms this attack three weeks ago Symptoms of insanity were manifested by continual talking whispering and singing Probable cause not known Has had one attack six years ago duration 18 months At one time took morphine for six mouths Is not violent destructive nor filthy Not any hereditary disease mentioned Feb 24th Patient says she is at the Georgia State Sanitarium but is not in any way insane but came here at the command of the President and he sent her here to establish the truth of Mental Telepathy says it is the intelligence of two sympathetic mines which convey thoughts to each other and those peculiar mental pictures which nobody can explain are to be called figments of the brain She will not answer to her name but says she is the Wife of Dr R A Patterson ofSays they have been married since she was fifteeen and she is now 37 She will sit for hours at a time laughing whispering and talking as though she was com municating with some one and if spoken to or asked a question during that time she has to get permission from the person with whom she is talking before she will answer any question and then she will converse very intelligently for a few minutes and then begin talking to those imaginary people again She says she can talk to her husband or anybody she wishes to at any time matters not where they are and they repeat everything she says She pats her foot all the time she is talking says she is keeping time and it helps her to remember things better to have her feet in motion Pathologist By reference to the report of our faithful and efficient Pathologist you will see the important work done in that Department for the past ten months No hospital for the insane is fully equipped without a Pathologist and the best scientific work cannot be done It is to the Pathologist we must look for light and guidence in the 2i8 Sixty Third Annual Repot t diagnosis and treatment of many cases and the leading factors in the causation of the malady The scientific investigations of the Pathologist show that there is much more renal trouble with the insane than with the sane You can readily see how important it is to both the physician and the patient to have the urine sputum blood etc examined by the Pathologist It gives light ani infor mation that is absolutely necessary for the proper treatment of many cases without which we would be frequently working in the dark Dentist The Dentists report will show a detailed account of the work done in that Department The Dentist has been faithful and attentive to duty Pharmacist The report of the Pharmacist will show you in the detail the amount of drugs purchased during the year the number of pre scriptions filled and the amount of drugs now on hand Finances The finances of the Sanitarium have been economically managed by the good business men of the Finance Committee and our faith ful Steward which will be shown by his report The percapita cost of each patient per day was 3224 which is very low consider ing the advance in cost of all supplies for the institution and also the advance in wages Assistant Steward The report of the Assistant Steward will give a full and complete statement of the results of the dairies farm and garden also the amount of pork raised The total amount from these various departments show a clear profit above all expenses of 16 90118 I am glad to say that the Colony in the Piney Woods continues to be a success mentally physically and financially Storekeeper The Storekeepers report gives a full and detailed statement as to the work that has been done in that Department for the past twelve months It shows all the goods received the amount issued and to whom also the amount on handGeorgia State Sanitarium 19 Bookkeeper The report of the Bookkeeper will show the work done in his office Mr Gillespie the bookkeeper also has charge of the laun dry which is a very trying but important position Employment and Amusements The amusements are kept up as usual under the supervision oj Dr J M Whitaker First Assistant Physician who takes the same lively active interest and endeavors to make them pleasant to all The patients generally are employed in the various departments of the Sanitarium where it can be done by encouragement but never by force This is done for the improvement of their mental and physical condition Many of the patients play baseball which not only gives them diversion and exercise but makes them better contented Acknowledgments We are under renewed obligations to the many friends of the Sanitarium for generous contributions to the Sanitarium Library for the benefit of the patients which gives them much pleasure Such donations are a blessing to many and are fully appreciated It brings light and comfort to many by leading their minds from morbid states to more cheerful subjects By reference to the Librarians report you will see a list of these donations and the names of the contributors Matron The report of our excellent Matron will give you a full and com plete account of the work done in her Department Repairs and Improvements This has been a very busy year The report of the Engineer Capt T H DeSaussure gives an accurate statement of everything done in his Department Religious Services Religious services were conducted on Sunday and Thursday afternoons of each week by the Chaplain Rev J T Daves The congregations generally were large and the conduct good The Chaplain buried the dead and visited the sick when advised to do sotj20 SixtyThird AinHal Report Attendants and Employees All attendants and employees who have been faithful in the dis charge of their duty have my sincere thanks I am also under obligations to Miss Cross our efficient Superintendent of Nurses Miss McCoy Supervisoress also to the Supervisors of the Male Department for the faithful service they have given the Institution Medical Staft and Ofticers To the Medical Staff and all Officers I am under great obligations for their inflexible fidelity to duty especially during my long con tinued sickness and their anxiety to have everything move on smoothly and prevent any worry in any way to me I know of no institution in which the medical staff is doing better work STATEMENTWHITE In relation to the number of white patients during the past year or from January 1st 1906 to December 31st 1906 There were patients on hand January 1st 1906 2035 White Male Lunatics 787 White Male Epileptics 134 White Male Idiots 43 964 White Female Lunatfcs 947 White Female Epilepties 97 White Female Idiots 27 1071 2035 There have been received during the year White Males Si White Females 255 539 Total number under treatment 2574 Of whom there have been Discharged restored 142 improved 41 removed 6 eloped 4 193 There have died White Males 152 White Females 128 280 473 Leaving on hand January 1st 1907 2101Georgia State Sanitarium 21 CLASSIFICATION OF THE WHITES White Male Lunatics 846 White Male Epileptics 99 White Male Idiots 37 982 White Female Lunatics 989 White Female Epileptics 100 White Female Idiots 30 1119 2101 Of the Whites who have died there were f Males Females Pulmonary Tuberculosis 18 23 Tubercular Enteritis 3 1 Tubercular PeritonitU 2 0 Tubercular Pleurisy u Lobar Pneumonia Broncho Pneumonia 3 1 Pulmonary Oedema 1 0 Acute Bronchitis 0 2 La Grippe u 1 Meningitis 1 2 Paralysis 0 Organic Brain Disease 4 Paresis 5 1 Cerebral Syphilis 1 0 Locomotor Ataxia 1 Chronic Myelitis 0 3 Acute Enteritis 12 5 Chronic Enteritis 18 H Acut Gastro Enteritis 2 6 Chronic Gastritis 1 0 Peritonitis u Dysentery 8 2 Intestinal Homorrhage 1 0 Typhoid Fever 2 Heart Failure Organic Heart Disease 4 11 Valvular Heart Disease 9 1 Chronic Nephritis 8 2 Anaemia Pernicious Anaemia 1 Septicaemia Pyaemialli SepticoPyaemia 1 Cellulitis l Pernicious Malaria 1 0 Inanition 3 Epilepsy 22 SixtyThird Annual Report Males Females Status Epilepticus 2 0 Acute Delirium 2 0 Nervous Exhaustion 0 1 Chronic Exhaustion 0 2 Exhaustion of Acute Mania 3 1 Exhaustion of Terminal Dementia 1 0 Exhaustion of Chronic Mania 1 0 Cancer of Uterus 0 1 Uterine Fibroid 0 1 Intussuseption 0 1 Marasmus 0 1 Abdominal Tumor 0 1 Suicide 0 1 Senility 11 15 Unknown 4 3 Total 152 128 STATEMENTCOLORED In relation to the number of colored patients received during the past year or from January 1st 1906 to December 31st 1906 inclusive There were patients ou hand January 1st 1906 904 Colored Male Lunatics 414 Colored Male Epileptics 46 Colored Mala Idiots 14 474 Colored Female Lunatics 384 Colored Female Epileptics 35 Colored Female Idiots 11 430 904 There have been received during the year Colored Males 163 Colored Females 169 332 Total number under treatment 1236 Of whom there have been Discharged restored 69 improved 12 eloped 21 102 There have died Colored Males 116 Colored Females 101 217 319 Leaving in the institution January 1st 1907 917Georgia State Sanitarium 23 CLASSIFICATION OF THE COLORED Colored Male Lunatics 404 Colored Male Epileptics 49 Colored Male Idiots 11 464 Colored FemaleLunatics 425 Colored Female Epileptics 24 Colored Female Idiots 4 453 917 Of the colored who have dledthere were of Males Female Pulmonary Tuberculosis 35 39 Tubercular Enteritis 1 Miliary Tuberculosis 2 0 Tubercular Pneumonia 3 0 Lobar Pneumonia 5 1 Broncho Pneumonia 5 0 Hypostatic Pneumonia 1 0 Pulmonary Oedema 1 0 Organic Brain Disease 1 2 Paresis 4 7 Cerebral Hemorrhage 2 3 Hydrocephalus 1 0 Cerebral softening 0 3 Acute Enteritis 4 1 Chronic Enteritis 0 7 Acute Gastro Enteritis 5 1 Chronic Gastro Enteritis 0 2 Acute Gastritis 0 1 TJlcerative Stomatitis 0 3 Ulcerative Colitis 0 1 Dys ntery 0 1 Organic Heart Disease 6 3 Pericarditis 1 0 Chronic Nephritis 1 3 Septicaemia 1 2 SepticoPyaemia 1 0 Uraemia 3 0 Pyosalpinx 0 1 Syphilis 0 2 Inanition 5 0 Cardiac Dilation 1 0 Epilepsy 17 4 Exhaustion of Acute Mania 0 4 Uterine Fibroid 0 1 Senility 7 3 Unknown 3 6 Total 116 10124 SixtyThird Annual Report TABLE No 1 Showing the number of whites admitted during the year 1906 and their respective ages at time of admission i Under 15 years 2 15 to 20 20 to 25 25 to 30 30 to 35 35 to 40 40 to 45 45 to 50 50 to 60 60 to 70 70 to 80 Over 80 Unknown 11 Total 284 Males Females Tot 2 6 8 21 13 34 35 31 66 32 38 70 34 32 66 31 29 60 25 25 50 20 20 40 37 30 67 26 8 34 9 13 22 1 6 7 11 4 15 255 539 TABLE No 2 Showing duration of insanity before admission Males Less than one month 28 1 to 3 months 46 5 to 6 months 52 6 to 9 months 21 9 to 12 months 11 12 to 18 months 31 1J to 2 years 6 2 to 3 11 3 to 4 14 4 to 5 8 5 to 6 5 6 to 8 3 8 to 10 7 10 to 14 3 14 to 20 4 20 to 80 7 Unknown 15 Several 12 Total 284 Females Total 9 37 59 105 32 84 21 42 6 17 12 43 3 9 15 26 14 28 9 17 8 13 4 7 6 13 2 6 5 9 10 17 22 37 17 29 255 539Georgia State Sanitarium 25 TABLE No 3 Occupation of whites Housekeeper Farmer Merchant Clerk Cabinet Maker Engineer Lawyer Mill Operative Jeweler Carpenter Pressman Stenographer Governess Druggist Retired Physician Student Baker Blacksmith Mechanic Laborer Printer Editor Physician Plumber Marble Worker Mail Carrier Fireman Domestic Total admitted during the year 1906 162 Peddler 3 138 Seamstress 2 11 Music Teacher 1 6 School Teacher 1 2 Tel Operator 3 2 Bookkeeper 4 4 Minister 3 7 Night Watchman 2 Painter 7 Salesman 1 Bartender 1 Moulder 1 Stevedore 2 Florist 1 Loomfixer 1 Restaurant Keeper 2 Shoemaker 4 Palmist 6 Lecturer 16 Artist 1 Dentist 1 Glass Worker 4 Constable 1 School Boy 2 None 105 1 Unknown 6 1 4 539 TABLE No 4 Civil condition of the whites received during the year 1908 262 204 Widowed 67 Divorced 8 Married Single Total 539 TABLE No 5 Homicidal and suicidal of whites received during the year 1906 Homicidal Suicidal 80 77 Homicidal and suicidal 62 Total 21926 SixtyThird Annual Report TABLE No 6 Cause or supposed cause of insanity of whites received during the year 1906 Heredity 31 Alcoholic Excess 23 Congenital 17 Typhoid Fever 12 Child Birth 12 Injury to Head 11 Old Age 16 Bad Health n Masturbation 11 Spinal Trouble 8 Domestic Trouble 7 Female Disease 7 Menopause 7 Fever y Nervous Prostration 6 Overwork 9 Use of Morphine 4 Overheat 4 Worry 3 Immorality 3 Syphilis 3 Grief 3 Cocaine and Whiskey 3 Paralysis 3 Meningitis 3 Pregnancy 2 Disappointment 3 Confinement 3 Religion 6 General Breakdown 4 Indigestion 4 Injury Kidney and Spinal Disease Catarrh Fall Apoplexy 2 Suppressed Menses 2 Consanguinity 2 Mental Overwork 2 Arteriosclerosis Kidney Trouble Uraemia Brain Disease Fracture of Skull Brights Disease Illness Appendicitis Ovarian Disease Love and Religion Injury to Spine Shoeing Horses Exposure Neurosis Trauma Pressure on Brain Loss of Position Sexual Excess Surgical Operation Rising in Ears La Grippe Nervous Trouble Miscarriage Hard Work Scarlet Fever Disease Business Trouble Separation from wife Softening of Brain Unknown 25 Total 539Georgia Stale Sanitarium 27 TABLE No 7 Showing the number of colored admitted during the year 1906 and their respective ages at time of admission Males Female Total Under 15 years 6 15to20years 14 6 20 20to25 28 25 53 25to30 27 23 50 30to35 21 21 42 35to40 11 16 27 40 to 45 12 14 26 45to50 13 15 28 50to60 12 21 33 60 to 70 16 9 24 70 to 80 3 9 12 Unknown 1 9 10 Total 163 169 332 TABLE No 8 Showing the duration of insanity of the colored before admission Males Females Total Less than one month 21 20 41 1 to 3 months 30 32 62 3to6 20 29 49 6to9 8 11 19 9 to 12 5 3 8 1 to 1 years 5 10 15 ljto 2 1 4 5 2 to 3 6 14 20 8 to 4 5 4 9 4 to 5 0 11 11 5 to 6 2 3 5 8 to 8 4 4 8 8 tolO 8 2 5 10 tol4 3 14 14 to20 8 0 8 20 to30 2 3 5 Several 10 2 12 Unknown 30 16 46 Total 163 169 33228 SixtyThird Annual Report TABLE No 9 Occupation of colored admitted during the year 1906 Laborer 71 Farmer 56 Farm Hand 29 Servant 33 Housekeeper 31 Merchant 1 Local Engineer 1 Preacher 3 Drayman 2 Porter 4 Laundress 9 Clothes Cleaner 1 Teacher 1 Blacksmith 1 Carpenter 2 Turpentine Hand 1 Barber 3 Conviot Teamster Mill Hand Shoemaker RootDoctor Bartender Brick Mason Painter Seamstress Janitor Student None 46 Unknown 25 Totali 332 TABLE No 10 Civil condition of the colored received during the year 1906 Married 153 Single 119 Widowed 48 Unknown 12 Total 332 TABLE No 11 Homicidal and suicidal of the colored received during the year 1906 Homicidal 62 Suicidal 11 Homicidal and Suicidal 12 Total 85Georgia State Sanitarium 29 TABLE No 12 Cause or supposed cause of insanity of the colored received during the year 1906 Congenital 11 Blow on Head 10 Religion 9 Heredity 7 Female Trouble 7 Grief 6 Epilepsy 5 Syphilis 5 Bad Health 5 OldAge 5 Menopause 4 Whiskey 7 Child Birth 3 Domestic Affairs 3 Masturbation 3 Love Affair 2 Cruel Treatment 2 Injury 2 Typhoid Fever 2 Suppressed Menses 2 Nephritis 2 SexUal Excess 2 Hard Work 2 Fever 2 Pregnancy 1 Hard Living 1 Witchcraft 1 Debauchery 1 Worry 1 Pressure on Brain 1 Drug Habit 1 Indigestion 1 Fall 1 Fire 1 Pneumonia 1 Smallpox 1 Frequent Child Birth 1 Overstudy 1 White Swelling 1 Unknown 200 Total 33 Form of psychosis of whites received during the year 1906 Mania acute 46 Mania chronic 27 Mania recurrent 37 Acute delirium 2 Melancholia simplex 18 Melancholia acute 45 Melancholia recurrent 21 Melancholia chronic 20 Melancholia stuporous 1 ManicDepressiveInsanity 4 Hyperchondriasis 4 Dementia primary 13 Dementia praecox 21 Dementia senile 25 Dementia organic 14 Dementia secondary 10 Dementia terminal 3 Epilepsy 32 Petit Mai 4 Hysteroepilepsy 1 Psychic epilepsy 1 Hysteria 1 Hysterical Insanity 1 Total 539 Toxic Insanity Alchohol 34 Alchohol and Cocaine 2 Morphine 1 Autointoxication 1 Cocaine 1 Alchoholic psychosis 1 Alchoholism chronic 2 Morphinomania 3 Morphinism 2 Puerperal insanity 9 Cerebral syphilis 1 Imbecile 61 Epileptic imbecile 11 Idiocy 4 Paranoia 12 Adolescent insanity 3 Paresis 5 Traumatic insanity 1 Moral pervert 4 Senility 25 Not insane 53 SixtyThird Annual Report Form of psychosii of the colored Mania acute 62 Mania chronic 23 Mania recurrent 27 Manic depressive insanity 1 Acute delirous mania 1 Melancholia simplex 1 Melancholia acute 44 Melancholia chronic 14 Melancholia recurrent 5 Dementia praecox 1 Dementia senile 30 Dementia organic 6 Dementia terminal 6 Dementia Primary 9 received during the year 1906 Dementia secondary Epilepsy Imbecile Epileptic imbecile Idiot Traumatic insanity Alcoholic insanity Toxic Insanity Paresis Paranoia Circular insanity Neurasthenia Hysteria Not insane 3 30 31 1 9 1 7 5 9 1 1 1 1 2 Total 332 Conclusion To you gentlemen of the Board it is with profound gratitude that I express my appreciation for the interest you have taken in the welfare of the Institution and the aid and cooperation you have given me in the discharge of duties Your forbearance and kind ness during my long sickness will ever be fresh and gratefully remembered by me We begin the duties of the New Year invoking the guidance of a wise and merciful Providence in conducting the affairs of the Institution Respectfully submitted T O PowELiv SuperintendentGeorgia State Sanitarium 3i Report of Pathologist Georgia Statb Sanitarium January i 1907 Dr T 0 Powell Superintendent Dbar SirI have the honor to submit herewith a report of the work done in the Pathological Department for the ten months from March 5th 1906 to January 1st 1907 The general plan of work has been the same as that followed heretoore attention being de voted especially to Clincial Microscopy There has been done a considerable amount of clinical work which from its miscellaneous character cannot be detailed in such a report Thirtyfive autopsies have been done the more important data of each being given below in tabular form See Table No 1 Several gross specimens have been added to the Museum Some of the laboratory equipment has been repaired and some which was worn out replaced I desire to express my thanks for your uniform kindness and en couragement shown me in the work of this department Very respectfully R V LAMAR Pathologist TABLE No 1 SYNOPSIS OP PROTOCOLS OF AUTOPSIES Case No V 0 M V CO Mental Diagnosis Section Hours After Death Anatomical Diagnosis 342 C M 35 Mania chionic 3 Pulmonary tuberculosis with cavity formation chronic fibrous pleuritis Tuberculosis of liver and of intestines Atheroma of aorta 343 C M 36 Mania chronic n Atheroma of aorta and corronary arteries chronc valvular endocarditis chronic fibrous myocarditis Pulmonary tuberculosis with cavity formation pulmonary miliary tuberculosis caseous and gelatinous pneumonia Tuberculosis of bronchial glands of spleen liver and intestines 341 c M 60 Dementa terminal 16 General arteriosclerosis atheroma of coronary arteries chronic valvular endocarditis chronic fibrous myocarditis Chronic diffuse nephritis Hypostatic pneumonia Healed pulmonary tuberculosis 345 c M 45 Dementa primary 3 Chronic fiborus myocarditis Bronchopneumonia acute serofibrinous pleuritis Acute splenic tumor Cloudy swelling of liver Healed pulmonary tuberculosis 32 SixtyThird Annual Report TABLE No 1Coutinued SYNOPSIS OF PROTOCOLS OF ADTOPSIE5 Case No V o CD M V M Mental Diagnoss Section Hours After Death ANATOMICAL DIAGNOSIS 346 C M 77 Epilepsy 4 lAtheroma of coronary arteries chronic valvular endocarditis chronic fibrous myocarditis Chronic passive congestion of viscera Chronic fibrous Pleuritis Acute serofibrinous peritouitis Hypostatic pneumonia Atrophy of spleen 347 W M 45 32 Demetia terminal 2 Sclerosis and atheroma of cerebral arteries Atrophy of left optic nerve 348 C M Epilepsy 2 Sclerosis of coronary arteries Chronic diffuse nephritis Bronchopneumonia acute splenic tumoi cloudy swelling of liver Catarrhal gas ro l enteiitis Dislocation of lelt shoulder joint uuieduced 349 c M 31 Melancholia acute 5 Pulmonary tuberculosis with cavity formation caseous and gelatinous pneumonia tuberculosis of bronchial glands Chronic fibrous pleuritis Chronic diffuse nephritis Catarrhal enteritis ulcerative colitis 350 c F 60 Dementia senile 2 General arterosclerosis atheronia of aorta chronic valvular endocardits Brown atrophy of heart Chronic passive congestion of viscera Chronic fib ous pleuritis Acute fibrinous pleurcpericari ditis Chronic uiffuse nephritis 351 c M 29 Epilepsy 8 Chronic pulmonary tuberculosis with advanced sclerosis caronic fibrous pleuritis Acute parenchymatous nephrtis Congestion and oedema of lungs 352 c F 68 Demetia senile 13 General arterosclerosis chronic vavular endocarditis chronic fibrous myocarditis Chronic diffuse nephritis Tuberculosis of spleen and liver i chronic perihepatiiis Tuberculous peritonitis Chronic interstitial pancreatitis Healeii pulmonary tuberculosis emphysema Attophy ot spleen Fibroniyoma of uterus 353 c M 69 Dementia termtual 4i General artero sclerosis cardiac hypertrophy chronic passive congestion of viscera Pulmonary emphysrma Hypostatic congestion of lu g atelectasis Hydrocele 354 c M 25 Mania acute M Acute pneumonic phthisis with cavity formation acute tuberculous pleuritis Chronic tassne congestion of viscera 355 c F 30 Imbecility 15 Chronic pulmonary tuberculosis with cavity formation tuberculous pleuritis Fatty degeneration of liver Anomaly of ulmonary valve 35G c M 33 Idiocy a Bronchopneumonia atelectasis cute fibrinous pleuritis Acute splenic tumor Periorbital cellulitisoperation wound 357 c F 15 Imbecility H Pulmonary tuberculosis with cavity formation chronic fibrous pleuritis tuberculosis of bronchial glands Chronic diffuse nephiitis 358 c M 45 Paresis 2 Chronic meningosncephalitis External hpdrccephalus 359 w M 61 Dementia terminal 15 Sclerosis of coranary arteries Chronic pas ive congestion of viscera senile atrophy Chronic diffuse nephritis right Renalphthisis left Cnromc fibrous pleuritis Healed pulmonary tuberculosis calcifieat en of lvmph glands Georgia State Sanitarium 33 TABLE No 1Continued SYNOPSIS OF PROTOCOLS OF AUTOPSIES Case NO a P4 V M Mental Diagnosis Section Hours After Death ANATOMICAL DIAGNOSIS 360 W M 24 Kpilepsy 16 Cardiac hypertrophy and dilatation chronic passive c3ngestion of viscera Splenic infarction Chronic diffuse nephritis Pulmonary oedema 361 c F 60 Melancholia chronic 3 Scleross and athercma cerebral arteries Cerebral softeningcyst formation 362 c c M F 31 Imbecility 10 Chronic pachymeningit sbone formation Chronic parenchymatous nephritis Hy post a tic congestion and oedema of lungs Anasarea Apical pulmonary tuberculosis 363 65 Melancholia acute 25 Chronic diffuse nephritis Chronic fibrous pleuritis perihepatitis and perispleniti 361 c F 46 Melancholia chronic 1j Chronic valvular endocarditis Acute vegetative endocarditis lhrotnbosii of pulmonary artery left Acnte perityphiltis Chronic diffuse nephritis left Chronic interstitial ovaritis Carcinoma of uterus with loss of cervix and extension to bladder rectum and perinaeum hydronephrosis perineal fistulae 365 c F 36 Dementia terminal 9 Chronic valvglar endocarditis chronic passive congejtion of kidneys Chronic ulcerative stomatitis Exfolialive dermatitis 366 c M 37 Epilepsy 8 Sclerosis of cerebral arteries cerebral softening ytllow Internal hydrocephalus Oedema of pia mater 367 c M 49 Dementia terminal 12 Sclerosis of coronary arteries Chronic vavular endo carditis chronic fibrous myocarditis Chronic fibrous pleuritis Chronic diffuse nephritis Acute splenic tumor Healed pulmonary tuberculosis 368 34 Mania chronic Hi Chronic fibious pleuritis perihepatitis and perisplenitis Chronic diffuse nephritis Ulcerative Colitis Healed pulmonary tuberculoMS 3G9 c F 30 Dementia organic 12 At hero rr a of cerebral arteries Internal hydrocephalus Ocdena of pia mater Depression of calvarium atrophy of cortex 370 c M 66 Melancholia ch ionic 8 Sclerosis and atheroma of coronary arteries chronic fi rous mycarditis Pulmonary tuberculosis tuberculosis ot bronchial glands Chronic diffuse nep ritis Brocchpneumonia Pulmonary emphysema Atrophy of spleen Nondecent of right testicle Scar from operation would in scrotum lett testicle wanting 371 c M 22 Melancholia acute 8 Pumonary tuherculosls gelatinous pneumonia chronic tuberculosis of spleen liver kidneys and lymph glands Acute parenchymatous nephritis Hydrothorax hydropencardium 372 c M 46 Dementia secondary 4 Sclerosis of coranary arteries chronic fibrous myocardi is Chronic fibrous pleuritis Pulmonary tuberculosis chronic tuberculosis of peritoneum spleen liver kidneys and lymph glands Chronic diffuse nephritis Chronic passive congestion of viscera Ascites 373 c F 22 Imbecility S Brain cord and peripheral nerves examined No gross lesions 374 C 1 M 40 Melancholia chronic Lobar pneumoniagrey hepatization Bronchcpnenmonia acute splenic tumor Cloudy swelling ot liver Dilatation of heart 334 SixtyThird Annual Report TABLE No 1Continued SYNOPSIS OF PROTOCOLS OF AUTOPSIES Case No u u cd H v V Mental Diagaosis Section Hours After Death ANATOMICAL DIAGNOSIS 375 c M 35 Dementa secondary 18 Athtroma of aorta chronic valvular endocarditis Chionic fibrous pleuntis Lobar pneumonia acute serofibrinous pleuritis acute fibrinou pericarditis 376 w F 38 Dementia primary 3 Pulmonary tuberculosis chronic tuberculosis of li er and kindeys Chronic fibrous t leuriti Chronic diffuse nephritis Dilatation of stomach TJlcerative Eneritis Tuberculosis Of twentynine complete autopsies fourteen or forty eight and three tenths per cent showed active tuberculosis Of the remain ing fifteen four showed evidences of healed pulmonary tubercu losis Of those showing active tuberculosis the condition was limited to the lungs or lungs and pleurae in seven in the remain ing seven there was involvment of other organs Arterial Disease Sclerosis and theroma were present in seventeen out of thirty live cases 486 per cent This percentage is somewhat lower than the average given in heretofore very probably on account of the relatively greater number of young patients In several cases the artero sclerosis was especially marked in the vessels of the brain Sclerosis of the valves of the heart and chronic fibrous myocarditis were present in an equal number of cases Nephritis Nineteen of twenty nine casesor sixty five and one half per cent showed evidences of nephritis This percentage is about the same as that returned heretofore In two cases viz 351 and 371 the lesion was of the acute parenchymatous variety in one viz 3G2 of the chronic parenchymatous variety and in the remaining sixteen the condition was diffuse Urine The routine examination consists of the usual physical tests chemical tests for serum albumin sugar when specific gravity is 1025 or higher and the microscopical examination of the sedi ment obtained by centrifugalization Of such examinations there have beenjnade 611 mainly entrance examinations the resultsGeorgia State Sanitarium 35 of which are presented in tabular form below Table 2 Bear ing in mind the fact that in the majority of instances the urine of a given case was examined only once that the presence of serum albumin and casts either singly or conjointly is by no means positive evidence of nephritis and finally that nephritis of the pathologist and Brights disease of the clinician are not one and the same thing the necessity for the compilation of elaborate tables from the uranalysis records has not appeared TABLE No 2 Synopsis of Uranalyses Total number of specimens examined611 Number showing neither albumin nor casts nor organized sediment Number showing serum albumen 361 5908 Number showing serum albumin without casts 217 1 QO Numbtr showing casts Number showing casts without albumin 39 Number showing both albumin and casts 144 236 TABLE No 3 Showing the microscopical findings in 190 specimens which showed albumin without casts 190 Total number 19 Blood cells were present in 49 Pus cells were present in 26 Blood and pus cells were present in No organized sediment was present in Diazo Reactions Sixty five specimens of urine have been ex amined for Ehrlichs diazo reaction for two purposes viz to aid in the diagnosis of suspected cases of typhoid fever and to aid in the forming of a prognosis in cases of tuberculosis Twenty nine examinations fall within the first class Of these fourteen gave positive results fifteen negative In the second class there were thirty six examinations of which five gave positive results and thirty one negative Besides the examinations the results of which are given above there have been made a number of qualitative tests for indican acetone bile pigments methemoglobin etc as well as quantita tive determinations of urea uric acid chlorides glucose etc Blood The following examinations have been made for malarial or ganisms 49 Of these fourteen gave positive results thirty five negative In the positive cases there was found a single tertian36 Sixty Third Annual Report infection eight times double tertian twice aestivoautumnal four times Ten numerical counts and haemoglobin estimations and seven teen differential counts were made mainly in cases of helmin thiasis GruberWidal Reactions Only serum is used the dilution being usually one to forty and time limit one hour and thirty minutes the test being carried out microscopically The results have been reported either positive or negative the socalled doubtful reactions not being considered Seventeen tests for the reaction were made Of these seven were positive ten neg ative In only one case which was not typhoid fever was the result positive This was the case of a negro male first suspected of having typhoid fever later shown to have miliary tuberculosis Autopsy No 371 At first both the diazo and the Gruber Widal reactions were absent later when the clinical course and symptoms did not yet warrant a diagnosis of tuberculosis both were present and well marked Sputum One hundred and thirty six examinations were made one hun dred and twenty eight for Bacillus tuberculosis and eight for the Pneumococcus Of the 128 specimens examined for Bacillus tuberculosis 25 were positive 103 negative percentage of posi tive results 20 This may at first sight seem rather low but when it is considered that in the majority of cases the sputum was obtained from cases in which an early diagnosis was attempted it will be seen to agree with the results usually ob tained Of eight specimens examined for Pneumococcus the organism was present in numbers in all Fcccs Thirty specimens were examined 26 for animal parasites or their ova and four for Bacillus tuberculosis Of the latter all were negative Of the former 14 examinations gave positive results and 12 negative In the positive cases there were found Amoebae dysenteriae 2 times Ovo of Uncinaria aujericana 8 Ova of Ascaris lumbricoides 3 Rhubditiform embryos of Strongyloides intestinalis 2 Ovaof Trichocephalus trichiuris 3 Georgia State Sanitarium 37 Report of Dentist Georgia State Sanitarium Milledqeville Ga Jan 1st 1907 Dr T O Powell Superintendent Dear DoctorThe following is a report itemizing the Dental Treatment and Operations of this department during the year 1906 Alveolar Abscesses treated 40 Periodonitis treated 23 Stomatitis treated 3 Pyorrhoea Al veolaris treated 10 Acute Odontalia treated 14 Calcarious deposits removed Number of patients 81 Pulps devitalized removed and cavities and pulp canals filled 83 Putrescent pulps removed tooth treatedcavities and pulp canals rilled 97 Cavites filled with Oxphosphate Zinc 294 Cavities filled with Amalgam 598 Cavities filled with Guttapercha 3 Cavities filled with Gold 2 Crowns made 8 Crowns reset 2 Bridges made 2 Bridges reset 1 Artificial dentures made 7 Artificial dentures repaired 7 Hypersensitive teeth from erosion or attrition cauterized with Nitrate of Silver 8 Teeth cleaned Number of patients 9 Teeth and roots badly decayed ulcerative and offensive removed 1208 Number of patients during the year 1216 I visit the wards in numerical order examine the mouth of each patient and render such services as are feasible Respectfully submitted J 0 Richard Dentist3 SixtyThird Annual Peport Report of Apothecary Dr T O Powell Sufieriitendent Dear SirThe following is my report of the Apothecary De partment from January 1st 190G to January 1st 1907 It being the policy of this department to manufacture all phar maceuticals and preparations used by the institution we have done so at all times where it was economy to do so restricting purchases to chemicals and such specialties as were required by the physicians STATEMENT The following is a statement of all expenditures etc of Apoth ecary Department from January 1st 1906 to January 1st 1907 Amount of drugs purchased including all druggists sundries dental and laboratoryjsupplies etc all preparations for fumi gation disinfecting and sanitary purposes also all alcohol wines and whiskies 3192 67 Amount of drugs sold officers and employees 332 40 Amount of drugs on hand 2635 50 Fixtures etc 385 50 Number of prescriptions filled 46133 Respectfully submitted D S Carrington ApothecaryGeorgia State Sanitarium 39 Report of Treasurer Georgia State Sanitarium Milledgeville Ga January 1st 1907 Dr T O Powell Superintendent Georgia State Sanitarium My Dear Sir1 beg to submit herewith the Receipts and Dis bursements of my office as Treasurer for the fiscal year SUPPORT AND MAINTENANCE Receipts 1906 Jan 1 Balance 308 48 Dec 31 Received from State Treasurer 360000 00 360308 48 Disbursements 19 16 Deo 31 Subsistence I 116943 38 Clothing 44378 84 Fuel and Transportation 32370 57 Salaries 30737 15 Wages 94125 35 Incidental Expenses 26402 98 Medical Supplies 3192 67 Contingencies 873 93 Postage and Stationery 1266 06 350390 93 Balance 9917 55 360308 48 SPECIAL APPBOPRIATION Water Works 1906 Jan 1 Balance 1314 04 Dec 31 Received from State Treasurer 57000 00 58314 04 D3C 31 Expenditure 46237 88 Balance 12076 16 58314 044 SixtyThird Annual Report L H Andrews Treasurer 1906 lD account wltn Geohia State Sanitarium Dec 81 Balance on deposit in M F Bank 37890 94 Dec 31 Balance from Support and Maintenance 9917 55 Balance from Special Appropriation 12076 16 Outstanding Vouchers mouth of Nov 18 90 Outstanding Vouchers month of Dee 15878 33 37890 94 THE MERCHANTS AND FARMERS BANK Milledgeville Ga December 31 1906 In account with L H Andrews Treasurer 1nA Georgia State Sanitarium Dec 31 Balance to credit 37 890 94 This is to certify that L H Andrews Treasurer Georgia State Sanita rium had on deposit in this Bank subject to check at the close of busi ness December 31st 1906 ThirtySeven Thousand Eight Hundred and Ninety and 941000 Dollars 837890 94 Signed L C Hall Cashier Merchants Farmers Bank Attest Jno T Day N P Baldwin Co Ga Respectfully submitted L H Andrews Treasurer Georgia State SanitariumGeorgia State Sanitarium 4i Report of Steward Georgia State Sanitarium Milledgeville Ga January 1 1907 Dr T O Powell Superintendent Dear SirI have again the honor to transmit through you to our honorable Board of trustees this my report as Steward em bracing the period from January 1st 1906 to January 1st 1907 Abstract A shows the balance brought forward from last year the amount drawn from the State Treasurer for the support and maintenance of the Sanitarium together with a classified statement of the disbursements also the balance on hand to be carried forward to the next year Abstract B shows the expenditures on account of subsistence Abstract 0 shows the expenditures on account of clothing Abstract D shows the expenditures on account of fuel and transportation Abstract E shows total amount officers pay rolls Abstract F shows total amount wages pay roll Absfract G shows the expenditures on account of incidentals Abstract H shows the expenditures on account of medical supplies Abstract I shows the expenditures on account of contingencies Abstract J shows the expenditures on account of stationery and postage Abstract K shows the expenditures on account of Special Appropriation for water works Abstract L shows the requisitions drawn on State Treasurer for support and maintenance Abstract M shows the average number of patients from 1873 to 1907 also the per capita cost per diem and per annum Abstract N shows the cost of maintaining one patient by the year month week and day Our Storekeeper Mr W H Hunter reports stock on hand 150487742 Sixty1hird Annual Report Our Apothecary Mr D S Carrington reports stock on hand 263550 Our percapita per diem is 32 24100 By reference to the report of Mr G W Hollinshead Assistant Steward you will ascertain results from farm garden dairies hogs etc also a report of stock wagons implements etc on hand In compliance with the law duplicate vouchers of the expenses accompanied by the required certificate approved by yourself and audited by the Trustees have been filed in the Executive Department in Atlanta I have devoted my entire time as required by the rules of the Institution to the Stewards work and have to the best of my ability discharged the duties encumbent upon me I feel deeply grateful for the continued confidence of our Board of Trustees as well as that of yourself Very Kespectfully Lucius J Lamar Steward G S S ABSTRACT A Shows the balance brought forward from last year together with all the money received with a classified statement of the disburse ments from January 1st 1906 to January 1st 1907 1906 Db Jan 1 To Balance on hand 308 48 Dec 31 To State Treasurer 360 000 00 360308 48 1906 Cb Dec 31 Subsistence 116943 38 Clothing 44378 84 Fuel and Transportation 32 370 57 Salariea 30737 15 Waps 94125 35 Incidental Expenses 26 402 98 Medical Supplies 3 192 57 Contingencies 973 93 Stationery and Postage 1 266 06 n 350390 93 Cash on hand 9 917 55 360308 48Georgia State Sanitarium 43 ABSTRACT B Shows the Expenditures on account of Subsistence from January 1 1906 to January 1 1907 Date To Whom Paid What Fob Amount 1906 Jan 31 J H EnnisPoultry W I SimpsonCow C W MoranPoultry J H Eunis Fruit Home Andrews Com Co Samples S R JaquesT CoNuts E O Wriitford CoButtenne Hall LamarSamples J F Bell Groceries Nat Packing CoSampls RC RobsonMeat Armour Packing CoSamples KRRM Foster1 Armour Packing Co Buttenne Robert Buist Co Seed Home Andrews Com CoHams Home Andrews Com Co Samples Nat Packing Co Meat Hall LamarFlour Armour Packing CoLard Milledgeville Oil MillsHulls IA J Carr Co Flour C M Gilbert CoSyrup McCord Stewart Coi W A Brown T CoTobacco AH Motley Co Babbeth Butberford M Co Grits Standard Oil CoCandles Jonas MendleRice 8 R Jaques T CoGroceries S W Broom CoBrooms G W W Stone Armour Packing CoBeef The Fleischman Co Yeast S NapierButter JT Williams J W Weems JBOQuinn J W 8tembride G W Wilkinson Jesse Miller C A Underwood D T Singleton JTCook C M Hudson J A Thomas J A BreoksButter and Milk J A Back G F Edwards TTreanorI JM Edwards Penn WatsonTobacco B C RobsonBran 29 65 25 00 61 10 330 75 6 16 129 07 103 71 14 87 20 71 3 13 293 98 23 80 10 66 90 00 92 69 66 68 8 85 1481 37 670 62 261 91 50 62 735 00 164 80 181 14 48 00 56 00 153 00 118 13 113 91 1636 34 29 90 32 25 1731 39 18 90 14 55 12 55 33 95 68 35 24 20 38 10 14 80 19 90 8 15 7 35 7 50 4 20 54 69 32 45 27 17 21 72 24 30 60 00 245 0044 SixtyTkird Annual Report ABSTRACT BContinued Date To Whom Paid What Fob Amount 1906 Jan 31 Feb 28 Mar Mar 28 31 J H Ennis Fish KB4EMFoster Bran E O Whitford CoButterine J H Ennis Poultry Armour Tacking CoButterine Swift Co R C RobsonRice Jno Conn Co Cudahy Packing CoSamples Hall LamarGroceries JFBell J J Waxelbaum CoTurnips Milledgeville Oil MillsHulls A J Carr Co Soap Milledgeville Oil MillsHulls Nat Packing CoMeat Hall LainarFlour Armour Packing CoHams Milledgeville Oil Mills Hulls R C Robson Bran A J Carr CoFlour 0 M Gilbert Co Coffee McCord Stewart Co Penn WatsonTobacco W A Brown T Co A H Motley Co Louisville C Mill CoGrits Jonas Mendle Rice Burkenroad G S Co S R Jaques T CoGroceries E BEzellCoPeas Armour Packing CoBeef G W WilkinsonButter J W Stem bridge J T Williams Jesse Miller J B OQuinn J W Weems J T Cook C A Underwood S Napier J A Buck J A Brooks G F Edwards T Treanor J M Edwards K R R M Foster Bran Milledgeville Oil MillsC S Meal J H EnnisOysters Tbe Fleischman CoYeat S Evans Sous Co Acid Jno Conn CoOat Meal R C RobsonTobacco Butterine Groceries E O Whitford Co J FBell Hall Lamar 3 73 1065 45 80 33 18 35 90 00 73 95 56 25 48 00 1 45 118 76 17 20 96 90 66 41 39 25 65 63 1474 44 415 00 217 64 50 62 984 90 727 50 300 00 247 54 60 00 50 40 56 00 161 39 120 08 102 24 1956 10 6 00 1719 37 36 40 17 90 12 15 4 10 29 65 14 85 13 75 12 10 6 10 23 06 53 36 25 46 19 62 26 55 696 80 754 50 2 85 16 80 633 00 17 10 94 00 80 S3 18 90 38 40 Georgia State Sanitarium ABSTRACT BContinued 45 Date To Whom Paid What Fob Amount 1906 Mar 31 April 30 Swift Co Butterine Nat Packing CoMeat Armour Packing CoLard Milledgeville Oil MillsSoap R C RobsonBran A J Carr CoFlour Penn WatsonTobacco W A Brown T Coi AH Motley Co Louisville C Mill CoGrits M J Glynn CoTea Jonas Mendle tUce B Goldsmith Co S R Jaques T CoGroceries Hygienic Food CoM Flake J W StembridgeButler CW Vincent J W Weems WL Vincent J T Cook Jesse Miller GW Wilkinson S Napier JT Williams J A BrooksMilk J A Buck J M Edwards TTreanor G F Edwards The Fleischmans CoYeast Austin Nichols CoSyrup J H EnnisFish KR R M FosterBran Armour Packing CoBeef Foster Jeanes CoTobacco F S Cox CoC Flake Armour Packing Co Hams Jno Conn Co Oat Meal Nat Packing CoSamples J F BellGroceries E O Whitford Co Butterine S R Jaques T Co Samples K E R M Foster J J Waxelbaum CoLemons Nelson Morris Co Butterine Hall LamarSamples Louisville Packing Co S R Jaques T CoGroceries Louisville C Mill CoGrits McCord Stewart CoSyrup W A Brown T CoTobacco Cudahy Packing CoMeat Louisville Packing Co Lard Penn WatsonTobacco 0 M Gilbert CoCoffee Hall LamarGroceries 73 95 1359 03 338 35 50 62 980 00 598 45 30 00 57 60 56 00 165 60 62 08 116 66 107 45 998 95 10 73 14 25 6 45 16 00 2 80 14 50 9 05 35 55 7 05 2 80 60 98 29 54 26 91 19 32 27 47 18 90 102 76 4 35 336 90 2373 54 66 55 8 55 180 00 9 10 2 40 23 75 80 32 9 55 85 4 75 62 40 21 23 2 13 1635 43 110 40 232 96 47 04 1533 30 175 20 62 00 571 68 1977 87 46 Date 1906 April 30 May 31 SixtyThird Annual Report ABSTRACT BContinued To Whom Paid What Fob Amount Tobacco Compound Soap Rice Meal Bran Meal Butter Butter Milk Hams Beef Yeast A H Motley Co Schwarzchild Sulzberger L H Fraguson Bro G Schwartz Oconee R Mills Foster Jeanes Co Oconee R Mills S Napier Jesse Miller J W Weems JTCook G W Wilkinson J W Stembridge J T Williams J A Brooks G F Edwards T Treanor J A Buck J M Edwards Armour Packing Co Armour Packing Co The Fleisctimau Co Austin Nichols CoPepper A J CarrCoSoap E O Whitford CoButterine Hall LamarGroceries JFBellj Jno Conn Co NelsonMorris CoButterine Louisville C Mill CoGrits McCrrd Stewart Co Flour W A Brown T Co Tobacco Cudatay Packing CoMeat Louisville Packing Co ILard Arrmour Co Hams Penn WatsonTobacco C M Gilbert CoCoffee A H Motley CoTobacco Schwarzschild Sulzberger Compound S R Jaques CoGroceries Hall Lamar Austin Nichols CoSyrup Foster Jeanes Co Bran Swift CoButterine Armour Packing Co MilledgevilJe Oil MillsSoap Oconee R MillsMeal Armour Packing CoBeef Oconee R MillsC Feed J W WeemsButter JTCiOk J W Stembridge G W Wilkinson S Napier Chandler Bros J T Williams 62 50 62 29 31 25 361 69 53 55 660 44 120 50 8 40 10 10 20 10 15 10 20 55 8 85 9 65 61 41 22 98 8 63 24 85 23 22 240 08 1132 58 18 90 11 45 84 00 80 33 64 58 16 80 51 10 62 40 140 76 679 66 47 04 1632 23 168 96 294 88 124 00 299 42 62 50 63 88 616 82 1163 69 93 84 880 00 73 95 90 00 110 25 390 12 1951 89 63 75 47 70 30 20 11 85 23 85 16 55 14 50 26 05 Georgia State Sanitarium 47 AB8TEACT BContinued Date To Whom Paid What Fob Amount 1906 May 31 June 30 July 31 r D Carr Butter P 10 75 9 20 3 05 33 55 12 00 16 90 64 40 13 95 2 05 18 90 436 70 11 60 16 58 77 14 80 33 21 08 81 96 47 04 169 55 91 74 62 65 1405 81 1253 56 49 60 91 00 71 40 26 25 13 75 86 25 88 10 23 95 90 15 64 15 9 25 9 75 6 30 37 70 3 90 14 80 50 33 13 50 61 49 16 80 387 31 1880 96 3 71 1959 34 300 00 402 45 121 22 8 81 300 00 90 00 16 12 2 07 3 90 it ii u F G Scott tl II J H Ennis riie Fleisohman Co J B OQuinn Milk it Fish Butter Hall Lamar it E 0 Whitford Co J F Bell Louisville C Mill Co Butterine Grits W A Brown T Co Austin Nichols Co Schwarzschild Bulzberger Meat Groceries it Butter Q W Wilkinson it J T Williams tt tt J T Cook tt tt C M Hudson tt tt it J D Carr tt W A Bass tt it a Milk J A Buck tt J H Ennis Poultry Oconee R Mills Beef Petty Cash C Produce Petty Cash Produce Butterine JFBell Groceries 8 R Jaques T Co Nat Packing Co 48 SixtyThird Annual Report ABSTRACT BContinued Date To Whom Paid What Fob Amount 1906 July 31 Oat Meal 15 30 Morris Co C M Gilbert Co Elberton Oil Mills Chandler Bros Louisville C Mill Co Carolina Rice Co 8 R Jaques T Co 2 46 81 29 Samples 7 30 Bran 84 00 447 18 149 11 M Grain 110 00 132 50 Syrup 138 29 47 04 182 70 Rice 248 55 19 60 300 00 89 25 Schwazsehild Sulzb rger Bran 2791 84 283 54 1963 69 Beef i 1462 47 J VV Weems D T Singleton 40 75 13 20 J T Cook u 26 70 Webb Bradley W A Bass i ISO 75 It 1 1 90 05 C M Hudson 21 10 11 37 60 J T Williams 11 41 20 11 16 50 G W Wilkinson a 21 55 11 29 00 C A Underwood n 15 45 u 8 35 J D Carr u 2 80 11 18 85 Milk Milk Poultry and Mutton 64 10 56 05 J A Buck S R Jaques T Co Ocouee R Mills Elberton Oil Mills JFBtll 13 95 318 84 18 90 57 00 305 16 110 00 10 25 11 61 77 Robert Buist Co W A Brown T Co SR Jaques T Co Schwarschild Sulzberger Seed Lard 9 10 148 09 Groceries 24 10 8 00 47 04 57 00 248 55 Rice 245 75 11 25 Grus 172 25 300 00 Georgia State Sanitarium ABSTRACT BContinued 49 Date To Whom Paid What Fob Amount 1906 July 31 E O Whitford Co 1 50 11 00 Lemons Flour 2 869 30 1 699 37 Oconee R Mills 277 94 W A Bass Butter 72 70 ii 42 65 C M Hudson it 83 55 il 28 65 11 60 Webb Bradley 75 00 Milk ii 59 04 13 95 f A Buck J W Ktunbridge Butter 43 00 G W Wilkinson 18 45 J T Williams u 44 50 J T Cook Butter u 17 35 8 60 D T Singleton it 9 95 II 6 00 J D Carr II 1 90 Schwarzai hild Sulzberger 6 00 243 51 18 90 Potatoes 64 50 Beef 1938 25 321 54 146 98 Sept 30 240 90 W A Brown T Co 47 04 Bran 766 81 J H Ennis 81 38 Butterine 90 00 H Wright Seed C Feed 4 00 89 25 J FBell J J Waxelbaum Co Bran 279 85 15 62 102 75 Butterine Groceries 80 33 30 80 Louisville C Mill Co Grits 176 40 Home Andrews Com Co A J Carr Co 240 62 16 00 257 47 Meat 16 80 37 20 26 20 Butter G W Wilkinson ii ii 9 45 8 25 28 80 14 05 13 20 20 70 38 90 it ii JTCook it W A Bass it Webb Bradley ii C M Hudson ii it 18 55 J T Williams ii 36 30 50 SixtyThird Annual Report ABSTRACT BContinued Date To Whom Paid What Fob Amount 1906 Sept 30 Oct 31 Nov 30 D T Singleton C A Underwood J A Brooks J a Buck J H Ennis Armour Packing Co Oconee R Mills Oconee R Mills Armour Packing Co J C Edwards Penn Watson Nat Citv Dairy Co Louisville Packing Co McCord Stewart Co Nat Packing Co M W JchnsonS Co S R Jaques TCo H Wright Hall Lamar Jno Conn Co JFBell Swifts Co Leipfert Scales Co McCord Stewart Co Butter Milk Mutton Beef Meal C Feed Beef Turnips Tobacco Buttenne Samples Seed Samples Seed Groceries Butterine Tobacco Flour Hall LamarBran Grccaries Rice if Tobacco Meat IC Hams it Flour Sugar Soap Meal Yeasts Butter SR JaquesTCo B Goldsmith Co G Schwartz W A Brown T Co Swift Co Armour Co Schwarzschild Sulzberger J C Roth Packing Co Ballard Ballard Americus Grocery Co Milledgeville Oil Milli Oconee R Mills The Fleischman Co J W Stembridge G W Wilkinson J T Cook CM Hudson Jesse Miller J T Williams Webb Bradley Annie Hudson D T Singleton J A Brjooks J A Buck Armour Packing CoBeef Coe Mortimer CoFertilizers Swift CoSamples Robert Buist CoSeed Leipfert Scales CoTobacco Milledgeville Oil MillsSoap B Goldsmith CoRice Milk Milk 10 15 8 50 35 62 13 50 57 31 1796 74 389 29 89 25 329 12 82 00 153 45 80 33 2 39 4 72 2 59 7 83 5 18 10 40 109 84 45 41 19 44 87 50 42 50 1131 83 1675 80 1527 20 119 45 258 24 47 04 866 05 1429 56 229 83 319 56 565 25 949 13 66 00 256 41 18 90 37 95 24 85 10 95 43 30 8 00 21 55 5 15 28 60 8 80 45 34 18 61 1376 il 512 18 1 47 49 80 42 50 182 16 120 55Date 1906 Nov 30 Dec 31 Georgia State Sanitarium ABSTRACT BContinued 51 To Whom Paid What Fob W A Brown TCoTobacco Swift CoMeat Armour CoI Schwarzschild Sulzberger Hams J C Roth Packing Co Ballard BallardFlour McOord Stewart Co A J Butts BroRye Hall Lamarj Groceries 3 R Jnques T Co W L VincentButter Swift CoButterine Hall LamarGroceries Jno Conu CoI Oconee R MillsIC Feed J F Bell Groceries J J VVaxelbaum CoTurnips Armour Packing CoButterine 3 H FowlerPoultry WTGarrardj The Fleischman CoYeast J W StembridgeButter GW Wilkinson C M Hudson J T Cook D T Singleton J W Weems J T Williams Annie Hudson Jessie Mill r Webb Bradley J A BrooksMilk J A Buck Austin Nichols CoPepper J C ColemanPoultry Oysters Beef Poultry Wheat Fertilizers Meal Acid Candy Fruit Butter Meat JFeed Tea Groceries J H Ennis Armour Packing Co J C Coleman ES Vincent S Evans Sons Co Oconee R Mills S Evans Sons Co FE Block Co Hill Merry Chandler Bros Home Andrews Com Co Oconee R Mils M J Glynn Co Jno Conn Co Hall Lamar J F Bell E L Barnes Armour Packing Co Nat City Dairy Co Swift Co Leipfert Scales Co Dates Butterine Tobacco Amount 47 04 900 68 912 00 273 11 362 39 926 75 818 41 5 40 1596 77 797 65 4 20 100 80 143 75 10 70 63 75 38 63 86 00 90 00 14 85 18 90 18 90 39 20 24 20 29 20 8 30 7 80 12 80 7 30 140 6 90 13 90 40 74 22 32 31 25 10 35 2 35 2173 14 13 65 35 00 1210 09 386 55 288 60 58 80 258 50 11 07 227 21 38 25 76 98 30 25 109 43 39 68 64 26 180 00 80 33 201 60 40 00 52 SixtyThird Annual Report ABSTRACT BContinued Date 1906 Dec 31 To Whom Paid What Fob Amount Hall LamarGroceries B Goldsmith CoRice W A Brown T CoTobacco Swift CoMeat Schwarzschild Sulzberger jHams J C Roih Packing Co J J Waxelbaum CoNuts Chandler BrosEggs S R Jaques T CoGroceries J H Ennisgranges G W WilkinsonButter J W Stem bridge Webb Bradley JT WilliamsI JTCookI Jesse Millerj J W Weems Armour Packing CoBeef J A BrooksMilk J A Buckj T Treanor J H EnnisIPoultry Oconee R Mills The Fleischman Co J H Ennis Total Meal Yeast Oysters 934 95 120 30 47 04 689 51 255 74 360 63 138 00 15 60 1061 34 148 80 28 80 34 35 35 50 3 40 7 20 4 00 6 55 1552 74 41 55 27 20 32 74 22 50 382 53 18 90 90 116943 38Georgia State Sanitarium 53 ABSTRACT C Shows the Expenditures on account of Clothing from January 1 1906 to January 1 1907 Date 1906 Jan 31 Feb 28 To Whom Paid What For Amount Mch 31 April 30 Davis EdwardsDry Goods P D Horkan Co Samples Burden Smith Co Carson Pirie Scott Co WH Brigham Coj J KOrrShoe Co8boes Dannenberr Co Samples Aug Wright CoiShoes Hairis Davis Co Samples EEBtrll Guggenheimer Co M C Kiser CoShoes Thomaston Shoe CoI McKenna Shoe Co W H Thomas Co Coats Howett Warner Co Dry Goods Byck BrosShoes VV H Brigham Co Domestics Guggenheimer Co m Thread Co Thread JO W Millsleans Howett Warner Co Domestics W H Thomas Co Coals Bibb Mfg Co Hosiery Harris Davis CoSamples E E Bell Shoes J KOrrShoe Co M C Kiser Co E A Waxelbaum Bro W H Thomas CoSamples VV H Brigham Co Domestics Guggenheimer CoI Am Thread CoThread J C Woolen MillsJeans Howett Warner Co Blankets W H Thomas CoCoats Bibb Mfg CoHosiery Carson Pirie Scott CoBrushes Harris Davis CoHosiery E E BellShoes J KOrrShoe Co MC Kiser Co E A Waxelbaum Bro W H Thomas Co Blankets W H Brigham CoDomestics W H Thomas CoDry Goods E E BellShoes E A Waxelbaum Bro E A Waxelbaum Bro FHaugShreCo E Wolff C W L CoSamples The Waxelbaum Co Davis EdwardsCalico 41 42 98 10 00 2 06 9 86 76 32 15 98 15 50 3 69 19 84 1 22 32 68 1 80 11 80 271 89 382 61 99 60 550 00 113 25 54 16 185 00 198 60 375 00 166 25 37 50 98 00 131 00 115 00 432 00 23 13 687 50 226 84 54 16 189 07 443 29 300 22 162 50 57 00 35 15 9S 00 136 24 115 00 350 10 1562 28 305 00 219 01 83 36 492 16 25 20 6 97 96 2 65 29 3754 Sixtylhird Annual Report ABSTRACT CContinued Date To Whom Paid What Fob Amount 1906 April 30 J W Carter Co Hats 4 45 7 68 Atkins McKilden Bro Co 3 72 Samples 1 40 Gans Lipman Shoes 30 79 Hats 12 00 Guggenheimer Co 2 50 P D Horkan n 18 65 W H Thomas Co C1 20 77 38 26 lc 7 55 W H Brigham Co l 14 16 M C Riser Co 20 33 E E Bell n 37 62 Carson Pirie Scott Co Middle Ga C Mills Samples 7 06 321 11 P D Horkan Co 240 48 372 45 Carson Pirie Scott Co 271 97 450 23 375 00 Thread 108 32 423 85 253 56 E K Bell 240 00 J KOrr Shoe Co W H Brigham Co WH Thomas Co MC Riser Co W H Thomas Co it 441 00 70 70 387 52 1585 08 335 00 May 31 Calico 32 89 B Robes 100 00 Middle Ga C Mills P D Horkan Co FE Callaway Co Carson Pirie Scott Co EE Bell M C Riser Co J R Orr Shoe Co 3 60 Domestics 321 11 ti 313 39 197 00 Spreads 557 27 Domestics 399 12 105 08 119 00 462 10 a 71 40 W H Brigham Co 79 02 Combs 51 00 W H Thomas Co 437 50 91 85 June 30 JR Orr Shoe Co 16 14 49 98 184 49 July 31 50 43 59 397 29 PD Horkan Co 2 16 W H Thomas Co it 9 61 23 95 EE Bell ti WH Brigham Co 7 51 Georgia State Sanitarium ABSTRACT CContinued 55 Date To Whom Paid What For 1906 July 31 Aug 31 Sept 30 Oct 31 J K Orr Shoe Co M C Riser Co The Dannenbers Co Carson Pirie Scott Co Guggenheimer Co The Dannenberg Co Howelt Warner Co Carson Pirie Scott Co E E Bell Burden Smith Co W HBrighamCo J G Swift Co W H Thomas Co Middle Ga C Mills Am Thread Co BurtonTaylorWise Co M C Riser Co Guggenheimer Co Middle Ga C Mills The Dannenberg Co Howett Warner Co The Dannenberg Co E E Bell Howett Warner Co BurtonTayorWise Jo Davis Edwards Goodman Wooten F Haug Shoe Co W H Thomas Co E EBell Davis Edwards F Haug Shoe Co EWolffO W L Co W A Loody Co Joseph I G Co Haber Bloch Hat Co M C Riser Co Burden Smith Co Harris Davis Co Atkins McR Brown Co The Dannenberg Co W H Thomas Co J R Orr Shoe Co W H Brigham Co Guggenheimer Co Gans Lipman A M Robinson Co P D Horkan Co E EBell Carson Pirie Scott Co Guggenheimer Co Howett Warner Co BurtonTaylorWise Co Middle GaC Mills vonRamp Vaughn Gerald Carson Pirie Scott Co Shoes Samples Gingham Osnaburgs Sheeting Crash Shoes Spreads Shirting Cottonades Coats Domestics Thread Sheeting Shoes Plaids Sheeting Shoes Dry Goods Shirting Calico Shoes Spreads Prints Samples shoes Hosiery Samples Hats Shoes Samples Hats Shoes Dry Goods Shoes Samples Hats Samples Ginghams Sheeting Amount Drilling Spreads 23 11 10 28 30 01 2 39 127 50 194 63 353 38 160 99 233 70 250 00 53 12 108 78 490 75 525 00 108 32 812 82 52 80 313 09 414 38 90 30 369 60 325 53 190 60 170 75 427 18 11 10 25 75 32 40 662 63 26 00 68 46 9 57 10 43 4 71 72 11 8 17 13 95 42 05 10 20 6 12 167 19 201 58 37 03 16 48 21 71 18 35 70 55 2 79 48 48 28 71 361 97 384 49 627 38 402 45 132 50 340 9456 Sixty Third Annual Report ABSTRACT CContinued Date 1900 Oct 31 Nov 30 To Whom Paid What Fob Dec 31 M C Riser CoShoes Am Thread CoThread W H Brigham Co Domestics Dannenherg Co Blankets EE BellshoeS E Wolff C W L Co Hosiery Davis EdwardsVests Gans LipmanHats Atkins McK Bown Co I K Orr Shoe CoShoes Burden Smith CoBlankets W H Thomas CoCoats F Haug Shoe CoShoes Quggenheimer Co Plaids T P Fred CoJeans Howett Warner CoBlankets Burden Smith Co BurtonTaylorWise Co Domestics Carson Pirie Scott CoTicking M C Riser CoiShoes W H Brigham Co Domestics The Dannenberg CoBlan kets E E Bell Davis EdwardsCaps F Haug Shoe CoShoes EEBell calico Davis Edwards W H Thomas CoB Robes W H Thomas CoCoats 4 Howitt Warner CoSamples W H Thomas CoBlankets EEBell shoes Burden Smith Co rawn BurtonTaylorWise CoSheeting The Dannenberg CoOsnaburgs EEBellShoes AlfOCNT 405 00 130 00 821 17 586 67 1030 47 150 50 275 00 105 00 22 50 294 00 1962 50 530 10 12 00 395 89 529 13 356 60 412 50 1053 29 341 98 157 50 330 00 588 97 727 50 79 00 96 00 43 21 45 15 121 50 2212 50 13 91 535 31 30 52 18 72 159 65 306 05 556 35 Total 44378 84Georgia State Sanitarium 57 ABSTRACT D Shows the Expenditures on account of Fuel and Transportation from January 1 1906 to January 1 1907 Date To Whom Paid 1906 Jan 31 GRR Co Mingo Coal C Co D W Brown Agt So Ex Co CofGRvCo G R R Co C C Hart Mingo Coal C Co H B Bowling C Co H B Bowling C Co Feb 28 H B Bowling C Co So Ex Co H B Bowling C Co Mingo Coal C Co Cof G Hy Co H B Bowling C Co HB Bowling C Co GRRCo H B Bowling C Co H B Bowling C Co Mingo Coal C Co So Ex Co H B Bowling C Co HB Bowling C Co H B Bowling C Co H B Bowling C Co Mch 31 Mingo Coal C Co Mingo Coal C Co H B Bowling C Co Mingo Coal C Co H B Bowling C Co Mingo Coal C Co H B Bowling C Co Mingo Coal C Co GRR Co H B Bowling C Co HB Bowling C Co H B BowliDgC Co H B Bowling C Co H B Bowling C Co So Ex Co C of G Ry Co GR R Co HC Bowling C Co C C Hart W P Overman H B Bowling C Co HB Bowling C Co HB Bowling C Co E Beeker April 30 So Ex Co Standard Oil Co GRR Co Freight Coal Wagon Freight What For Wood Coal Freight Coal Freight Coal Freight Coal Freight Coal Freight Coal Freight Coal Wood Coal Wagonette Freight Axle Grease Freight Amount 152 50 38 64 110 00 18 10 9 95 21 57 89 67 37 56 121 28 123 64 227 59 24 55 196 88 42 20 16 54 97 65 411 08 329 16 195 30 102 38 98 53 17 05 100 01 102 38 226 80 246 48 74 46 94 90 93 71 40 96 195 30 39 66 392 18 130 21 441 96 393 75 293 74 393 75 192 15 331 54 20 15 156 92 7 98 392 90 58 65 20 40 429 98 189 79 388 24 95 00 26 70 7 87 204 5258 SixtyThird Annual Report ABSTRACT DContinued Date 1906 April 30 May 31 June 30 July 31 To Whom Paid What Fob So Ex Co Cof G Ry Co G R R Co Mingo Coal C Co C C Hurt L Glessenkamp Sods Co GRR Co So Ex Co GRR Co So Ex Co H B Bowling C Co H B Bowling C Co C of G Ry Co C C Hurt HB Bowling C Co H B Bowling C Co So Ex Co HB Bowling C Co HB Bowling C Co H B Bowling C Co So Ex Co GBernd Co HB Bowling C Co HB Bowling C Co So Ex Co HB Bowling C Co H B Bowli gCCo H B Bowling C Co HB Bowling C Co H B Bowling C Co H B Bowling C Co H B Bowling C Co H B Bowling C Co C of G Ry Co H B Bowling C Co GRR Co HB Bowling C Co HB Bowling C Co C C Hurt GRR Co HB Bowling C Co H B Bowling C Co H B Bowling C Co H B Bowling C Co C of G Ry Co H B Bowling C Co HB Bowling C Co So Ex Co HB Bowling C Co H B Bowling C Co HB Bowling C Co H B Bowling C Co H B Bowling C Co GTWhildeu GRRCo So Ex Co Freight Coal Wood Carriage Freight Coal Freight Wood Coal Freight Coalj Freight Leather Coal Freight Coal Freight Coal Freight Coal Wood Freight Coal Amount Freight Coal Freight Coal Horse Freight 9 20 53 56 63 84 40 60 66 72 482 66 190 17 19 25 27 39 8 70 130 35 259 06 9 04 38 67 627 00 210 38 8 10 129 53 315 98 422 42 8 92 12 25 82 50 418 29 14 50 89 10 447 16 568 44 127 88 438 92 91 58 451 88 201 30 19 68 510 68 41 66 51S 11 422 41 35 27 35 16 435 61 219 45 194 70 202 96 34 18 85 80 206 25 21 60 660 00 190 58 252 45 196 35 124 58 150 00 30 98 19 45Date 1906 July 31 Aug 31 Sept 30 Oct 31 Georgia State Sanitarium ABSTRACT DContinued 59 To Whom Paid H B Bowling C Co C of G Ry Co CCHurt W P Overman H B Bowling C Co HB Howling C Co H B Bowling C Co H B Bowling C Co H B Bowling C Co So Ex Co GRR Co H B Bowling C Co H BBiwling C Co So Ex Co C of G Ry Co HBBowlfhgCCo H B Bowling C Co H B Bowling C Co H B Bowling C Co W P Overman C C Hurt H B Bowling C Co HB Bowling C Co H B Bowling CCo H B Bowling C Co H B Bowling C Co H B Bowling C Co GRR Co So Ex Co H B Bowling C Co H B Bowling C Co C of G Ry Co HB BowliDgC Co HB Bowling C Co G R R Co H B Bowling C Co H B Bowling C Co H B Bowling C Co C C Hurt W B Richardson W P Overman H B Bowling C Co H B Bowling C Co H B Bowling C Co H B Bowling C Co H B Bowling C Co HB Bowling CCo So Ex Co GRR Co C of G Ry Co H B Bowling C C H B Bowling CCo GRR Co H B Bowling C Co H B Bowling C Co CCHurt What Fok Amount Coal Freight Wood Coal Freight Coal Freight Coal Wood Coal Freight Coal Freight Coal Freight Coal Wood Coal Freight Coal Freight Coal Wood 482 63 34 14 117 99 52 37 306 09 306 91 120 45 408 39 206 25 21 89 12 16 245 85 202 13 26 28 22 70 103 13 122 93 201 30 120 45 71 22 225 79 101 48 402 61 406 74 231 83 102 30 212 85 36 98 30 26 226 05 96 53 38 37 301 95 304 44 10 24 201 31 402 61 396 00 233 10 86 49 49 02 393 53 407 56 189 75 192 23 193 06 101 48 26 30 236 76 228 23 314 34 301 96 27 75 201 31 100 65 116 55 6o SixtyThird Annual Report ABSTRACT DContinued Date 1906 Oct 31 Nov 30 Dec 31 To Whom Paid What Fob W P OvermanWood A I Butts BroOats H B Bowling C CoCoal SoExCoFreight H B Bowling C CoCoal HB Bowling C Co G R R Co Freight Mingo Coal C CoCoal Mingo Coal C Co G R R CoFreight CofGRyCoi So Ex Coi Mingo Coal C CeCoal C C Hurt Wood W P Overman H B Bowling C Co Coal So Ex CoFreight CofGRyCo O C Hurt Wood W p Overman C of G Ry CoFreight GRRCo So Ex Co Mingo Coal C CoCoal Amount Total 32370 57 59 20 115 75 510 69 25 89 3s9 41 202 13 200 99 61 55 71 05 202 88 59 43 34 20 62 35 273 80 61 97 304 43 31 51 135 52 112 39 35 15 16 31 55 76 67 51 65 98Georgia State Sanitarium 61 ABSTRACT E Shows amount of Salaries paid Officers per month together with the ag gregate amount from Jan 1 1906 to Jan 1 1907 1906 Jan 1 Pay Boll January 1906 2433 40 February 2i433 30 ii n jyiarch 2545 90 it k April 2558 30 ii May ii 2558 30 June 2558 30 July 2558 3 August 2558 30 September 2i558 30 October 2624 95 November 2674 95 December 2674 95 Total 39737 15 ABSTRACT F Showing amount of Wages paid to Employees per month together with the aggregate amount from Jan 1 1906 to Jan 1 1907 1906 Jan 1 Pay Boll January 1906 7871 55 February 7818 70 March 7773 4a ii ii April 7672 95 May 7797 25 June 7616 80 July 7730 25 August 7655 5 September 7750 70 October 8025 95 November 8213 20 December 8199 5 TotalI 9M25 356o SixtyThird Annual Report ABSTRACT DContinued Date 1906 Oct 31 Nov 39 Dec 31 To Whom Paid What Fob W P OvermanWood A I Butts BroOats H B Bowling C CoCoal So Ex CoFreight H B Bowling C CoCoal HB Bowling C Co G R B Co freight Mingo Coal C CoCoal Mingo Coal C Co GEBCoFreight C of G Ry Co So Ex Co Mingo Coal C CeCoal CC HurtWood W P Overman HB Bowling C Co Coal So Ex CoFreight CofGRy Co C C HurtWood VV P Overman C of G Ry CoFreight GRRCo So Ex Co Mingo Coal C CoCoal Amount Total 32370 57 59 20 115 75 510 69 25 89 369 41 202 13 200 99 61 55 71 05 202 88 59 43 34 20 62 35 273 80 61 97 304 43 31 51 135 52 112 39 35 15 16 31 55 76 67 51 65 98Georgia State Sanitarium 61 ABSTRACT E Shows amount of Salaries paid Officers per month together with the ag gregate amount from Jan 1 1906 to Jan 1 1907 1906 Jan 1 Pay Roll January 1906 2433 40 February 2433 30 March 2545 90 April 2558 30 May 2558 30 it ii June 2558 30 ii ii July 2558 30 August 2558 30 September 2558 30 October 2624 95 November 2674 95 December 2674 95 Total 30737 15 ABSTRACT F Showing amount of Wages paid to Employees per month together with the aggregate amount from Jan 1 1906 to Jan 1 1907 1906 Jan 1 Pay Roll January 1906 7871 55 February 7818 70 March 7773 40 a ii April 7672 95 May 7797 25 June 7616 80 it ii July 7730 25 August 7655 5 September 7750 70 October 8025 95 November 8213 20 December 8199 55 TotalI H125 352 Sixty Third Annual Report ABSTRACT G Shows in detail the Expenditures on account of Incidental Expenses from January 1 1906 to January 1 1907 Date To Whom Paid What Fob Amount 1906 Jan 31 T M SwiftServices CM MoranLumber P J Berc kmans CoTrees R W Hatcher Hardware Teague Supnly Co Dental Supplies jS S White D M Co Dental Supplies Morning NewsPrinting The Bashlin CoValves J Staley Hardware Standard Oil CoOils Warren Bros Co Paints P W Wolf Co Ammonia MS D ABvck Paper Milledgeville Tel CoRent Cen Ga Tel Co Messages Massee F Lumber CoSash c L W Loomis Tinware Augusta Broom M CoBrooms E Becker Repairs Cameron Barkley Co Eng Supplies S R Jaques T Co Potash Vale Towne Manf Co Keys TC Burke Lime Dixon WilliamsSpoons E J P D WillinghamCarpet G D CaseBrushes Foote Davies Co Books WH Thomas Co B Robes Phenix Supply Co Soap Conklin T B Metal CoTin Plate Carolina P Cem CoCement Jones H Man CoSamples Cook Lumber Co Lime Hardware Pipe Paint Toys Tinware Eng Sup Merritt Hardware Co Lombard IWS Co Harrison Bros Co RH Wooten McClure Ten Cent Co Keystone Chem Co Schutte Kouting Geo Leminger Chem Co Jones H Man Co Corson Pine Scott Co M S D AByck Cardesman Machine Co C A Lanier Library Bureau Standard Oil Co T Treanor M rrittHdw Co JL Byington Electric Light Co S W Broom Co Disinfec Crockery Brushes Books Eng Sup Charts Files Oil Straw Crockery Lumber Lights Brooms 61 24 72 32 52 24 84 45 5 04 14 62 5 00 29 40 15 90 116 13 98 20 44 40 5 09 4 00 7 50 97 95 27 00 68 50 51 55 7 20 7 92 30 54 15 00 74 50 4 70 6 24 117 75 91 26 83 16 4 90 1 IS 24 00 32 35 107 00 7 50 40 74 1 62 13 13 12 37 100 00 31 16 29 40 28 00 13 00 16 70 110 80 32 50 18 60 13 56 159 84 74 28 29 30 Georgia State Sanitarium ABSTRACT HContinued 63 Date To Whom Paid What Fob Amount 1906 Jan 31 Feb 28 Mch 31 U Carbide CoCarbide McClure Ten Cant Co iTinware Buckeye Soap Cosoap S S White D Man CoSupplies J W Burke CoPaper Am L Mach Co Repairs M S D A Byck T Paper Geo Tiemann Co Tubs J E Jackson Plants Dunlap Hdw Co Locks J S Hoge Drug CoInstruments Cook Lumber C Lime E Haniugton Sons Co Repairs F A Guttenberger Co E J P D Willingham Furniture Beck i Hdw CoT Cutter Morning News Printing Stevens Bros CoPipe Lombard I W S Co EC Cannon Co Duck Platt Iron Works Repairs Geo M Clarke Co Milledgeville Oil Mills Linters Eimer Amend Supplies MerrittHdw Co Crockery 1 W M MillanBrick H M Ashe Repairs C S B Supply Co Pipe Conkliug T P M Co Tin Geo D Case Brushes T C Burke Paint J W M Millan Brick R W Hatcher Fencing Standard Oil Co Oil Jones H Man CoTinware Standard Oil Co Kerosine G W WStoneBrooms McClure Ten Cent CoTinware Savannah PressPrinting L W Loomis T Ware M E Light Co Lights Henry Banks Expenses J L Culver 3 8 White D M CoRepairs R P Hawkins j Geo Tiemann Co j Tripod Paint CoPaint IBlakiston Son CoBook J R Hines Cement T C BurkePaint Ent Man Co T Cutter Foote Davies CoPrinting Jno Van Range Co Repairs Ernest Leitz Knowl s S P Work JStaleyT Ware 37 50 31 00 137 10 2 43 6 00 16 50 7 00 1 13 2 30 17 64 3 75 6 50 53 33 18 00 102 24 1 00 35 00 18 00 27 25 35 67 2 70 53 201 78 3 60 39 00 95 90 1 50 137 10 241 65 54 28 202 39 196 75 258 06 23 40 35 87 49 70 43 00 72 00 5 00 54 00 66 04 10 62 56 24 4 00 30 1 20 72 50 2 92 3 00 35 66 2 25 24 00 35 62 35 87 26 35 7 0064 SixtyThird Ainual Report ABSTRACT GContinued Date To Whom Paid What For 1906 Mch 31 Amount April 30 Bramhall Dean Co Repairs Ahrens Ott Man Co FJCooledge Bro Paint Merritt Hdw CoCrockery Morning NewsSupplies EJPD Willingham Furniture Jones H Man Co Crockery 8 W Broom Co Brooms McClure Ten Cent CoBrushes King Hdw Co Hardware Standard Oil Co Oil Macon T Pub Co Printing King Hdw Co Iron Con Pub Co Printing Phenix S Co Starch Semmes Hdw Co T Ware Savannah Press Printing C F Barrett R Bonds Atlanta J Co Printing King Hdw Co Brushes Buckeye Soap Co Soaps ME Light Co Lights Augusra Chronicle Printing T M Swift Expenses J L Culver Dr WF Brunner Henry Banks G Bernd Co Leather S S White D M Co Supplies Standard Oil CoTurpentine Bramhall Dean Co Repairs Ernest Leitz Supplies JStaley T Ware EJPD Willingham Matting Blakistons Sons Co Book Dow Wire Works Wire Sav W Ware Co Samples Semmes Hdw Co JFBell Lumber Warren Bros Co Paint TC Burke J S Hoge Drug Co Instruments J S Schofields Sons Co Merritt Hdw Co Beck AGHdwCo Chamberlain J DuB Co Ahrens Ott Man Co Keuflel Esser Co Union Recorder J B Clow Sons RW Hatcher King Hdw Co Stevens Bros Co M Rich Bros Co AH Washburn McClure Ten Cent Co Pipe Locks Hardware Chairs Repairs DPmper PriMting Repairs Fencing Samples Pipe Matting Wringer Samples 80 21 13 21 38 29 32 32 24 26 15 36 11 47 32 5 1 4 80 137 72 12 55 14 48 10 8 9 67 4 23 3 38 3 11 1 379 21 31 6 91 10 36 153 37 3 41 57 88 5 13 49 317 2 25 52 72 85 50 50 42 20 25 62 00 00 75 20 48 47 00 90 00 85 10 07 00 62 06 78 61 12 64 95 20 33 54 45 80 75 20 44 75 18 60 62 36 50 62 50 71 51 00 16 27 33 20 50 50 76Georgia State Sanitarium ABSTRACT GContinued 65 Date To Whom Paid What Fob 1906 April 30 May 31 MeineckeCo Supplies L T Riley Drug Co Acid King Hdw CoSamples J T BrantleyExpenses Standard Oil Co Oil G W W Stone Brooms Col Broom Fac Brooms Harris Davis CoSamples M S D A Byck Merritt Hdw Co Crockery Jones H Man Co T Ware Standard Oil Co Oil Phenix S Co Starch Phenix S Co Soaps W U Tel Co Telegrams Semmes Hdw Cjr Ware Jas B Clow Sons Co Repairs McClure Ten Cent Co Brushes Atlanta J CoPiintine Con Pub Co Phenix S Co Baskets Hardware Expenses Lights Soaps Supplies Lime Barrows Brooms King Hdw Co Henry Banks M E Light Co Buckeye Soap Co S S White D M Co Cook Lumber Co TC Basshor Co Col Broom Co Dobbs Wey Co jChina Garlock Packing Co P King E J P D Willingham Furniture Crandall Packing Co P King Ahrens Ott Man Co Repairs Lombard I W S Co Pipe Chas F Barrett R Bands Frederick Disin Co Disinfec jF W Wolf Co Ammonia Phenix Ins Co Ins Firemans F Ins Co R H Woottn Crockery JStaley Hardware H M Ashe Repairs C S B Supply Co Pipe Eimer Amend Supplies J F Bell Lumber W Standard Oil Co G W W Stone Jones fe H Man Co R W Hatcher C8B Supply Co SS Bed Co Springs McClure Ten Cent CoTinware Sears Roebuck Co Supplies Standard Oil CoKerosene Youngblood fc DayiLumber Candles Brooms T Ware Hardware Pipe Amount 22 23 2 97 7 84 191 75 85 00 43 00 50 00 12 94 2 04 72 00 15 70 24 05 10 59 49 50 4 43 36 34 28 50 26 40 1 58 2 10 15 97 34 50 10 51 68 71 137 10 6 30 39 75 55 70 50 00 65 00 3 15 314 64 10 92 16 13 5 05 1 65 25 72 45 00 33 00 270 00 13 34 4 10 1 50 34 54 12 20 59 25 81 60 10 75 15 10 56 14 43 38 215 96 15 82 6 34 23 40 86 9766 SixtyThird Annual Report ABSTRACT GContinued Date 1906 May 31 June 30 July 31 To Whom Paid What Fob Amount Sav PressPrinting E BeckerRepairs W G HawkinsLumber J T Branlley Expenses T O Powell Augusta ChroniclePrinting H Cannon CoDuck Richards Shaver CoPrinting J A Fox Egan Co Repairs GM Clarke Co M E Light Co Lights W U Tel Co Telegrams TGLawson Expenses 8 S White D M Co D Supplies G Bernd Co Leather Castle Bicycle Co Repairs Midlan Chem Co Supplies E J P I Willingham Furniture JasCarlton Co T Soap Morning NewsPrinting Ent Man Co Mowers Cook Lumber Co Lime Oobbs Wey CoChina F W Wolf CoAmmonia The Bushlin Co Valves Dixon Williams Spoons Eimer Amend Supplies KingHdw CoHardware Richards Shaver Keports Jones H Man Co L1 Ware Richard Johnson Expenses Cook Lumber CoShingles Conkliu T P M Co B Pans Sherwin Williams Co Paint Richard Johnson Expenses Standard Oil CoOil Buckeve Soap CoiSoaps King Hdw CoIT Ware Ahrens Ott Man Co Repairs Bausch L Optical Co Supplies rc Burke Plaster M E Light CoLights Atlanta J Co Printing Phenix 8 CoStarch King Hdw CoHardware KingHdw Co McClure Ten Cent CoBrushes King Hdw Co Hardware G W Hollinshead JrStraw V M Swift Expenses Henry Banks C J Montgomery JBBaird j WFBrunner Geo D CaseBrushes SS Electric CoSupplies 5 00 3 25 52 47 200 00 200 00 6 00 34 18 34 60 4 30 23 19 51 97 8 02 84 94 5 02 9 23 3 75 25 00 711 57 34 44 38 00 30 60 18 00 7 00 41 52 32 65 16 00 10 64 10 73 179 00 15 10 93 73 36 75 112 64 73 50 157 50 26 00 131 74 62 94 36 46 6 50 9 95 27 98 4 00 45 02 14 41 52 19 11 03 20 68 15 79 73 74 10 51 86 16 87 80 48 78 11 90 3 88Date 1906 July 31 Georgia State Sanitarium ABSTRACT GContinued 67 To Whom Paid What Fob Amount Aug 31 Fencing Samples Book Printing T Ware Supplies T Ware Supplies Pipe Crockery Hardware Printing Lenolium Leather Cement Pens Ammonia Paint Supplies R W Hatcher MS D A Bvck P Blakistons Sons Co Union Recorder L W Loomis Sumter Tel M Co JStaley Eimer Amend Con DMan Co Stevens Bros Co Cameron Barkley Co Merritt Hdw Co King Hdw Co Morning News E J P D Willingham G Bernd Co TC Burke J W Burke Co Armour Packing Co Warren Bros Co S S White D M Co Lester Book S Co C S B Supply Co Sav W Ware Co Johnson S M Co S Belting Co McClure Ten Cent Co Merritt Hdw Co Antiseptic Broom Co McClure Ten Cent Co Standard Oil Co Kewanee Boiler Co Ahren Ott Man Co Sav W Ware Co Standard Oil Co Elberta Crate CoiCrates Jones H Man Co T Ware Standard Oil Co Oil Buckeye Soap CoSoaps O M ConeBaskets J L Culver Expenses C Rosentein Co Matches PhenixS CoSoaps Standard Oil Co Oil C S B Supply CoPipe JonesH Man CoT Ware M E Light Co Lights RH WootenR Bands ConklinTRM CoSupplies Atlanta JR of Med Book GT WhildenCarriages Con D Man CoSupplies Dixon Williams Spoons Louisville Towel Co Towels Courier J J Pub Co Book Morning News Printing Pipe Samples T Ware Hose Samples Crockery Brooms Oil Supplies Repairs Brushes Candles 56 19 1 80 3 88 8 00 108 00 8 0 10 70 80 20 6 51 6 00 108 73 10 50 2 22 10 00 258 92 4 44 24 00 1 50 28 00 20 30 4 64 14 00 46 18 1 32 57 542 50 2 42 34 50 72 50 83 75 61 54 209 03 17 04 19 20 153 00 28 09 17 40 22 75 132 88 3 20 42 18 22 50 59 78 15 23 29 77 17 87 59 90 5 05 8 91 2 00 16 00 10 33 7 50 12 00 10 00 7 50 68 SixtyThird Annual Report ABSTRACT GContinued Date To Whom Paid What For Amount lyuts Aug 31 Sept 30 Foote Davies Co Printing Richards ShaverI Lester Book S CoPaper Walker Stanley Furniture Am L Mach Co Repairs Union RecorderPrinting JStaleyIT Ware A H Thomas CqSupplies Carson Piiie Scott Co Oil Cloth F W Wolf Co Ammonia W U Tel Co Telegrams Cen H Tel Co Messages M Telephone CoRent Cook Lumber CoIshingles Jno Pearson Post King Hdw CoHardware Jones H Man CoT Ware Standard Oil Co Oil Macon T Pub Co Printing M E Light Co Light Phenix S CoStarch Savannah Press Printing Augusta ChronicleI C L Morris Lumber Phenix S Co Acid Feathers Expenses Feathers P W Brown T M Swift P W Brown Lombard I W S Co Pipe EJPD Williugham Lenolium Walter PaineFee SB Stock Steel Co Steel Foote Davies Co Printing G Bernd Co Buckles Morning News Printing Cameron Barkley Co Pipe Merritt Hdw Co Crockery Bagging Supplies Pipe Hardware S Evans Sons Co Hendee Man Co GeoTiemann Co J 8 Scbofields Sons Co C S B Supply Co J L Molt Iron Works J Staley RW Hatcher The Bashlin Co Geo D Case Eimer Amend Supplies King Hdw Co T Ware Standard Oil Co Kerosene G Bernd Co Leather King Hdw CoBuckets Cook Lumber Co Shingles Triumph Machine Co Supplies King Hdw CoTinware Carson Pirie Scott CoOil Cloth Valve Brushes 17 00 41 30 36 83 10 50 55 22 10 00 9 95 8 81 104 86 43 96 13 38 7 70 12 00 26 36 51 60 15 68 16 67 26 25 8 00 56 52 46 74 5 00 3 00 171 23 6 18 22 80 61 24 15 20 4 40 879 82 2 00 10 50 16 00 1 50 6 75 4 35 6 05 22 00 4 16 2 97 85 00 9 91 23 67 1 50 88 95 3 64 16 25 13 68 35 28 30 00 17 15 9 40 39 60 32 00 5 86 78 45 Georgia State Sanitarium ABSTRACT A Continued 69 Date To Whom Paid What Fob Amount 1906 Sept 30 Oct 31 R D Cole Man Co Machinery Cook Lumber Co Lime Fid Casualty CoB Ins E Becker Repairs W A GillespieFeathers C L Morris Lumber Buckeye Soap CoSoaps P W Brown Feathers Atlanta J Co Printing M E Light CoLights Fairbanks Morse Co Engine JC Whiiaker Lumber Phenix S Co Blueing JC VVhicaker Lumber Phenix S CoStarch Woodward L Co Lumber W F Brunner Expenses Henrv Banks 1 B Baird C J Montgomery Eugene SmiihRepairs J B Baird Expenses Cook Lumber Co Lime Cen Ga Tel Co Messages Qeo D Case Paint9 Con D Man CoSupplies Union Recorder Printing S S White D M Co Supplies Standard Oil Co Oil Morning News Printing Merritt H 1 w CoCrockery J S Schotields Sons Co Pipe G Bernd Co Leather C S B Supply Co Pipe Foote Davies Co Books J E Burke Repairs Dixon Williams Pittsburg P Glass Co Paint Jones H Man Co r Ware Sumter Tel Man Co Repairs Conklin T P M CoTin R W Hatcher Hardware Utica F Alarm T Co Supplies Keystone Chem Co Qeo Tumann Co Lester B Sta Co MS JJ A Byck Paper H M Ashe Repairs Phenix S Co Baskets T C BurkePaint J W McMillan Brick Tripod Paint CoPaint I Lombard I W S Co Pipe W H Armstrong Co Instruments W U Tel CoTelegrams King Hdw CoBrushes 201 05 74 45 184 00 15 00 12 60 149 69 137 10 18 00 8 10 66 00 807 84 25 62 3 64 3 17 17 64 44 24 48 78 16 92 15 26 27 00 35 40 25 00 50 66 4 20 5 15 1 45 14 25 6 57 61 59 18 00 15 77 50 60 5 69 37 38 15 25 7 16 4 25 29 50 2 02 2 14 101 20 105 31 5 00 13 13 6 90 7 55 1 88 3 13 3 92 91 83 75 00 18 50 56 29 39 48 18 95 171 267o SixtyThird Annual Report ABSTRACT Continued Date To Whom Paid What Fob Amount 1906 Oct 3L Hartford F Tns Co Home Ins Co F Fund Ins Co J Staley Phenix S Co Ins Nov 30 Tinware Supplies Standard Oil CoKerosene Jones H Man Co V Ware R W Hatcher L W Loomis M 8 D A ByckPaper ME Light Co Lights Cnok Lumber Co Lumber King Hdw Co Hardware C L Morris Lumber Tunnell Lumber Co Huntington W G Co Eimer Amend Lewis Ferrill King Hdw Co M E Light CoJ 1 L CulverX Henry Banks Standard Oil CoOil RW Hatcher Hardware Jones H Man Co V Ware M SD A ByckPaper Lombard I W S CoPipe Foote Davies CoBooks Glass L Supplies T Ware Buckets Light Expenses 8 S White D M Co O Supplies T C Burke Paint The Bashlin Co Valves King Hdw CoHardware A H Thomas Co L Supplies Conklin T P M Co T Ware Jno Van Range CoRange JStaleyTinware R W Hatcher Hardware G D Case Brushes c J L Mott Iron Works Repairs Stevens Bros Co Pipe Morning News Printing Standard Oil Co Oil E J P D WillinghamFurniture S Evans Sons CoBagging Semmes Hdw CoSpoons G Bernd Co Harness J W Burke Co Paper Underwood T W CoT Writer Chas A Lanes Co Books Franklin E M Co Repairs J M Alexander CoSamples Ucion Recorder Tunnell Lumber Co MS D A Byck Ahrens Ott Man Co Cook Lumber Co Printing Lumber T Paper Supplies Lumber 62 50 37 50 108 00 11 25 25 72 25 00 48 71 51 80 81 00 19 41 73 50 52 77 17 64 74 84 119 33 40 76 11 50 20 54 48 00 242 89 56 24 166 92 31 25 14 92 42 52 7 30 30 00 9 60 2 21 44 18 32 86 3 50 7 74 105 98 192 00 17 15 41 50 7 40 4 75 39 00 53 50 15 74 212 40 3 63 12 88 56 25 9 00 91 64 17 37 46 44 1 50 13 00 147 50 12 27 146 13 75 00Date Georgia State Sanitarium ABSTKACT GContinued 71 To Whom Paid What For Amount 19U6 Nov 30 Dec 31 Co Castle Bicycle Co Lombard I W S TC Burke W JCaraker M E Light Co Buckeye Soap Co PhenixS Co Sernmes Hdw Co T G Lawson Augusta Chronicle Merritt Hdw Co Milledgeville Tel Co CenGaTel Co TM irwift Standard Oil Co Wrenches Pipe Cement B Robe Lights Soaps W Soda Hardware Expenses Printing Crockery Rent Messages Expenses Oil Shaver Printing Co Rules Printing Locks B Robes Books Brushes c Fencing Furniture Apron Oil D Supplies Printing Atlanta J Co Dunlap Hdw Co W J Caraker D W Browu P Blakiston Sons Co Geo P Case R W Hatcher E J P D Willingham J W Ruger Man Co J S Hoge Drug Co jlustrument Sparta Hdw CoCutter Standard Oil Co S S White D M Co Morning News Merritt Hdw Co Crockery W H Armstrong Co Instruments H R Worthington Repairs SumterTMCo Castle Bicycle Co Yale T Man Co Locks Jno Van Range Coa Ranges R H Wooten Toys RW Hatcher Hardware Jones H Man Co Tinware Richard Johnson Kxpenses Richard Johnson Macon Tel Pub Co Printing J L Culver Expenses Tunnell L Co Lumber Cook Lumber Co C J Montgomery Expenses M E Light Co Lights W U Tel Co Messages E Becker Repairs Phenix S Co Baskets Cook Lumber Co Lumber Total 2 45 24 20 88 50 1 75 75 00 155 48 46 35 39 70 86 36 3 00 217 66 16 00 3 40 91 86 31 87 32 00 3 60 9 75 3 25 1 75 5 27 42 25 112 18 64 76 15 00 1 50 1 75 23 92 4 94 35 00 12 00 22 50 4 95 17 50 1 15 21 00 443 00 61 68 52 50 54 71 91 60 150 00 6 00 14 06 145 39 33 66 92 24 75 00 7 84 2 00 24 01 29 09 26402 9872 SixtyThird Annual Peport ABSTRACT H Shows the Expenditures on account of Medical Supplies from January 1 1906 to January 1 1907 Date To Whom Paid 1906 Jan 31 Feb 28 Mch 31 April 30 May 31 June 30 July 31 Aug30 Sept 30 Lamar T R Drug Co Pocono Laboratories Parke Davis Co Bluthenthal Bickart Colburn Birks Co Lamar T R Druf Co Armour Packing Co Lamar T R Drug Co Sharp Dohme Masou Tablet Co G D Case McKesson Robbius Lipman Drug Co S Label Box Co Lamar T R Drug Co Pocono Laboratories H J Lamar Co Jno Wyoth Bro Watertown Therm Co Watertown Therm Co Bluthenthal Bickart Lamar T R Drug Co Armour Packing Co McKesson Kobbins Sharp Dohme Lamar T R Drug Co Lamar T R Drug Co McKesson Robbius CEStultsCo Bluthenthal Bickart Colburn Birks Co Parke Davis Co Lamar T R Drus Co Armour Packing Co Sharpe Dohme Mason Tablet Co H K Wamp le Co Sharp Dohme Jno Wjeth Bro Chesapeake Glass Co Lamar T R Drug Co Garrett Willliams Lamar T R Drug Co Lamar 1 R Drug Co Chesapeake Glass Co Colburn Birke Co Lamar T R Drug Co Parke Davis Co Lamar T R Drug Co Parke Davis fe Co Armour Packing Co Sharp Dohme McKesson Robbius What Foe Amount Dues Virus Drugs Whiskey Alcohol Drugs Glycerine Drugs A Cotton Labels Drugs Virus Drugs Thermometers Whiskey Drugs Vigoral Drugs Wine Whiskey Alcohol Drugs Glycerine Drugs Vials Drugs Whiskey Drugs Bottles Alcohol Druas Vigoral Drugs 16 25 10 00 29 07 84 27 23 25 17 40 26 50 4 73 44 49 30 00 73 15 86 37 15 20 16 80 53 39 3 55 33 00 23 00 60 00 58 80 83 25 3 56 14 50 80 44 44 35 64 06 6 66 192 71 39 38 83 60 24 42 46 05 40 54 14 00 64 54 30 00 17 50 48 00 3 60 61 77 29 74 177 67 25 40 15 38 26 49 23 87 51 82 17 82 42 41 20 00 18 50 101 70 207 33Georgia Slate Sanitarium ABSTRACT HContinued 73 Date To Whom Paid What Fob Amount 1906 Sept 30 Lamar T R Drug Co Lamar T R Drug Co Carroll Reed Dis Co C EStultiCo Armour Packing Co i 17 23 i 11 19 Oct 31 100 40 it 128 23 39 38 23 72 Nov 30 Glycerine 14 00 46 70 it 35 70 Lamar T R Drug Co Parke Davis Co Fred Disinfect Co McKesson Robbins Total 87 57 Thermometers 27 93 9 80 11 30 00 Dec 31 17 52 163 39 I 3192 67 ABSTRACT Iu Shows the Expenditures on account of Contingencies from January 1 1906 to January 1 1907 Date To Whom Paid What For Amount 1906 Jan 31 Feb 28 W F Rylee Cof GRy Co Jas Thornton G B Robertson Shff Cof GRy Co Cof GRy Co Cof GRy Co Cof GRy Co Cof G Ry Co WUTelCo Cof GRy Co Oof GRy Co Mae Snelling Cof GRy Co Cof GRy Co C of GRy Co GRRCo J H Press Cof GRy Co C of GRy Co Cof GRy Co GRRCo Cof GRy Co Cof GRy Co Ben Clarke C of G Ry Co Cof GRy Co Cof GRy Co Cof GRy Co Escaped Patient R R Fare Escaped Patient R R Fare Telegrams R R Fare Dis Patient R R Fare Journal R R Fare Escaped Patient R R Fare 5 00 5 70 3 68 7 25 16 02 4 25 5 90 3 46 9 90 6 63 8 10 5 55 14 95 96 2 43 10 34 1 92 10 00 4 86 15 17 3 28 2 04 10 94 9 27 3 00 3 01 10 80 H 93 6 1674 SixtyThird Annual Report ABSTRACT I Continued Date 1906 Feb 28 Men 31 April 30 May 31 To Whom Paid What Fob Amount Telegrams Rent Message R R Fare Escaped Patient R R Fare WUTei Co Milledgeville Tel Co CenGaTel Co Cof n Ry Co CofGRy Co Cof GRy Co P J Youngblood Cof G Ry Co E L LawsonEscaped Patient CofGRy Co R r Fare C H Keller Escaped Patient Cof GRy CoR R Fare CofGRy Co Cof GRy Co CofGRy CoI Cof GRy CoI W U Tel CojTelegrams GRR CoR r Fare C of GRy Co Cof G Ry Co Cof GRy Co CenGaTel CoMessage Milledgeville Tel Co Rent M J Harper Dis Patient CofGRy Co R R Fare GRRCoI CofGRy Co Cof GRy Co Will HarrisonEscaped Patient CofGRy CoR R Fare Am Med Assn Dues Stevens Bros CoEscaped Patient W J Thomas C of G Ry CoR R Fare June 30 CofGRy Co CofGRy Co CofGRy Co CofGRy Co CofGRy Co Cen GaTel Co Milledgeville Tel Co Cof G Ry Co CofGRy Co Sam Brooks R L Bonner CofGRy Co Macon Tel Pub Co Cof G Ry Co GRRCo NASCT Epilepsey JE Walker Cof GRy Co GR RCo GRRCo CofGRy Co CofGRy Co Messages Rent R R Fare Escaped Patient R R Fare Printing R R Fare Journal Escaped Patient R R Fare 2 05 8 00 3 70 1 95 10 31 5 90 2 50 5 55 6 87 3 42 7 00 2 01 7 53 19 72 15 63 19 26 8 12 5 58 3 88 17 20 3 18 3 75 4 00 13 93 4 82 2 79 6 00 5 70 4 75 3 45 5 00 2 50 2 ea 3 25 4 81 2 22 4 98 96 3 9 8 15 4 00 3 35 96 1 87 3 00 5 64 8 00 2 01 3 27 2 75 2 79 3 18 3 45 2 79 6 15 5 67 Georgia State Sanitatmm ABSTRACT IContinued 75 What Fob Amount 1906 June 30 July 31 Aug 31 Sept 30 Escaped Patient Cof GEy CoR R Fare Ira HemphillEscaped Patient CofGRy Co R R Fare CofGEyCoI CofGRy CoI GRRCoj CofGRy Co CofGRy Co jW P OilmanEscaped Patient Jas Thornton M L Cooper Shfl u CofG Ry Co R R Fare CofGRy Co C of G Ry Co CofGRy Co Jas Thornton CofGRy CoR R Fare CofGRy Coj Mary Herrington iDis Patient C ofG Ry CoR R Fare Minnie SmithJMs Patient CofGRy CoR R Fare ICofGRy Co CofGRy Co CofGRy Co CofGRy Co CofGRy Co CofGRy Co CofG Ry Co CofGRy Co CofGRy Co GRRCo CofG Ry Co Jas Thornton GW Allen Cof G Ry Co CofGRy Co C of G Ry Co GRRCo C of GEy Co CofGRy Co CofGRy Co CofGRy Co CofGRy Co GRRCo CofG Ry Co CofG Ry Co W L Russel CofGRy Co CofG Ry Co CofGRy Co Cof G Ry Co CofGRy Co CofGRy Co Cof G Ry Co CofGRy Co Escaped Patient R R Fare Escaped Patient R R Fare 6 4a 3 13 4 35 5 64 3 18 2 79 2 30 2 19 2 88 8 57 5 48 6 34 9 08 4 45 3 18 7 61 6 20 5 64 6 35 4 5f 3 28 9 38 5 50 5 07 5 20 4 57 4 57 5 40 5 50 X 42 3 18 5 44 1 83 7 67 5 05 4 50 4 57 3 18 3 30 3 18 8 73 4 55 96 14 72 20 00 83 94 50 22 60 18 40 41 28 18 76 Sixty Third Annual Report ABSTRACT I Continued Date To Whom Paid What Fob Amoumt 1906 Sept 30 Postal Tel Co C of G Ry Co Telegrams 1 40 2 78 Oct 31 R R Fare 3 18 CofGRy Co R R Fare 7 70 G RRCo 2 79 CofGRy Co i 4 11 Cof G Ry Co it 5 25 C of G Ry Co u 6 36 Robert Anderson W UTel Co Dis Patient 6 00 15 28 Escaped Patient R R Fare 2 00 Nov 30 Cof G Ry Co 3 18 CofGRy Co it 4 14 CofGRy Co K 96 Cof G Ry Co Cof G Ry Co i 7 90 ii 3 18 C of G Ry Co Dis Patient 13 65 R R Fare 2 78 Cof G Ry Co ii 2 75 C of G Ry Co ti 3 95 C of G Ry Co ii 2 60 Cof G Ry Co t 3 95 C of G Ry Co ii 5 50 W UTel Co Telegrams 19 68 CofG Ry Co R R Fare u 8 10 Dec 31 CofGRy Co 5 40 Cof G Ry Co CofGRy Co ii i 3 28 i 4 89 CofGRy Co u 5 40 C of G Ry Co u 7 14 Cof G Ry Co Cof G Ry Co it 13 19 it 3 18 U of G Ry Co u 15 21 Total 973 93 Georgia Stafe Sanitarium 77 ABSTRACT J Shows the Expenditures on account of Stationery and Postage from Jan uary 1906 to January 1 1907 Date To Whom Paid What Fob Amount 1906 Jan 31 T Ti Sihlev PM 25 00 42 40 ti ti 20 60 ii 16 00 Feb 28 it 35 60 ii 57 10 ii 12 00 Men 31 it it 67 40 35 60 April 30 it 30 00 it 52 40 it it 20 00 May 31 it 35 60 ii 67 40 it 25 90 June 30 it 34 16 ii it 35 60 25 66 July 31 tt 42 40 tt 35 00 it 25 00 Aug 31 t 25 60 tl 57 40 it 25 60 Sept 30 if 28 00 if 35 60 ti 40 60 Oct 31 it 62 40 tt 40 60 Vov 30 it 40 90 tt 52 40 it 15 00 Dec 31 40 00 it 36 20 25 00 1266 06 78 SixtyThird Annual Report ABSTRACT K Shows the Expenditures on account of Special Appropriation for erecting and constructing a system of Water Works from January 1 1906 to January 1 1907 1906 Jan 1 Feb 21 Apl 18 Aug 1 Sep 19 Nov21 Dr To Balance on hand 1314 04 To Requisition 15000 00 12000 00 10000 00 10000 00 10000 00 58314 04 Cb Date To Whom Paid What For Amount 1906 Feb 28 Right Way Attorney Fees Contract Mch 31 April 30 May 31 June 30 July 31 Aug 31 J M Edwards J D Howard Walcon Wagner Walton Wagner Bearden Bros Team CoPoles S S Electric CoSupplies Pay Roll Labor Walton WagnerContract S 8 Electric CoSupplies Walton WangerContract Walton Wagner J L Moore SonsPaper Pay RollLabor Walton WagnerContract Walton Wagnerj Pay Roll Labor Walton WagnerContract Castle Bicycle CoWheel Archer BrosLumber G K R CoFreight Pay RollLabor W F BowneGranite Walton WagnerContract Pay Roll Labor Jeff HarperI Damages Joe Bland Walton WagnerContract Walton Wagner Pay RollLabor Orr Lockett H CoHardware W G HawkinsLumber Archer Bros Walton WagnerContract W G HawkinsLumber Pay RollLabor J W McMillanBrick 11 0o 100 00 265 00 2957 23 132 00 4 05 37 10 1438 39 30 97 4594 22 1537 50 75 64 20 2125 95 6064 10 65 70 2212 50 190 00 146 90 9 44 77 15 52 00 1488 00 79 45 2 50 2 50 2957 02 114 90 64 65 37 51 110 60 27 30 6153 75 62 19 84 70 68 00Georgia State Sanitarium 79 ABSTRACT KContinued Date 1906 Sept 30 Oct 31 Nov 30 Dec 31 To Whom Paid Walton Wagner Walton Wagner Cook Lumber Co Pay Roll C W Gholson Walton Wagner T H DeSaussure C W Gholson Pay Roll Walton Wagner Walton Wagner Cash on hand What Fob Contract Material Labor Contract Services Contract Labor Contract Amount Total 58314 04 4091 25 387 04 141 12 55 10 100 00 1881 03 500 00 195 00 80 90 2993 25 2443 50 12076 16 ABSTRACT L Shows Requisitions drawn on State Treasurer for Support and Mainte nance from January 1 1906 to January 1 1907 1906 Jan 11 To Requisition 30000 00 Feb 12 30000 00 March 22 30000 00 April 19 30000 00 May 19 30000 00 June 20 30000 00 July 19 30000 00 Aug 15 30000 00 Sept 20 30000 00 Oct 27 30000 00 Nov 21 30000 00 Dec 20 30000 00 360000 008o SixtyThird Annual Report ABSTRACT M Shows average number of patients per capita per diem and per annum from 1873 to 1907 Year No of Patients Per Diem Per Annum 1873 550 57i 190 70 1874 550 48J 177 06 1875 600 37J 136 88 1876 600 37 137 77 1877 658 3663 133 70 1878 725 3455 126 11 1879 748 329 120 10 1880 820 35 64 130 09 1881 886 339 123 74 1882 942 31f 140 98 1883 1005 333 121 46 184 1885 1179 1232 3413418 126 90 124 76 1886 1237 33 123 19 1887 1260 34 12 127 40 1888 1340 3483 127 40 1889 1438 3437 126 81 1890 1537 3143 114 73 1891 1616 3208 117 09 1892 1618 3233 118 33 1893 1623 3195 116 62 1S94 1709 3221 118 60 1895 1783 32 116 80 1896 1912 32 21 118 33 1897 2085 3311 120 85 1898 2 247 3223 118 50 1899 2383 32 117 00 1900 2495 2943 108 99 1901 2573 3029 110 56 1902 2625 3087 112 68 1903 2686 3095 112 97 1904 2770 3012 109 94 1905 2880 3328 121 79 1906 2938 3096 113 00 1907 2978 8224 117 68 ABSTRACT N Shows cost of maintaining one patient per year month week and day 101 ar1176S 1 month 9 67 1 week 2 27 1 day 224 prsuGeorgia State Sanitarium 81 Report of Assistant Steward Near Milledgeville Ga January 1 1907 Mr L J Lamar Stezvard Dear SirI herewith hand you my report as Asst Steward for the year 1906 of the Dairies Garden Farm Pork and Trans portation Also statement of stock wagons etc on hand Janu ary 1 1907 We have lost since our last report from unknown causes 7 head of cattle The stock are all in very good condition Very Respectfully Geo W Hollinshead Asst Steward 1906 OLD DAIRY Cr By Sweet milk gallons 34322 at 20 6864 50 Sale of empty sacks No 1152 at 03 34 56 Sale of Bull calves No 6 at 100 6 00 Sale of hides 13 93 Beef lbs 1571 at 487 76 55 6995 54 Dr To Wages of hands 1020 05 Bran lbs 406235 at 1061 4316 24 Molasses Grain tons 2J at 2650 66 25 Cotton seed meal tons 12J at 2420 302 50 Cotton seed hulls lbs 22650 at 261c 59 45 Cow feed lbs 32850 at 85c 279 22 Peavinehay lbs 17302 at 40c 69 20 Shreded corn lbs 19385 at 40c 77 54 Salt sacks No 26 at 46Jc 12 09 Cotton rope lbs 19 at 18c 3 42 Stock powders packages 6 at 10c 60 Well rope lbs 12 at 11 Jc 1 54 Lantern globes No 2 at 5c 10 Well bucket No 1 at 25c 25 Lantern wicks No 6 c 03 Lanterns No 1 at 50c 50 Shovels No 3 at 75c 2 25 Purchase cows No 3 Ill 00 6322 23 By Balance in favor of Old Dairy 673 31 6 82 SixtyThird Annual Report 1906 NEW DAIRY By Sweet milk gallons 31593J at 20c Sale of empty sacks No 1122 at 3c Sale of bull calves No 5 at 100 Sale of hides Beef lbs 1417 at 487 I Cr To Wages of hands 1032 00 Bran lbs 399135 at 106 4230 80 Molasses grain tons 2 at 2650 66 25 Cotton seed meal ton 12 at 2420 302 50 Cotton seed hulls lbs 22650 at 26c 59 45 Cow feed lbs 32850 at 85c 279 22 Peavine hay lbs 17302 at 40c 69 20 Shreded corn lbs 19385 at 40c 77 54 Salt saeks No 22 at 46Jc 10 23 Shovels No 3 at 75c 2 25 Lanterns No 1 at 50c 50 Stock powders packages 6 at 10c 60 Grass blades No 1 at 75c 75 Feed buckets No 6 at 17c 1 02 Cotton rope lbs 25 at 18c 4 50 Well rope lbs 7J at Ujc 86 Blank book No 1 at 15 15 Purchase cows No 3 09 00 By Balance in favor New Dairy GARDEN By Cabbage heads No 16174 at 5c Collars heads No 85 at 5c Turnip greens bushels 3862 at 20c Rough Turnips bushels 2665 at 30c Sweet Potatoes bushels 1356 at 60c Asparagus bushels 23J at 200 Kale bushels 1084 at 20c Rape bushels 2801 at 20c Radish bushels 1761 at 50c Onions bushels 166SJ at 90c Snap Beans bushels 227 at 75c Okra bushels 93 at 100 Beets bushels 277J at 50c Tomatoes bushels 275 at 50c Butter Beans bushels 212 at 100 White Peas bushels 55 at 200 Mixed Peas bushels 25 at 125 Cr 6318 60 33 66 5 00 38 03 69 00 6464 29 6236 82 227 47 Cr 808 75 4 25 772 40 799 50 S13 90 47 00 216 80 560 20 88 25 1497 15 170 25 93 00 138 87 137 87 212 25 110 00 31 25Georgia State Sanitarium 83 Sy Scuppernongs bushels 7 at 100 t Salisfy bushels 25 at 200 Figs bushels 26J at 100 Pop Corn bushels 6 at 200 Cucumbers bushels 107 at 100 Irish Potatoes bushels 971 at 100 English Peas bushels 93 at 100 Lettuce bushels 119 at 20c Squash bushels 641 at 60c Canteloups No 40890 at 3c Peaches crates No 107 at 75 Green corn dozen 2568 at 10c Hay peavine lbs 34604 at 40c Hay mixed lbs 164277 at 40c Shreded Corn lbs 38770 at 40c Shaaf Oats lbs 11103 at 75c Dr To Wages and board Mr Simpson 450 00 Wages and board Mr Bateman 390 00 Wages and board Mr Leonard 390 00 Wrges and board of hands 1388 20 Farm implements 73 87 Garden Seed 101 44 Seed Irish Potatoes 80 83 Onion Sets 49 80 Purple hull Seed Peas 6 00 Fertilizers 671 65 Feed wear and tear mules 720 00 By Balance in favor Garden 1906 COLONY ByCabbage heads No 1022 at 5c Chickens No 68 at 25c Peaches crates No 1316 at 75c Canteloupes No 1354 at 3c Watermelons No 14689 at 5c Sweet milk gallons 2933 at 20c Syrup gallons 1 442 at 30c Corn bushels 7470 at 75c Sweet Potatoes bushels 3452 at 60c Irish Potatoes bushels 29 at 100 Field Peas bushels 654 at 125 Onions bushels 13 at 90c Rye bushels 36 at 200 Turnip Greens bushels 507 at 20c f 7 50 50 00 26 50 12 00 107 75 97 25 93 50 23 85 384 60 1226 70 80 25 256 80 138 41 657 10 155 08 83 27 9902 25 4321 79 5580 46 Cb 51 10 17 00 987 00 40 62 734 45 586 60 432 60 5602 50 2071 50 29 25 817 50 12 15 73 00 101 4084 Sixty Third Annual Report By Beets bushels 11J at 50c Turnips bushels 70 at 30c Okra bushels 8J at 100 Squash bushels 7J at 60c Tomatoes bushels 3 at 50c Knap Beans bushels 50 at 75c Rape bushels 280 at 20c Butter Beans bushels 5 at 100 Radish bushels 8J at 50c Cucumbers bushels 3 at 100 Cotton Seed bushels 928 at 25c Oats bushels 2316i at 69 Scuppernongs bushels 6 at 100 Lettuce bushels 5 at 20c Green Corn dozen 60 at 10c Eggs dozen 255J at 16 Grapes lbs 1517 at 5c Pork lbs 14533 at 7c Hay lbs 106200 at 40c Fodder lbs 67474 at 75c Oat Straw lbs 45416 at 60c Lint Cotton lbs 14446 5 75 21 00 8 50 4 50 1 75 38 05 56 00 5 00 4 25 3 00 232 00 1389 75 6 00 1 00 6 05 42 58 85 85 1017 31 424 80 506 05 272 49 1442 90 To By 17131 25 Dr Wages and board Mr Massey 516 00 Wages and board Mr Durden 358 65 Wages and board of cook 270 00 Wages and board of hands 2 519 95 Farm implements 332 gg Seed Irish Potatoes 16 16 Threshing grain 121 15 White wash brushes 3 00 Fruit trees 52 24 Bagging aud ties 25 63 Ginning cotton 35 15 Fertilizers 2071 32 Twine 1260 Peach crates 28 00 Peach baskets o on Well rope an Speyingpigs 3 45 Pad lock A Cutting oats 31 30 Seed wheat 10 40 Horse saddle and bridle 160 50 Feed wear and tear mules and horse 1530 00 8 101 88 Balance in favor Colony T902937Georgia State Sanitarium 85 1906 PORK Cr By Pork lbs 19901 at 7c 1393 07 Dr To Speying pigs 2 50 2 50 By Balance in favor Pork 1390 57 TRANSPORTATION Dr To Corn bushels 2832 at 75c 2124 00 Sheaf Oats lbs 11103 at 75c 83 27 Hay lbs 156414 at 40c 625 65 Bran lbs 22550 at f 106J 239 59 Stock powders packages 12 at 10c 1 20 Cotton Seed Meal tons at 2420 12 10 Cotton Seed Hulls lbs 5000 at 26 13 12 3098 93 Number of head of stock fed at stables for the year 1906 No of head 32 showing cost of feed for one head of stock for one year one month one week and one day For one year 96 84J For one month 8 07 For one week 2 01J For one day 28f By Total credit Dairies Garden Farm and Pork 41886 40 To Total debit Dairies Garden Farm and Pork24985 22 By total bal in favorDairiesGardenFarm and Pork 16901 18 86 SixtyThird Annual Report INVENTORY OF STOCK WAGONS ETC ON HAND JANUARY 1st 1907 Mules 38 Horses 5 Carriages and harness 3 Buggies and harness 1 Twohorse wagonsand harness 8 Onehorse wagons and harness 1 Dray wagon 1 Dump carts and harness 6 Hearse wagon 1 Ox carts 6 Ox wagon 1 Plow stocks and gear 24 Dixie plow stocks 16 Twohorse plows 3 Road plow 1 Road machine 1 Pea huller 1 Mowers 2 Horse rakes 2 Roller 1 Tooth barrow 1 Wheelharrows 6 Separator l Reapers and binders 2 SeedDrill l Cultivators 2 Shredder i Bone mill old 1 Lawn mowers 2 Pitchforks 10 Rakes Spades 3 Shovels 16 Weeding hoes 30 Picks 6 Mattocks 6 Stretchers prs 3 Handsaw 1 Hammer 1 Square 1 Brace and bits 1 Grass blades 4 Grain Cradles 9 Double plow stocks 3 Cotton planters 4 Stump puller t Milch cows 150 Calves 59 Heifers 68 Steers T Work oxen 8 Bulls 9 Hogs and pigs 240Georgia State Sanitarium 87 Report of Storekeeper Georgia State Sanitarium April 10 1907 Mr L J Lamar Steward Georgia State Sanitarium Dear SirHerewith I hand you the Annual Report of Issues in the Storekeepers department from January 1 1906 to Janu ary 1 1907 Stock on hand January 1 1907 1504877 Respectfully submitted W HHunter Storekeeper ARTICLES OF BEDDING CLOTHING ETC RECEIVED FROM THE MATRON Aprons 698 Capes 30 Bedticks 2159 Covers table 15 Covers cushion 12 Dresses gingham 1825 Dresses calico Jackets strong Mats door 223 Pillows 288 Rugs 203 Strips carpet 8 Sacques 201 Underskirts 4422 Wrappers 11 Bonnets 489 Covers pillow 11 Covers screen 32 Coats 6 Diapers 200 Dresses homespun 2415 Dresses muslin and lawn 7 Jackets pneumonia 7 Pants pairs 5820 Pillowticks 1512 Shirts 6490 Shades window 93 Towels 4843 Underwaists 446 Chemise 4879 Curtains 166 Cloths table 4 Cushions 30 Deawers 7843 Dresses strong 1064 Gowns 3680 Mattresses 1 Pillow cases 8985 Rests head 12 Sheets10755 Suspenders pairs 500 Ties neck 22 Waists shirt 2100 OS Consolidated Issues of Provision s from January 1 1906 to January 1 1907 ARTICLES s a a a D Q b a u 2 s If a So a O 1 a o s V tt p V CIJ o a IS s 1 a V O a 3 1 S 3 a a a i g s b Ul O a V ja a 0 0 u g u la a M O IB a u sE 0 v c v h i aK 8 M 1 O c H CQ C r m a 3 Total 20 402976 8649 610 22 112 2 3059 236 7930 10 7113 31 456 1 235 315 no 450 1 269 4 25431 6 2624 845 250 763 69430l 170 67h 1 004 3136 50 281 367 972 36 12J 15024 231 5995 21Si 5248 1860 17834 84J 8675 90i 1454 3274 11410 12 1343 26 173 4939 25 891 22ft 64 9774 13339 8 136 1475 14365 1825 13 240 4368 2086 1168 8650 805 440 760 21 45 3660 11 107 865 51 984 318 1919 8 6 746 2775 18800 219 20075 4314 2864 1219 10950 772 610 1105 49 45 4 416 16 170 730 132 91 1440 836 3 847 16 11 518 2800 18800 2555 9 125 7280 2600 1606 14600 1031 610 1146 57 120 7320 14 102 570 37 65 1490 1432 3987 17 1 3 12441 3600 31335 2190 26192 9125 2995 1782 18980 1037 910 694 70 131 5770 43 187 365 109 1900 1657 4228 27 1 54739 1200 117 136 10951 24670 52934 46285 13069 73115 5475 60029 27375 4 590 4600 52416 3612 2200 3618 237 210 14600 95 484 1095 123 5315 3111 4798 27 1 44589 17608 135227 9490 81265 21900 9125 4600 60433 2331 4150 5865 204 120 15760 98 491 1460 173 4842 3061 8 760 47 2 200382 43775 4240984 37736 663615 135681 38229J 198484 289278 14969J 13213 198614 878 110 769 63760 625 120 2315 81 810 225 10504 16720 13614 37054 Beef lbs Coffee lbs Lard lbs 5150 1996 16430 5860 2068 4 600 91392 4551 3999 5270 223 SO 3 812 96 160 473 121 Meal lbs 396 2 17 111 3 410 1920 22 1314 434 2 310 20516 204 Pork lbs 2 60 71 59 90 10 334 6325 89 145 5 466 20 125 SB 523 260 3 17 235 120 13 Tea lbs 19013 13 io 960 1100 2 10 84 10 1744 192 Turnips sacks 9 22 i 16 31674 3 062 4636 30 1 306 79 10 l28 71 125 80184 170 1123 1390 124 954 90 i55i 18 264 24 443 61 110 184 122 173j 1004 165 6 4149 696 2419 1853 Tomatoes cans 3 8 8 Si R a Consolidated Issues of Provisions from January 1 1906 to January 1 1007 ARTICLES o a A u 3 A a Oi m O c a 03 S a 3 0 3 A 3 A v a u s M a A go S if a ti 3a 0D a Ow 3 a fa5 OQ 3 CA a 0 CD 3 S So o CD A Q 3 m a 03 1a Officers Accounts z 0 0 Total 9 70 182 1680 1420 21 16 23 99 13 24 48 1620 893 636 1445 611 912 13921 3033 14756 1384 6084 120 19 138 13 1110 910 280 1770 34330 58 3 50 6490J i 212 9800 1680 1 1 2 119 3 2 616 5665 444 287 400 425 87 32 400 20 170 1477 2 18 12 78 10 19 i 100 142 46 27 32 30 42 29 49 192 2635 5 126 7530 S 3 3 29 6 286 18 400 4 425 4 543 637 Co 182 212 182 213 1200 1309 16 158 S 96 170 8 175 1 400 10 E 1206 56 20 1 13 S 41 66 23 27 57 2 938 13 56 4 1066 101 I 1 137 3 184 3 185 400 400 15 1223 20050 4469 240 20050 4 415 4888 240 1 I 00 n90 SixtyThird Annual Report Consolidated Issues of Provisions from Jan 1 1906 to Jan 1 1907 ARTICLES SCO a o g3 m Asparagus cans Almonds lbs Apples dozen Buckwhest sacks Beans cans Berries quarts Beef canned cans Bacon breakfast pieces Biscuits S W packages Beans gallons Bacon jars Bananas dozen Celery bunches Corn cans Cabbage lbs Coffee cans Cranberries quarts Citron lbs Cream pints Currants lbs Codfish cans Chocolate lbs Dressing bottles Grapes lbs Geletine and Jello packages Herring Kits Hominy cans Lobster cans Macaroni packages Meat mince lbs Marshmallows pi Marsh mallows lbs Lettuce heads Oysters quarts Oysters cans Olives bottles Pineapple cans Peas cans Pepper ground cans Powder baking lbs Potatoes sweet pecks Pineapples Prunes lbs Pecans lbs Puddings plum Peas pecks Pickle gallons Pickle bottles Roasts lamb 6 1 3 4 31 6 13 4 1 i 3 3 21 30 43 7 4 1J 2 3 4 4 2 5 12 1 7 2 8 1 1 2 5 23 1 19 6 12 4 4 1 14 1 2 sol m n 2 fl CO 72 4 6 169 io 5 U 5 l2 36 4 44 101 12 Total 12 1 3 4 103 6 13 5 1 i 3 3 28 36 212J 7 14 6J 2 17 4 4 7 5 24 1 7 36 6 52 1 i 2 5 124 1 31 6 12 5 4 1 22 1 2 2 i 1 5Georgia State Sanitarium 91 Consolidated Issues of Provisions from Jan 1 1906 to Jan 1 1907 ARTICLES a mo a o Salt table boxes Shad Sardines cans Shrimp cans Salmon cans Soup cans Seed celery pounds Sauce bottles Tripe cans Tomatoes baskets Vanilla ounces Yeast boxes 3 4 36 12 6 36 12 2 3 mo V a o 0D Total 108 84 4 4 1 22 3 4 144 12 90 36 1 4 16 3 22 1vfi Issues of Ctothias BeJding Hats Shoes Ek from avtj 1 1006 to January 1 1907 AETICLES L u 6 e o ft R ft P t 3 P a CD P a ID 3 a o I ft si cd sp m ft S2 32 I J Aprons Axes Apples barrels Alabastine packages Ami Bon cakes Acid oxal ounces Axels sets Acid tons Ammonia carb lbs Acid acetic carboy Bedticks Bedspreads Blankets prs Blacking boxes Brooms Brushes hair Brushes shoe Brushes scrub Brushes shaving Brushes whitewash Brushes tooth Brushes wall Buckets water Buckets tin Burial robes Books blank 2 H 18 960 7 32 12 291 5 18 148 l ys 41 4 21 2 4J i u ft a T3 ft cd m ai a a P SlP Q CD C to 3 CD P bC ft a 3 H QQ 3 sp s ojz o O 64 67 52 10 8 410 6 6 1 110 1 12 20 5 503 196 876 377 40 44 i 15 29 5 ft SP a CD hi o 3 O S5 03 cd a 3 CD 3 cd ST aP TOTAL 31 2 7 410 35 17 568 102 899 1 399 13 68 48 12 9 40 625 953 1179 142 409 429 557 10 143 36 84l 69 422 1 17 347 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saw Bolts sets Blue Aneline lbs Bags wash Books laundry Balls base Balls moth lbs Blades grass Books index Bonnets Book Nurses Record Beaters egg Bureaus Bleaching 44 yds Buckets well Blanks Bolts Bands I R gross Bottoms chair Blotters Bits drill Baskets grate Bits auger a P J5 2 M a so 8 a 2 at I a to OJ g 60 a H t3 a a a s a p a so 09 0Q So ga Ope 3 O as 13 o o c3M 3 a 0 5 TOTAL 56S1 2 2 174 2600 100 25 3169 3 2000 5300 10000 650 3 144 100 5 5 5 200 07 420 25 2 72 27 2 25 2 1 2 174 14 1 7 6 12 1 2 50 10 3 487 2 72 8827 20 19900 650 3 144 400 5 11 5 s s 25 S3Issues of Clothing Bedding Hats Shoes Etc from January 1 1906 to January 1 1907 ARTICLES o o e O a ft M a o o i P a n so 08 33 Oh 0 60 d a a ii Q a CS ii a o 3 ft D A 03 l OD o3H OfL o c3 oj o O 3 r TOTAL Borks receipt Borer bung Books issue Brads boxes Bluestone lbs Books history Boilers Books record Bleaching 64 yds Baskets waste Bowlst Bowls wash Cards decks Candlesticks Chambers Coats Coffee Pots Combs coarse Combs fine Cups tin Cups and Saucers Cloth oil yds Clocks Coats rain Chairs Caps 51 1 1 2 30 11 3 15 214 18 24 12 1 1 6 1 38 7 264 2172 6 36 3 16 6 407 10 198 963 198 758 19 1015 743 490 1178 732 24 168 468 61 12 1659 14 338 111 624 1115 293 19 2r 36 311 2 I 72 1 1 1 2 1 277 1 5 1 491 325 983 2074 41 1824 855 4102 2412 1102 53 4 228 326 Issues of CtoihiMg Bedding Hats Shoas Efc torn Inuy 1 1306 to January 1 1907 AETICLES 9 OS Chemise Covers table Curtains Cloths table Capes Collanders Curtains lace pairs Covers pillow Cushions chair Covers cushion Covers screen Cards J C Cane bunches Capbon boxes Cutters tobaceo Circularsfor supplies Chains well Cloth awning yards Carbon sheets Cigars Coats dining room Cards white Copier L B Carpeting yds Cases transfer Chain typewriter M p A 6 A CD 2 jo 8 S2 p 2 a o 1 3 49 49 49 49 A t3 a a 3 o a to Oi a a a lored Female De hite Female De CD 5b 0 3 a Oi 49 QQ a CD o 3P 9 4 w 3 QQ o O o O XI 724 6 6000 1 51J 24 1 105 1 2 1800 1 35 100 400 907 3180 150 165 4 30 2 94 11 30 12 32 TOTAL 4087 150 166 V 4 K 80 a 2 V 94 ft 11 X 30 a 12 32 8 On 105 1 2 1800 1 35 100 400 6 6000 1 776 24 X Issues of Clothin s Bedding Hats Shoes Etc from Janu nry 1 1906 to January 1 1907 ARTICLES t c c u 4 o s O 1 o Laundry Dept Dairy Dept 0 V Q a a o a Q a eg a 43 a a o a o o Transportation Dept Assistant Physicians Dept a o fi a 0 as So 4J a a a C co a p 3 Pi Hi T3 h CO 43 CD Colored Female Dept S3 4 a O 3 o White Female Dept 43 ft TOTAL 7229 6543 20744 856J 7 7 229 6564 20744 856 7 2 1 4 40 12 2 200 1 1 20 1579 2366 962 8280 366 21 Calico yds 2 1 4 6 6 28 12 2 200 1 Clevises 1 Cloth cheese yds n 3 3 8 13 18 4 fi 23fi 208 592 4SS 1072 49 1120 125 540 305 28 88 60 1744 2957 3516 3 320 97 3 1 1 12 2 1 44 9K 1 5 2 4 39 99 Ci 4 1 1 1 81 i 1815 10 74 200 103 1825 74 00 c Issues of Clothing Bedding Hats Shoes Etc from January 1 1906 to January 1 1907 oo ARTICLES o a u e o Dresses muslin Dresses lawn Dye packages Digger post hole Dishes salad Drilling yds Drapery yds Dusters woolen Elastic yds Enrelope packages Eyes screw dizen Envelopes official Engines gasoline Envelopes congress tie Fans Feathers lbs Forks flesh Food roach packages Files Faucets Folders Flannel yds Fencing wire rods Fixtures grindstone Feed cow lbs Globes lantern 20 a o o c 65700 2 St J C a c a ffifi a o a WH H 11200 1588 792 280 1 a a a 53 3 c a co j z j P C P a 45 0 0 5Q Sfl fl S3 B a S a IH a GQ o TOTAL 10 30 500 6000 20 33 38 36 12 2 979 6 130 141J 10 12 834 96 l 4 3 1 1 1 11200 1588 1 12 1930 6 500 1 792 226 141J 4 36 12 6 6000 10 2S0 1 65700 48 8 a s a 5Issues of Clothing Bedding Hats Shoes Etc from Janua ry 1 1906 to January 1 1907 ARTICLES CO o D U o ii ft C P 5 2 ft 3 a 3 03 1 a 3 0 3 ft 0J 0 P oj T3 4 3 O ft o C a o o 11 3 ft 0 0 i a p 0 O 43 as c 03 t ft s a 3 a 0 OS Engineers Dept Superintendents Uept ft 0 P O 0Q Colored Female Dept 03 oj SP 3 O ut O 3 O White Female Dept O O P TOTAL 1 4 300 6 6 3380 12 1 7 10 4 20 3680 12 1 7 1 11 3 12 100 4 12 Goods upholstery yds 100 2 2 41891 23091 275S0 467 467 5600 3 25 14400 20000 3 25 10000 10000 10 1 185 1128 6 8194 603 298 1352 48 1316 1434 1 2 9386 1920 Handkerchiefs 54 3323 0 1 4 7 15 42 84 11 2 1 6 84 36 123 1 1 1 9 3 5C 12 50 10000 200C 20000 1 32000 ft in s 3 Issues of eittbiag Bedding Hats Shoes Etc fom JftauNty 1 1906 to January 1 1907 o o ARTICLES o o 6 o Hatchets Hasps Hinges Hulls C Slbs Handles P F Harness double sets Hooks bush Hames pairs Harness wagon sets Handles plow pairs Ink writing ounces Inventories blank Ink bottles Iron lbs Ironsad Jackets strong Jackets pneumonia Jeans vds Jars bleach Knivesand Forks Knives butcher Knives pocket Knives farrier Kettles Kairit tons Lfuuj icks 18 a a J5 47 P 3 P M a i n a v ep o as 2 os a 45300 6 35000 6 1 58 23 2 6 1 1 12 12 2s as 5 a as 0 P SO a t3 a ft a oi 0JQ J p OS T3 Cg a ft 3 GQ m o O 12 1 2 8549 1 3 29 a 2p m a 2 v 3 ft CD 3P 13 TOTAL 192 314 147 42 135 12 160 543 128 12 30 1 12 51 18 12 fel 1 5 2 300 M 6 aJ 1 4 2 ft 6 fc 1 a 1 a 8 572 ft 849 3 3 342 47 o 36 7 8549 106 56 1 2 1 15 168Issues of Clothing Bedding Hat s Shots Etc from January 1 i906 to January 1 1901 ARTICLES en o a OI e o a 0 e a 01 a 3 5 a w a H 3 Q 01 Q a w 3 0 a w a o s A w Q a o o O a 69 x x c H Assistant Physicians Dept a 01 a o 9 a Oi So a 1 4 o a a oi C 3 o a aw s P L 03 01 00 Colored Female Dept WS 3 S3 01 SO d w o o O White Female Dept 4J P 1 Oj 3Q a w 3 TOTAL 9 1 811 3 1 1 9 1 1 9 7 7 12 7 2 6 1 32 4 8 5 383J 33 4 95 118 2 1 29 528 1 1 1 1 2 24 18 24 24 18J 24 13J 60 38 4 73 38 4 1 4 1 4 2 2 1 1 5000 63 5000 612 168 918 288 924 72 984 4320 1416 100 4806 655 2 14571 755 2 1 223 1 1 1 225 1 1 1 1 58 3 1 58 3 1 3 s s 3 8 3Tssw of Clathii Bedding Hats Shoes Eta torn JsoauNfy 1 1906 to January 1 1907 ARTICLES a O ft n M a i a eci 2 4 3 cc O f a 4 a 00 o so a a a a i 53 a a 3 EC a 0 3 ga o o o 3 Sft a 22 a a 0 O 35 0 TOTAL Meal C 8 tons Mb for mowers Mills cane Mills coffee Muzzles horse Mower and Rake Measures tin Mercury metal ounces Needles papers Napkins Nails horseshoe lbs Nainsook yds Needles S M Netting wire rolls Outfit enamel sets Oil harness cans Osnaburgs yds Oil machine pints Oil neatsfoot gals Pens writing Pans wash Pans mess Pants prs Pillow cases Pillow ticks Pitchers tin 54 3 21 25 40 10 40 10 5 22 50 24 324 84 684 24 6431 12 36 24 1 75 42 10 2 120 864 10 2 20 1104 1 786 269 10 84 1092 5 1650 874 424 7 1223 106 16 2465 163 60 70 540 1877 48 4 180 2301 212 104 80 22 1 2 18 1 1 1 458 228 125 654 24 10 1 2 6843 1 1 3670 4212 77 5845 6486 1068 184 a a s 8 ft 3 sIssues of Clothing Beddins Hats Shoes Etc from January 1 1906 to January 1 1907 ARTICLES o ft Q 03 0 ft i Q a o W ft Q a 3 O Pitchers granite Pitchers syrup Plates tin Plates granite Plates snup Pencils lead Paper writing quires Pins papers Pans dish Pots tea Pans bake Ping hair papers Pillows Pins safety Pictures Pins curtain Pans sauce Picks tooth boxe3 Paper wrapping rolls Paper toilet cases Plates ice cream Pals ink Paper toilet packages Pens fountain Picks R R Pans tin 10 1 24 6 108 3 24 1 228 174 56 i ft c as C H 02 C e OS S 4 180 36 a a o 37 60 T3 ft a a a cc ft a o In 0J 03 ga S 0 o 03 qj ft c3M 0 9 TOTAL 36 12 174 55 5 1320 24 25 30 11 1 36 6 2 36 1 25 1 2 2 132 528 15 00 54 10 24 150 76 372 462 12 896 1215 861 44 29 i 23 192 364 654 1024 968 21 1042 288 132 361 72 1 196 100 2448 964 678 2571 2336 931 50 2 193 1049 288 516 36 72 2 36 7 2 36 1 25 1 11 52 C f 3 oIssues of Clothing Bedding Hats Slims Etc from January 1 If06 to January 1 1907 ARTICLES X 2 W a o O i a Sf5 fl a w p s 0 03 3 03 OJ 2 a 8 TOTAL Paper Typewriter Rnis Paper copying rolls Pitchers glass Pitchers cream Plates cake Paper carbon sheets Packing lbs Paint carriage cans Pepper cayenne lbs Pans ash Powder stock lbs Pads collar Pauls and springs Points plow Potatoes Ir seed sks Pans evaporator Plantei s cotton Phosphate lbs Potash muriate lbs Plows turn lbs Peas seed bus Razors Reports attdts daily Rugs Ruching yds Rests head 12 30 896 672 801 3 51 240 6 1 2 9184 1344 3i 3 1 24 1 1 2 100 10000 3 2r 10000 251 6 12 68 10000 1 24 to 1 1 2 s3 100 3 W 3 k 6J 1 s s 24 a 2 N 4 J 240 36 1 2 10080 2016 301 3 71 30000 279 6 12 Issues of Clothiag Bedding Hats Shoes Etj fjom January 1 1906 to January 1 1907 ARTICLES co 43 o o m S o 3 0 V P o 3 13 C CD P a a 03 3 43 A a P t u a P P P CO P a CD 43 3 43 P a 0 a O o O i 0 C CD ep 2 H H 49 to a 2 GO 43 a CD coP a o u 43 CO 0 l CD So a H 43 o a a cd CDQ p CO cd a o 3 GQ 43 43 P CD ffi CD 0 P a a 5 o CD M 4 Ci CD ffi CD SP fi a a 2 2S 5 43 P V CD TOTAL o 43 2 13 64 38 130i 311 i6 2000 67J 6 26 9 353J Rope lbs Rasps H S Roses Bibbons T W Beports annual Bubbers F J gross i 4 6 26 16 2000 4 1 2 618 111 Sheets oil 2 2 34 60 290 232 110 33 3994 4442 2 391 181 8952 3116 1548 537 6 102 Straps razor l 65 635 600 2154 1284 60 2208 1136 420 175J 3135 2322 197 1519 545 166 107 164 i 81 8429 6 596 Socks 17 8 3 1 3 2 87 6835 525 11168 4255 24 6 12 9 4690 1269J 6 3 35 269 102 1 147 184 142J 490 8 80 0 3 ft 8 8 3 oIssues of Ch thia y Be din Ha s Shoes Etc f om Jcnu y 1 1906 tc January 1 1907 ARTICLES m m C O i CJ 6 o 43 p os s 3 s a 43 c Em a 3 03 4 Cm 0 P 5 P 2 P V p a o u a C5 a 1 P a a a o 4 s 3 Oh o o o O o a oj ep a 0 H Assistant Physicians Dept 43 O 01 p a o 43 03 3 3 ft 3D 0 a 3b M3 a q a oi o a 3 43 Cm 01 1m 03 Oi 3 Colored Female Dept SP a a Em o 11 0 O White Female Dept 43 Cm v aP in TOTAL 8 10 18 3 2 28 30 1 1 385 192 1 1 12 1 5 1 1 2 1 10 58016 29596 16941 56 805 6 4 2 4 100 Shovels L H e 6 5 1 1 385 192 1 1 12 1 6 1 1 Shoes H M kegs 1 1 2 1 1 9 Sheeting 44 unbl yds 58016 29596 16941 56 805 6 4 Sheeting 84 unbl yds 2 2 2 ido o ON 8 3 Sm 8 aIssues of Clothing Bedding Hats Shoes Etc from January 1 lEOMoJannary 1 1907 ARTICLES cd o e o ft Rpokes Seed clover lbs Saddles Skins chamois Shovels lbs Slides Stocks plow Scooters lbs Scrapers lbs Sage lbs Standards Staples barb w kegs Scooters Sections binder Stones grind Staples lbs Seed rutabaga lbs Seed rape lbs Seed garden lbs Seed garden bus Sets onion bus Scrapes Shovels Shanks sets Seed turnip lbs Seed kale lbs 28 146 20 10 110 10 25 i 2 44 10 a o o O i o so c 03 33 S3 1 03 H 57 30 11 105 60 5 6 1 4 50 1 45 3 15 1 1 a cd a o a Oh r a Is 3 a w a a a a 3 JO a 93 CD a C3M ga O O 3 03 CD ISA a CD C3M O CD TOTAL 3 C 15 2 o 1 s 85 30 5s 11 251 60 Cj 5 6 1 24 50 1 45 1 10 110 10 25 93 2 2 44 h 10 3 a S S 3 Issues of Clothing Bedding Hats Shoes Etc from January 1 1S06 to January 1 1907 ARTICLES 6 O 0 P a 0 ft a a C3 ft a P 3 0 a V P a x D b a 0 43 ft 11 P a 0 0 3 P a o o O ft eg 31 fiP c 43 OS 1 Assistant Physicians Dept 43 ft S iP a 0 u 43 si 2 x a a 43 13 ft a a j2P 0 a ft s 00 4a ft 0 PR a h S3 0 Colored Female Dept 2 ft SP T3 o 0 White Female Dept p 2 rOTAL 2 25 1421 372 172 639 27 317 2 137 4 256 1 377 319 12324 364 593 687 22 16 11 1 6 78 72 1 1445 4 2 6 24 3 34 sr fin 45 2322 700 87 2 49 148 539 22 102 2 24 90 180 11 7776 31 19 92 3 10 702 88 3 3 4 9 S9 2 9 9 9 1752 S6 133 190 fi 156 Thiubles 2 6 12 4 5 Tablet blank 3 3 1 144 1 144 T bles 1 1 1 1 36 14 9 00 16 091 10 16 081 15 j 15 2 5 79 3 2 5 246 325 3 1 1 5 i 472 3 2188 2668 o 00 a s 5e Tssus of Clfttfawv Bedd mi Hats Shoes Etc frm JfxflU fy 1 1906 to January 1 1907 9 ARTICLES OQ O o in e O 4 a G 0 p 1 d a a 03 i O M 3 0 a 0 g a 0 O a e 0 s a Pi OJ fi a o 3 0 Transportation Dept Assistant Physicians Kept ft a a 0 M S3 bH 4 2 feA a So a 1 4J T3 ft a m a O a a a 0D Stewards Dept Colored Female Dept Colored Male Dept White Female Dept ft 3 A TOTAL g 3 Underkirts Underwaists Undervetts Units correspondents 1 1 875 390 60 3494 46 125 4494 436 60 1 1 Vests Vouchers blank 2 3 460O 1 5 2 110 5 71 3 12 5 942 22 16 1052 4600 109 I 21 Wrappers 12 5 Wire picture rolls 1 3 1 3 1 2 1 2 16 Wings Wire barb lbs Wire for fencing rods 14 18 2922 480 8 57E 16 82 2922 480 8 1 82 576 1 82 if ono Sixty Third Annual Report Report of Engineer Georgia State Sanitarium Milledgeville Ga Jan 1st 1907 Dr T O Powell Superintendent Dear SirI have the honor of submitting herewith my report of the workings of this department from January ist 1906 to Jan uary ist 1907 Respectfully submitted T H DeSaussure Engineer IMPROVEMENTS Ever since the addition of the annexes to the negro building the hot water aparatus for that building has been insufficient in capac ity This condition has now been improved by the addition of a Kewanee water heater The old and defective water heater at the hospital has been replaced by a new one One hundred and thirtyeight oaks twelve silver maples and six teen pecan trees have been planted about the grounds of the institution Nineteen corrugated rubber treads have been placed on the winding stair of the center building A spur track of nearly three hundred feet in length has been built by the Georgia Railroad Co from its main line to the new water works plant A five room cottage has been built for the engineer at the water works A telephone line has been run from the end of our pole line in Milledgeville to the new water works at the river and two tele phones placed one at the pumping station and the other in the engineers cottage Four thousand and fiftyfour feet of 12 inch water main has been taken up from the old water works plant and relaid as a part of the pipe line from the new works We have also laid four hundred and thirtytwo feet of new 12 inch pipe on this line Georgia State Sanitarium in The fire fighting apa atus has been improved by the addition of nine hundred feet of 2 inch hose and two play pipes fitted with Callahan shut off nozzles One water closet and connecting sewer has been put in at one of the cottages A line of 1 45 miles has been surveyed between the states prop erty and adjoining owners for the purpose of locating a fence line The work of rehabilitating the main kitchen has been begun A new ventilator the entire length of the building has been put in the roof All of the overhead work has been ceiled and painted The walls have been chopped and made ready for the plastering and some two thousand of the enameled brick of the wainscoting laid The new Water Works for which the legislature of 1905 made an appropriation is under construction Much of the work has been done and we hope soon to have it in operation In each of the four yards at the Twin building there has been put a fourseat open water closet made of brick and cement and furnished with dumping devices for cleaning them out Sewers have been run from each of them to the main sewer Besides the usual ordinary repair work about the institution the following has been done in the shops 383 Coffins 158 Boxes for shipping coffins 600 Square feet of flooring 4 Bakers peels 1 Heavy oak top chopping block table 3 Chicken coops 15 Lattice doors 96 Hoe handles 12 Medicine cases 14 Commodes 6 Wagon crates for hauling straw 2 Laundry paddles 5 Step ladders 6 Dining tables 5 Dumping tanks 663 Chairs repaired 4 Mangle aprons made 2 Handles for scrub brushes 56 Tables repaired 112 SixtyThird Annual Report 167 Cane seats put to chairs 62 Repairs made to sets of harness 2 Carriage aprons made 10 Hamestrings made 5 Window awnings made and put up 331 Wood seats perforated put to chairs 5 Sets of shelving made and put up 3 Breast straps made 4 Carpets put down 58 Bed springs repaired 6 Safes repaired 49 Window shades put up 1 Screen repaired 55 Bureaus put together 2 Wagons covered 2 Letters covtred 3 Window curtains put up 1 Crutch repaired 1 Pair of reins made 1 Bridle madeGeotgia State Sanitarium il Report of Matron MiiiBdgeviiie Ga Jan ist 1907 Dr T O Powell Superintendent Dear SirWith thanks to the officers and to my coworkers who have in every way aided me permit me to submit the enclosed as my report from Jan ist 1906 to Jan 1st 1907 I would add that all repairing has been done for the institution and all scraps and remnants put to good use and have been prop erly accounted for through Storekeepers Office Mrs J M Darneix Matron Aprons 895 Aprons sleeve 5 Bed ticks 2957 86 463 6 172 32 258 12 15 5959 62 223 Beds made over Bonnets Coats Curtains Covers screens Covers table Covers cushion Chair cushion Chemise Capes flannel Door mats Drawers 6496 Drawers bleached 142 Diapers 400 Dresses calico 62 Dresses homespun 3538 Dresses gingham 2044 Dresses lawn 5 Dresses strong 678 Gowns 3529 Gowns bleached 350 Head rests 14 Pillows feather 123 Pillow cases 6100 Pillows bleached 95 8 3IO 188 86 Pillow ticks 2 Pillows burial Pillows sofa Pillows made over 34 Pants 6652 Sacques dressing 1 Shades window 92 Sheets 11945 Sheets bleached 230 Sheets drawn 230 Shirts under 5156 Shirts bleached 118 Shirts 4965 Shirts bosom Shirts Night Shirts Waists Suspenders Swiss neck ties Strips carpet Ruga carpeta Towels 4595 Towels linen 1366 Towels roller 31 Table clothes 4 Wrappers 1 Waists under 442 400 375 18 500 25 8 154 Total74689U4 SixtyThird Annual Report 390 12 BANDAGES Bandages cotton ft 29756 Sterel gauze Bandages flannel ft 810 Triangular Pneumonia jackets 14 CANNED FRUIT AND PICKLES Canned fruit gal 101 Jelly glasses 892 Preserves lbs 437 Catsup gal 354 Jam 1283 Pickle gal 3 CLOTHING MADE FROM GOODS BELONGING TO Aprons Bonnets Chemise Corset covers Dresses cotton Drawers Gowns Hats Jackets Total PATIENTS 3 Skirts dress 4 9 8 55 21 4 1 1 Skirts under Skirts flannel Shirt waists Sacque dress Table covers Wrappers Waists under 4 11 2 21 6 2 14 1 167 Georgia State Sanitarium 5 Report of Chaplain Georgia State Sanitarium Milledgeville Ga January 1 1907 Dr T O Powell Superintendent Dear SirI have served as Chaplain of the State Sanitarium from October 20th 1905 to November 1st 1905 During that time I held services regularly every Sunday and Thursday afternoon The attendance was good and the attention of the patients parked The services seemed to be profitable to the hearers I conducted funeral services for the white dead who were intered in the cemetery of the Sanitarium The number of such services conducted by me was approximately 100 Respectfully yours J T Davbs Chaplainu6 Sixty Third Annual Report Report of Librarian Georgia State Sanitarium Milledgeville Ga January 1 1907 Dr T O Powell Superintendent Dear SirBelow you will please find my report for the year ending April 6th 1907 Number of volumes in shelves at last report 11620 Magazines in 4118 Number of volumes received since last report MagznsBks Peter J Cline Millidgeville Ga 64 8 Mrs S D Wooten Millidgeville Ga 19 3 Mrs Gertrude Whitney Augusta Ga 108 129 Mr J T Evans 2 Dr J U Whitaker Millidgeville Ga 33 9 Mr George Bell Swainsboro Ga 1 Donated by patients and attendants 64 Judge T G Lawson Eatonton Ga 118 Supervisor Wm Jackson 1 Andrew McConnel Atlanta Ga 12 Harry Boyles Griffin Ga 20 Mrs S S Tennent Milledgeville Ga 57 Prof K T Alfriend Milledgeville Ga 140 S U Ball Atlanta Ga 9 Presbyterian Society of Augusta Ga 485 P J Mclaughlin Augusta Ga 126 T H Carter Augusta Ga n The Elks Milledgeville Ga 219 Miss Aiken Cartersville Ga 91 Century Publishing Co N Y City 36 Total 5666 11837 The following papers and magazines come to the library free as complimentary copies sent by the Editors 1 copy Macon Telegraph daily 1 copy Atlanta Journal daily 1 copy EnquirerSun Columbus Ga daily 1 copy Morning News Savannah Ga dailyGeorgia State Sanitarium 117 1 copy Albany Herald Albany Ga daily 1 ccpy August Chronicle daily 1 copy Augusta Herald daily 1 copy TimesRecorder Americus daily 1 copy Rome Tribune daily 1 copy Wesylan Christian Advocate weekly 1 copy Union and Piedmont weekly 1 copy Blackshear Times weekly 1 copy Atlanta Georgian and News daily 1 copy Golden Age weekly 1 copy Christian Index weekly 1 copy Calhoun Times weekly 1 copy North Georgia Citizen Dalton Ga weekly 1 copy Techincal World Magazine monthly 1 copy The Electrical Age monthly 1 copy The Electrical World monthly 1 copy Manufacturers Record monthly 1 copy The Electrical Review weekly 1 copy Southern Farm Magazine monthly 1 copy American Poultry Journal monthly 1 copy Brooklyn Eagle daily Respectfully submitted N Maddox Librarianu8 SixtyThird Annual Report Report of John T Brantley Milledgeville Ga December 31 1906 Judge Joel Branham President Board of Trustees Georgia State Sanitarium Milledgeville Ga My Dear SirBy your appointment in accordance with the instructions of the Board I accompanied Superintendent Powell to Boston Mass in May last and with him attended the annual meeting of the American Psychological Association The member ship of this Association is composed of those whose lives are given to the relief and care of afflicted humanity and it presents in its meetings an iuteresting scene to the onlooker Men of eminence in this work were in attendance from all parts of the United States and Canada and the occasion was one of deep interest The papers presented and discussed were for the most part scientific in their nature and of more interest to the physicians present than to the laymen The address of welcome was delivered by Governor Guild It was pleasing to witness the warm welcome given Dr Powell by his colleagues for it was evidence of the high esteem in which he is held by them Under Dr Powells management the Sanita rium measured by results is recognized as one of the best in America In further obedience to your instructions and in company with Dr Powell I vibited one school for the training and care of the feeble minded and seven insane asylums the former located at Waltham Mass the latter at New York Poughkeepsie Balti more Sykesville Washington Petersburg and Williamsburg I will not burden you with the details of these visits but confine myself to a few general observations First of all I am satisfied from the standpoint of economical operation there are few institutions whose cost approximates ours or which accomplish more with the same amount of means In point of ability and devotion to duty I regard our corps of officers as the peer if indeed not the superior of any with which I came in contact Our system of records is as perfect as any seen by me the Government Hospital at Washington being an exception Our equipment compared with the institutions in and north of Wash Georgia State Sanitarium 119 ington is meagre and poor compared with those of our sister states in the South it is equally as good Pathological Departments were found in but two of the institutions visited and a Dentist as a member of the medical staff in none this last work being done by contract with local dentists These two facts will indicate to you the advanced position occupied by the Sanitarium In all the institutions visited the value of occupation and em ployment as remedial measures was recognized and practiced Such employment was found in the garden on the farm in the laundry in the sewing room in basket making in shoe making and in re repairing tailoring etc In this connection I have long thought shops for the repair of shoes and for making mens clothing held in them possibilities of economy for us provided a sufficient number of patients familiar with such work could be found among our inmates One institution was visited in which all shoes worn by the inmates were made by them Still another institution was equipped with a printing press on which a weekly newspaper was printed by the patients themselves for circulation in the institution The ordi nary stationery used by the institution was also printed by them I visited one institution which was built on the cottage plan with open windows This requires more attendants and in consequence is more expensive than our plan It remains to be seen whether cr not better results come from it but if this should prove to be the case the increased cost is well justified The culinary departments of these various institutions were given close attention by me A knowledge of the difficulties expe rienced by us in this department and of the complaints of officers and patients of improperly prepared food and the consequent loss to the institution made these departments of much interest The organization existing in two of the largest institutions visited seemed to present a way out of our difficulties This consisted in a Chef who was paid a good salary and who was in charge of the kitchens the dietary etc In each kitchen was a head cook who was likewise well paid with one or two assistants The kitchen helpers were drawn from the patients and the increased cost equal ized in part in this way The kitchens of these institutions were immaculately clean and the preparation of food was amid thor oughly sanitary surroundings All waste was utilized On my return home at the the first meeting of your body I laid this sug gestion before you and the Steward was instructed to reorganize120 SixtyThird Annual Report this department by the emplyment of a competent chef and head cooks for the four principal kitchens I am satisfied the result will be more than satisfactory and that you will be well pleased with it The equipment in these kitchens were carefully noted to the end that we might have something as a guide in the contemplated ren ovation of our main kitchen the suggestions made to your body on my return with reference to this you were kind enough to adopt and the work is now under way When completed this kitchen will be one of the best in the South and its appointments from a saiiitary standpoint well nigh perfect It will furnish us a stand ard for future repair work of this kind The method of buying supplies in New York was interesting to note The management of all the States charities appears to be vested in one body and supplies for them are all bought by it If anything is to be gained by concentrating and buying in large quantities this method gives the various institutions the benefit of it and offers a suggestion of possible value to the institutions in this State It appears that we are not alone in the matter of securing an ample supply of good nurses Other institutions are experiencing the same difficulty Especially is this true of those who like us must practice close economy In our case this problem is one call ing for thoughtful consideration Faced as we are by the advancing cost of living and labor and without the means to make any substantial increase in their pay we must offer something more than wages or else the best material will not come to us and our standard in consequence be lowered One of these institutions has sought to overcome the difficulty by a nurses training school which is regularly chartered and which gives diplomas upon the satisfactory completion of a two years course of study It is hoped in this way to dignify the work and so attract a better class of material which in the end would provide the institution with more competent nurses Other and wealthier institutions are equipped with nurses homes which are nicely furnished and where the nurses congregate when off duty for social pleasure The work at best is not attractive and various means are being used to make it so Of especial interest to Dr Powell and me was the opinion of ex perts in attendance upon the meeting of the Association as to the proper treatment of epileptics They seem agreed that the diseaseGeorgia State Sanitarium 121 is best combatted by segregating and colonizing this class of suffer ers This is already being done by many eastern and western states with highly satisfactory results Outdoor employment and cottage life seems to present the ideal conditions for their treat ment This view is quite in line with that held by Dr Powell and for the accomplishment of which he has made many earnest appeals all of which have had the hearty approval of the Board None know better than he the value such an institution would be to the afflicted themselves and to the state The success of such colonies in other states should be an encouragement to our lawmakers to thus get in line with them in this humane work In many ways the most interesting visit made by us was to the Massachusetts School for Feeble Minded located at Waltham Mass Dr Fernald who is superintendent of this school and a recognized authority on this class was away when we called much to our regret We were given a cordial welcome by the officers in charge and every facility was afforded us for a thorough inspection of the plant This institution is one of the best if not the best in America More than one thousand pupils and inmates are cared for by it Its staff consists of five physicians fourteen teachers one band master and thirteen matrons and supervisors The inmates are housed in eight buildings where they are classified not alone as to sex but by degrees of intelligence The annual per capita cost in 1905 was 18300 The daily cost about fifty cents It is but natural for us to contrast the fortunate lot of these chil dren with that of the helpless and hopeless ninety now in the Sani tarium and 1 hope the day is not far distant when Georgia will make a similar provision for this unfortunate class Mental moral and physical training is given the inmates and no effort is spared to fan into flame feeble though it be any spark of intelligence they may have It is not expected to entirely over come the mental defect of any one of the inmates and the most that can be hoped for is to develope what nature has given them There is no attempt made to impart readymade knowledge and the teaching is direct simple and practical Objects play a large part in it and the class rooms with their collections of objects of every kind is very interesting to the visitors The manual train ing room is likewise well equipped The theory here is that a boy who begins to construct is compelled to think He becomes fami liar with the objects worked on the materials of which they are made and the purpose for which they are used Practice gives him 122 Sixty Third Annual Report accurate and definite control of his muscles The same theory is followed with girls and their training does not materially differ Much attention is given physicial exercise for in the effort to de velop the bodies it has been found that a mental awakening not in frequently follows increased physicial development Every effort is made to bring into each childs life and experience such knowl edge of common events and such familiarity with the manners and customs of ordinary life as form parts of the general education of normal children Every effort is made to keep the inmates happy and contented and to do this requires that they be kept buy To keep them busy must tax the resources of the management The boys do farm and garden work Part of them are colonized some distance away and their useful labors on the farm practically sup ports them while supplying to the school many necessaries Various occupations are found for them The shoes of the inmates are kept in repair entirely by the boys A printing press is owned by the school add all their stationary is printed by the boys Assistants for the painter baker engineer and other artisans come from them The weeding and hoeing is done by them teams are driven by them and in many ways they are kept busy in useful employment The girls are kept equally busy They are taught to wash iron and fold elothes much of the sewing mending and darning is done by them every capable girl keeps her own clothes in repair They are taught to cook and are required to wash dishes make beds wash windows sweep etc It seems to be fully realized that the only way in which a feeble minded person can be fitted to lead a harmless aud contented life in adult age is by acquiring habits of industry in youth Much attention is given to the play grounds and play time is observed with the same regularity as work time The inmates appeared happy contented and clean and were of various ages from early youth to mature years since to most of them the school must remain a home so long as they live The work is one calling for wisdom patience tact and gentleness on the part of those in charge The progress of the mental and moral development of the feeble minded child is painfully slow and tedious but little by little progress is made the pitifully narrow horizon widens the dulled mind brightens and ideas are caught and assimilated life becomes a new thing and lo a miracle is wrought Such noble work honors alike the Commonwealth whose gener osity makes it possible and the self sacrificing men and women byGeorgia State Sanitarium 123 whom it is done The best ends of society are served by it and in it the God given command to the strong to care for the weak is heard and obeyed An itemized statement of the expenses incurred by both Dr Powell and myself has been filed with the Steward and his check received in settlement My time has been willingly given and I hope not without some profit to our work I thank you for the privilege given me Yours very truly J T Brantley Trustee SIXTYFOURTH ANNUAL REPORT OF THE BOARD OF TRUSTEES OF THE Georgia State Sanitarium FOR THE YEAR ENDING DECEMBER 31st I907Board of Trustees Georgia State Sanitarium Joel Branham PresidentRome Ga Thos G Lawson VicePresidentEatonton Ga Richard Johnson SecretaryClinton Ga John T BrantleyBlackshear Ga Jas B Baird M DAtlanta Ga Chas J Montgomery M DAugusta Ga Thos M SwiftElberton Ga Jno L CulverCulverton Ga W F Brunner M DSavannah Ga Henry BanksLaGrange GaCommittees of the Board of Trustees EXECUTIVE COMMITTEE Jno T Brantley Chairman Richard Johnson Thos G Lawson Thos M Swift Henry Banks FINANCE AND AUDITING COMMITTEE Thos G Lawson Chairman John L Culver Richard Johnson John T Brantley Henry Banks COMMITTEE ON SANITATION MEDICAL AND DISPENSARY SER VICE James B Baird Chas J Montgomery W F Brunner COMMITTEE ON FARM AND OUTSIDE WORK Jno L Culver Thos M Swift Henry Banks COMMITTEE ON BUILDINGS AND GROUNDS Thos M Swift Henry Banks John L CulverElective Officers of Sanitarium T 0 POWELL M DSuperintendent and Resident Physician Died Aug 18th 1907 L M JONES M D Superintendent and Resident Physician Elected Aug 22nd 1907 J M WHITAKER M DFirst Assistant Physician J W MOBLEY M DAssistant Physician E M GREEN M DAssistant Physician N P WALKER M DAssistant Physician R C SWINT M DAssistant Physician Y A LITTLE M DAssistant Physician L P LONGINO M DAssistant Physician Elected Nov 1st 1907 R V LAMAR M DPathologist Resigned Nov 1st 1907 J C RICHARD D D SDentist D S CARRINGTONPharmacist L J LAMARSteward G W HOLLINSHEAD Assistant Steward W H HUNTERStorekeeper C H WHITFIELDSecretary Resigned Nov 1st 1907 H S JONESSecretary Elected Nov 1st 1907 W A GILLESPIEBookkeeper Mrs J M DARNELLMatron T H DeSAUSSURE C EEngineer REV D W BRANNENChaplainSixtyFourth Annual Report OF THE Board of Trustees of the Georgia State Sanitarium Foe the Year ending December 1st 1907 Milledgeville Ga January 1st 1908 To His Excellency Hoke Smith Governor SirThe Board of Trustees of the Georgia State Sanita rium as required by law submits herewith their annual re port of its conduct and management for the year ending December 21st 1907 Forming part of this report will be found the annual re ports of the Superintendent and Resident Physician Treas urer Steward and other officers of the Sanitarium and to them you are respectfully referred for details as to the move ment of its population and the history of all monies appropri ated for its support The Board has maintained a close supervision of the Sanitarium during the year visiting it once each month for this purpose It has much pleasure in commending the faithful efficient work of both the late Superintendent Dr T O Powell ana his successor in office Dr L M Jones and their corp of assistants Their tireless and unselfish efforts to promote the well being and happi ness of the inmates merits them a warm place in the heart of every loyal Georgian Death of Superintendent T O Powell It becomes the sad duty of the Board to report the death o fthe beloved Superintendent and Resident Physician of this institution for twentyeight years Dr T O Powell which SIXTYFOURTH ANNUAL REPORT occurred at Tate Springs Term on August 18th 1907 In recognition of his long devoted and distinguished service to this institution and to commemorate his virtues the Board has ordered that henceforth the main building of the Sanitarium shall be known as the T O Powell Building and that there shall be placed within its vestibule a bronze tablet on which shall appear this inscription THEOPHILTJS ORGAIN POWELL 18371907 Seventeen years Assistant Physician and twentyeight years Superintendent and Resident Physician of this Institution A Christian of simple faith and consistent life a man of strong character and lofty ideals a citizen of proven loyalty and true worth an officer of rare judgment and distinguished ability an alienist of great skill and wide renown whose single act in first substituting humane for harsh measures in the hospital treatment of the in sane made him a benefactor of the human race In recognition of his virtues this tablet and building are dedicated to his memory by the Board of Trustees A memorial service was held in his honor by the Board and the tribute paid him by the Vice President of this body Hon Thos G Lawson was ordered printed in full in this report It appears elsewhere Election of Superintendent L M Jones The vacancy caused by the death of Dr Powell was filled by the election of Dr L M Jones as Superintendent and Resident Physician Dr Jones brings to the office a well scored mind a calm judgment a thorough knowledge of the work of the institution gained from twentyfour years expe rience as Assistant Physician in it and in the judgement of the Board is well qualified to carry on successfully the great work of his able predecessorGEORIA STATE SANITARIVM Number of Patients Since the last annual report of the Board 937 new patients nave been admitted The total number of patients under treatment during the year was 3955 Which is the greatest number in the history of the institution The daily average under treatment was 3083 as compared with 2978 in 1906 a net gain of 105 patients The actual number of patients now on band is 3148 which is an increase of 130 over 1906 Nothing can more clearly illustrate the magnitude of this work than these figures Finances For the support of the Sanitarium for 1907 the Board ex pended the total of 38259355 made up of the appropriation for the year of 37000000 the balance of 991755 left over from 1906 and an overdraft of 267600 The daily cost of each patient was 34 The annual cost of each patient was 12400 This is an increase over the cost of 1906 and is due mainly to the unusual repairs necessary to be made during the year and to the increased cost of wages etc The cost of supplies continues high The total cost is of course very heavily increased by the larger number of patients cared for The new vear begins with 130 more patients on hand than n 1907far exceeding the estimate of the Board and an overdraft ui 267600 If the same increase in the number of patients in 1907 is maintained in 1908 and 1909 as is more than probable and the cost per patient remains the same as now it will be necessary for the General Assembly to sup plement its appropriations for these years Based on the above estimate of increase the Board will require for the actual support of the Sanitarium for 190839830600 and n 190941206700 These amounts however do not al low for the accumulation of a surplus in either year with vhich to guard against any emergency which may arise The Board is therefore under the necessity of asking for I8 SIXTYFOURTH ANNUAL REPORT supplemental appropriations of 15000 for 1908 and 30000 for 1909 It is at once manifest that unless these additional appropriations are granted and the Board is to live within the appropriations it will be necessary to take some radical ation regarding tne reception of new patients or else it will be necessary to return to their homes the harmless incurable cases now in the institution The Board sincerely hopes neither of these painful alternatives will become necessary The Board recognizes the fact that the appropriations for these years if thus supplemented are large sums of money but it must not be lost sight of that the number of patients fo be provided for is already very large and is steadily growing larger For these patients must be provided food clothing medi cal attention medicines nurses heat etc In addition the very extensive property of the State must be kept in repair The cost of 34 cents a day per patient is low and is made possible only by very economical management It compares favorably with the cost of any similar institution in the United States Tubercular Wards For several years the Board has made an earnest appeal for funds with which to build and equip four wards one each for white males and females and for colored males and fe males for the isolation and sanitary treatment of patients afflicted with tuberculosis 102 patients of this class are now in the Sanitarium It is estimated that these wards can be built and equipped at a cost of 15000 and the Board earnestly recommends that an appropriation of this sum be made immediately available for this purpose Important Improvements and Repairs It became necessary during the year to replace the old wornout ice plant with a new one of larger capacity in order to keep pace with the growing needs of the institution A ten ton machine has therefore been installed at a total costGEORGIA STATE SANITARIUM to the State of 8000 and the supply of ice and cold storage is thus made ample for years to come The main kitchen which is attached to the T O Powell Building from which nearly 1000 persons are fed has been completely renovated and remodeled It is now in a thor oughly sanitary condition and the preparation of food in it is an attractive sight The Board hopes in the near future to be able to put all of the kitchens of the institution in a like sanitary condition The old bakers oven which has supplied the Sanitarium with its bread for years past and which it has long since outgrown has been replaced by a Peterson oven of modern build and ample capacity A dough mixer has been installed with it This change has resulted in a marked improvement in the bread supply which is now satisfactory both in quality and quantity The Superintendent has experienced trie greatest difficulty in late years in securing competent cooks As a result the quality of food prepared has been highly unsatisfactory and bas resulted in a large waste In the effort to overcome this condition the Board directed the Superintendent to reorgan ize the entire kitchen service by the employment of a com petent Chef in whose charge all the kitchens should be placed and who shall be made responsible for the work in each The Board is glad to be able to state that this forward stap has resulted in a great improvement in the quality of the food As far as possible the assistants of each head cook in charge of each kitchen are drawn from the patients A grist mill has been installed at the colony and much of the meal used by the Sanitarium for the past year has been supplied from it from corn grown at the colony The nearness of one of the old dairies to the Twin Build ings made it necessary for sanitary reasons to remove it to another location This has now been done and this menace to the health of the patients is removed10 SIXTYFOURTH ANNUAL REPORT New Waterworks The Board is happy to announce the practical completion of the new waterworks Of the 75000 appropriation for the erection of waterworks and electric light plant 68 91126 has been expended leaving a balance of 6088 74 on hand with which to pay a balance of 184412 still due the contractor to complete the work and erect the electric light plant provided for by the act of appropriation To this sum will be added the proceeds from the sale of old water works machinery when the Board is able to effect such sale This total sum will not be sufficient to complete the electric light plant and it will become necessary for the Board at a later date to ask for a supplemental appropriation for this purpose The completion of the waterworks has given to the Sani tarium an abundant supply of pure filtered water There remains to be done only the laying of a duplicate main in the bottom of Fishing Creek and this work will be done by our own engineer with patient labor Other Charitable Institutions Needed The Board deems it within its province to bring to the attention of your Excellency the crying need within the State of two other charitable institutions for the proper care of certain classes of our afflicted citizens who in the absence of suitable provision for them must be received here One of these needed institutions is a training school for the feeble minded the other is a colony for epileptics who are not in sane Under our present laws the Board is required to re ceive both of these classes in the Sanitarium It requires no argument to show that a hospital for the insane is the very last place to which either should be sent The first named class should be in a training school where amid proper sur roundings and by skilled teachers the little spark of intelli gence given them can be fanned into flame and where thev can be taught how to contribute to their own support The Sanitarium has about 100 children of this class within itsGEORGIA STATE SANITARIUM 11 walls presenting the saddest of all its sad scenes It is not equipped as a school and can do nothing for them but to shelter and feed them Absolutely helpless to aid them selves and hopeless without the aid of the State they pre sent an appeal mute but powerful to our humanity The Board is constrained to believe that once the conscience of our people is aroused to public duty in this matter they will be willing Georgia should follow in the lead of her sister States which have established such schools and found their existence well justified The small number of this class in the Sanitarium by no means represents the total in the State since only the grosser types are committed here Epileptics who are not insane have no place in an insane asylum Their presence in one is injurious to them and to the inmates They should be segregated and colonized Modern science has demonstrated that outdoor employment and cottage life present the ideal conditions for the treat ment of this most insiduous disease Experts are agreed that when taken in its incipiency much can be done in this way towards effecting a cure It is the duty of the State to es tablish and maintain such a colony and so furnish to this class of her unfortunate citizens the one chance that is left them of happiness and usefulness By the selfhelpful labor of its inmates such a colony can be made to contribute largely to its own support so that the burden to the State after the initial investment is made need not be very large Perhaps no class of our citizens save only the insane are shunned and avoided as this class Every door is closed against them The duty of the State toward them is clear and unmistakable and theBoard is fully warranted in this earnest appeal in their behalf These two matters were very close to the heart of Dr Powell and his last report to the Board contained an eloquent appeal for the establishment of both institutions12 SIXTYFOURTH ANNUAL REPORT The State of Georgia could erect no nobler monument to the memory of this great and good public servant than to carry these cherished desires of his unselfish heart into prompt execution Respeotfully submitted Joel Branham President Thos G Lawson VicePresident Richard Johnson Secretary J011 T Brantley Jas B Baikd MD Chas J Montgomery Thos M Swift Jno L Culver W F Brunner MD Henry BanksGEORGIA STATE SANITARIUM 13 Memorial Adopted by the Trustees of the Georgia State Sanitarium on the Occasion of the death of Dr T O Powell Superintendent Theophilus Orgain Powell M D was born on his fathers plantation in Brunswick County Virginia on the 21st day of March 1837 His parents were of excellent character and of sterling Virginia stock When he Was a lad of but eight years his father brought his family to Hancock County Ga where he afterwards resided and Where young Powell was brought up He acquired his academic education in the old field schools of that county and in the celebrated private school presided over by that distinguished author and teach er Richard Malcolm Johnson When his academic educa tion was finished he entered the Medical College at Augusta Ga and was graduated therefrom in 1859 duly receiving his degree of Doctor of Medicine He at once eagerly en gaged in the active practice of his profession stimluated by the love of it as well as charmed by the engaging prospect of distinction and fortune that lay before him On the 12th day of December 1862 he was happily united inrnarriage with Miss Francis Augusta Birdsong of Hancock Co which union continued in unbroken felicity to the hour of his death Two daughters were the fruit of this union Soon however his brilliant prospects were overclouded by the outburst of a ruthless war Inspired by the ardor of young manhood and thrilled by sacred love of his State he early in the year 1862 enlisted as a private soldier in Co I of the 49th Regiment of the Georgia Volunteer Infantry ready if need be to give his life for the protection of home and country But soon thereafter a broader and more useful field of labor wa9 opened to him He was tendered the choice of two posi tions that of Surgeon of the 59th Ga Regimentof Volun teers or that of Assistant Physician to the Georgia State Sanitarium With wise forethought he chose the latter posi tion as offering an arena of more enduring usefulness14 SIXTYFOURTH ANNUAL REPORT Thus he came to this Institution in the freshness and strength of young manhood No doubt he then consecrated his life with all its activities and possibilities and all that life as seen through the vistas of the distant future meant to him loyally and unreservedly to its service No doubt with the earnestness and conscientiousness that always char acterized his conduct he regarded its services not simply as a duty owed to the State but also as the fulfilment of his duty to God During the seventeen years he served as Ac distant Physician under the tutelage of Dr Green its distin guished superintendent his mind grew his sympathies be came enlarged his training perfected and his experience enriched by the arduous labors that daily fell to his lot On the death of Dr Green in 1879 he was duly invested with the authority and responsibilities of Superintendent and Resi dent Physician His experience and attainments and es pecially the natural constitution and frame of his intellectual and moral powers emminently qualified him for the headship of the Institution and his subsequent enlightened and judi cious management of its affairs for wtentyeight years clearly attested the wisdom of his selection In person mind and heart he seemed to have been specially formed for this par ticular niche in the structure of Georgias great charity In portraying his management of its affairs the extravagant language of eulogy would mar the picture only the truth in its simplicity is adequate The record of his devotion is Inscribed upon the history of the State and in letters which anyone can read upon the growth and enlarged usefulness of the Institution itself The Institution has more than ful filled the benevolent purpose of its founders and has grown to be we believe the largest institution of its kind save one that now exists in the world The comfort the health and the welfare of its stricken inmates at all times elicited the anxious concern and strenuous endervor of his great heart TTarsh and unkind treatment was under no circumstances tolerated He was a wise thoroughly balanced resourceful and diligent officer and in the line of duty always conscien tious resolute and just His magnamity of disposition wasGEORGIA STATE SANITARIUM 15 without limitation Equal to all emergencies and loyal to every trust confided in him he bore the severest trials with serene fortitude and patience and encountered the weightiest responsibilities with cheerfulness and courage Towards his subordinate officers and employes of the Institution he Was ever courtous kind sympathetic and helpful and their beau tiful devotion and cheerful cooperation manifested their appreciation of his kindness and exhibited the pleasing spec tacle of a harmonious united and zealous corps of officers His equable temperament and suavity of manner evidenced a spirit as gentle as a womans and as tender in the depth and sweetness of his affections His sound practical judg ment and rare executive ability are manifested in the orderly and well organized system that prevail in every department of the Institution wherein its numerous parts seem so well adjusted and so precise in their movements as to rival the harmony and adaptation of the different parts of skilfully de vised machinery Thoroughly acquainted with every detail nothing was allowed to escape his watchful eye He main tained a special supervision over the care and treatment of the patients An eminent and progressive alienist he was the first to lead the way in discarding all instruments of violence and compulsion in the care and treatment of the insane He put in force the laws of kindness and gentleness esteeming them as more forceful and efficient than all other restraints After thorough consideration of their utility and propriety he bravely initiated every measure or process that he believed to be conducive to their welfare either physically mentally or morally His philanthropy was coextensive with the ills of humanity He had that clearness of spirit which perceives the best in things and in man and if he failed to accomplish what was best it was because it lay beyond the domain of his reason and his effort He obeyed the injunction of the Apostle Paul and labored as they who must give account He recognized his accountability to God to his State and to public opinion and all the rational powers of his nature developed matured and operated under an exquisite and profound sense of its weight It has beenJ6 SIXTYFOURTH ANNUAL REPORT truly said that accountability is the gravitation of the moral universe Without it the ruler is a tyrant the judge a des pot the legislator a charlatan and the philosopher an em piric Without it all mental culture is the agent of evil rather than of good No culture is equal in its uplifting ffect to heart culture attained under the Divine Spirit that comes down from above and baptizes brain and heart with its gracious outpouring Dr Powell was therefore always ready to give account of his Stewardship to the Board of Trustees to the visiting public and to the lawmaking and governing body of the State and during the annual visits and investigations of committees sent out from the General Assembly of the State his administration was invariably commended never condemned or adversely criticized And of the millions of dollars expended in support of the Institu tion not one dollar subject to his control was ever misap propriated So steadfast was his interest in the work he was doing that he could not be tempted to lay it down and engage in work elsewhere by offers of salary even quadruple that he was receiving here Not money but usefulness was his watchword Thus he stood firmly and unselfishly until his eye grew dim his hair silvered and until there came the final call to lay his burden down And for these reasons his memory will long be enshrined in the hearts of his ad miring countrymenthe true Pantheon of American heroes Dr Powell was also a learned and accomplished physician and a recognized authority on the cure and treatment of the insane He was expresident of the Psychological Associa tion of the United States and Canada and also of the Southern Association of Superintendents of hospitals for the insane He was a member of the American Medical Asso ciation and of the Medical Association of Georgia of which he had been president He also held high rank in other benevolent orders being a Knight Templar Mason and also of the Ancient Arabic Order of the Mystic Shrine His private life was as pure and exemplary perhaps as any mortals can be Day in and day out he wrought for himself a noble and lustrous character And who can estGEORGIA STATE SANITARIUM 17 mate the weight and worth of a great charactera character ingrained and interfused with love of the truth with purity and with probity His character was so symmetrical its ele ments so blended and shaded into one another that it is diffi cult to define wherein he was most conspicuous He was the mirror of honor of justice and of truth no persuasion or temptation could overcome the absolute inflexibility of his integrity What one great man recently said of another we say of him His sense of justice was not merely aca demicintellectualit was a governing motive a controlling element of his life and with him it never stood aside for anything not even self interest Regulated by the highest standard of ethics his conduct was a shining model to all who came within the sphere of his influence For one of princely personality dwelling upon a lofty plain his life was simple and his virtues unfeigned He was pure in thought averse to all immorality or meanness unselfish unsordid tolerant to the weak firm and resolute but not austere deci sive in action but not arbitrary or dogmatic In following his convictions of duty he never swerved to the right or to the left He attempted but one goal that of duty performed according to the best light before him He was careful of its requirements and sought to learn them from the highest sources the Word of God and the laws of his country The discharge of duty was sometimes painful and grievous but he did not remit its obligations For to him there were certain cardinal principles and precepts for the government of conduct whose obligatory force could neither be evaded nor impaired Yet there was in his nature no element of cynicism no harshness or bitterness no envy or jealousy no malevolence or uncharitableness If the impulse of angei ever disturbed his feelings they were so well disciplined so selfcontrolled that they never flamed into action On the contrary his kindling eye his glowing countenance and his cordial hand clasp gave assurance of kindness and friendship towards all men Dignity and personal magnetism were strikingly blended in him His course was forwad and manly free from any taint of hypocracy DisseminationSIXTYFOURTH ANNUAL REPORT and deceit found no lurking place in his bosom Though he was great he was nevr self assertive vain or egotistical Indeed his modest regard of himself rather led him to under estimate his powers He never sought applause never ac counted the endurance of toil and sacrifice as extraodinary achievments but persued the noiseless tenor of his way content to modestly fulfil in the fear of God the sphere of action in which his lot was cast His faculties moved in such an orderly manner he was so well poised so contained so prudent and just that unexpected or sudden emergencies never surprised or plunged him into weakness or error No one ever knew the depth and breadth of his sympathies because they were more than adequately responsive to every demand upon them In the graces of hospitality he was princely in liberality he was almost prodigal A sweeter or a lovelier gentleman Formed in the prodigality of nature The spacious world can scarce again afford During the Spring and early Summer these were manifest evidences of his declining health and strength The Trus tees of the Institution granted him a vacation and persuaded him to take a season of recreation and relaxation from busi ness He was reluctant to do so but after repeated urging he acquiesced in their request He first visited the Indian Spring where after a sojourn of several days his health seemed in some measure to recuperate He then visited the Tate Spring in Tennessee and on his arrival there was seized with pneumonia whose inroad upon his feeble frame the best medical skill obtainable could not arrest and his decline was continuous and rapid until the 18th day of August when his noble spirit passed from the presence of his wife and daugh ter and ministering friends into the haven of everlasting peace and rest No clouds gathered over his expiring hours for his life was hid with Christ in God He had been an active and devout member and officer in the M E Church South for many years and no one ever questioned the gen uiness of his piety In the order of Providence his appointedGEORGIA STATE SANITARIUM 19 course was run His three score and ten years were gene rously crowned with the precious jewels of civic virtues and Christian graces His mortal remains were brought back to the Sanitarium where his obsequies simple and unobtrusive were celebrated Then by tender hands by the light of the setting sun and amid a vast concourse of sorrowing friends all that was mortal of Dr Powell was gently laid to rest beside the graveof his daughter in the beautiful cemetery at Mdledge ville And we venture to say that he carried with him into the invisible world the unstinted love of the people among Whom he had lived and who had known him so long They loved him for the modesty of his demeanor the purity of his character the loftiness of his purpose the nobility of his nature the sinceritv of his friendships his myriad acts of kindness and liberality among them for his social graces and domestic virtues and for his fidelity to the great charity which his adopted State had committed to his hands Noble friend and comrade Farewell By Judge Thos G Lawson20 SIXTYFOURTH ANNUAL REPORT Report of Superintendent For the year beginning Jan 1st 1907 and ending Dec 31st 1907 Georgia State Sanitarium Jan 1st 1908 To the Honorable Board of Trustees Georgia State Sanitarium GentlemenAs you know death came on August 18th 1907 and robbed this Institution of one who had been its chief guide for the past twentyseven yearsone who had given his lifes work to the alleviation of suffering and afflicted humanity Dr T O Powell the beloved Superintendent His work will be done by others but his place will never be filled As his successor it becomes my duty to submit to you the sixtyfourth annual report of this Institution for the year ending December 31st 1907 On Jan 1st 1907 there were white patients on hand 2101 and colored917 There have been received since 572 whites and 365 colored making a total reception of 937 There have been discharged removed eloped and died 807 leaving in the Institution January 1st 1908 3148 patients of whom there were 206 whites and 44 colored on furlough not discharged The average number of patients under treatment during the year was 3083 while the total number receiving treat ment was 3955 It will be seen that the average number receiving treat ment was 105 more than last year We have 130 more pa tients on hand than at the close of last year Finances I feel it my duty to call the attention of the Board to our financial condition For the year just ended we had an ap propriation of 37000000 and nearly 10000 left over from the 1906 appropriation making about 38000000 for the yearGEORGIA STATE SANITARIUM 21 1907 At the close of the year we had an overdraft of 2676 Besides this we held back the shipment of coal which should have been paid for out of last years appropriation to the amount of 550000 really making a deficit of something over 8000 Our appropriation for this year is 39000000 only about 200 more than it took to support us last year When the Board asked for appropriations for the years 1908 and 1909 it was calculated that we would have a net increase of fifty patients We find at the beginning of the new year we have an increase of one hundred and thirty At thirty four cents per capita the amount that was necessary for bappoit last year it will require 1613300 to maintain this net increase With the increased cost of living the item of beef alone costing us something like 4000 more than last year we are at a loss to know how we are going to live the next two years unless the Legislature comes to our relief with a supplemental appropriation I feel sure you will agree with me that this Institution is run economically and while om inmates are given a suf ficient quantity of wholesome food and comfortable clothing we could spend thousands of dollar more for their better ment and for the good of the place if it were available By referring to the reports of other similar institutions it will be observed that our per capita is very low Ihave always felt that our legislatures should be more liberal and do all they could toward making the lives of our afflicted class as comfortable as possible and leave nothing undone that would tend to bring them back to health home family and citizen ship For of all afflictions there is none to compare with mental afflictionsand nothing so pitiable as a human being bereft of reason Last February the Board very wisely employed a chef and four head cooks for the different kitchens and I am pleased to say that their services have been very satisfactory There has been much better system the kitchens are kept more cleanly and a very great improvement in the cooking The tearing down of the old oven in the bakery and installing a new one has resulted in great improvement in22 SIXTYFOURTH ANNUAL REPORT the bread The improvement in the Centre Building Kitchen is very marked since a new tiled floor has been laid a nice wainscoting of enameled brick the walls cemented painted etc and good ventilization overhead which has been needed so long Waterworks It is very gratifying that we can announce the comple tion of the new waterworks plant If there is any best thing that was ever done for the Sanitarium this is it For many years we have been compelled to depend upon a small stream near by which was liable to go dry any summer I remember to have visited the pumping station on one occasion and walked up the bed of the stream for fifty yards or more on dry sand the only water available was that which was seep ing through the sand into a big welljust a small stream not as large as a mans arm Providence sent us rain that night and saved us from a water famine Besides being dependent upon this small stream for our water we had to use it with out filtration Now we are getting our supply from the Oco nee River and it comes to us pure and as clear as crystal being thoroughly filtered and is never failing in quantity I know you rejoice with us While on the subject of water I think it well to call your attention to the suggestion of our Engineer He thinks it ery desirable that we have a greater reserve capacity Our present reservoir was built many years ago when the Sani tarium was very small It still holds enough water for our present needs unless an accident should happen to our plant in which case it would be well to be better supplied New Dairy A new dairy is being built and should have been completed long before now but for our difficulty in getting lumber We have what is known as the old and the new dairy The one that is now being built takes the place of the old one which was found to be too close to the twin buildings andaEORGIA STATE SANITARIUM 23 had about served its day besides never furnishing proper cTipHer for the milch cows W hope to be able to build suitable shelter for e cow at the other dairy before another winter comes We have ite a nice lot oTyoung cattle at the Colony from wh hope to add a good number of milch caws to our present umber Milk is a very essential diet to a large number of oT inmates and it is our purpose to give sped attention to the dairies and make all we can Ice Plant and Cold Storage The old ice plant was a cheap affair and was never satis factory Its capacity was only three tons and was found to I Adequate during the heat of Summer Thanks to you gentlemen we can now have a new plant put up in firstclass style with a capacity of ten tons furnishing cold storage for our fresh meats milk and butter vegetables etc and all the ice needed on the wards Repairs We have been very busy with repairs but we never catch up When vou consider the age of some of our buildings having been in use ever since 1842 you will readily see that a lot of repair work must be done to keep them in order Quite a good deal of new flooring and plastering needs to be done and a lot of antiquated waterclosets need to be replaced with new ones The greenhouse will need general repair ing before another winter I wish to call your attention to one wmg of the Whittle Building that has never been finished It is estimated that it will cost 500000 to 600000 to finish it We now have all the single rooms in the twin buildings occupied and a good deal of the dormitory room also When a new male patient is received one has to be moved out of a single room into the dormitory to make place for the new patient I find the great objection to so much dormitory room is in finding patients suitable to occupy it It is a24 SIXTYFOURTH ANNUAL REPORT hard matter to get 40 or 50 men in one large room and not have some one who will keep up a disturbance and perhaps keep the majority awake a good portion of the night The same condition prevails in the entire institution that is we have very little room either in the male or female dapart ments save dormitory room The nurses are given lectures twice a week during the Fall Winter and Spring months by the Medical Staff and Miss A V Cross who is a regular graduate nurse We have some excellent nurses who have obtained their knowledge under this training For the last three or four years we have experienced great difficulty in keeping enough help on the wards We were not able to make selections but were forced to take such as we could get knowing at the time such help was inefficient on account of age want of education etc While the cost of living has greatly increased and wages everywhere have increased very materiallv in every class of work the waoes of our attendants remain the same as they have been for the last forty years with the exception of the white females whose wages were raised about twenty per cent two years ago I thank you gentlemen for raising the white male attend ants in the same praportion to begin with the new year There is greater satisfaction and I feel confident that we will be ahle to fill all vacancies and have a better class of applicants to select from than we have had for years The colony for colored males about four miles south of the Sanitarium continues to show the wisdom of its estab lishment It is what might be termed a health resort for about eighty colored male patients for they are the healthiest and happiest class in our Institution They much more than make expenses as you will see by referring to the report of our Assistant Steward Proper outdoor exercise is the best treatment for a great many of our patients Religious services are kept up weekly and seem to be a source of comfort to a good number As is usually the case the women attend in larger numbers than the menGEORGIA STATE SANITARIUM 25 By reference to the report of the Librarian you will see the number of contributors to the library for the patients for the year 1907 The books papers etc are a source of great enjoyment and we hereby tender thanks to all who have been so kind as to remember our Institution in this manner Our sources of amusement are meagre but we have done the best we could with the means at our command As a rule a dance is given once a week when the weather is favo rable We have two graphophones which afford a good deal of pleasure and merriment and during the summer months we frequently have baseball games in which the male patients participate They also engage in quoits and marble playing Medical Staff Dr L P Longino was elected Assistant Physician at the October meeting and Dr R V Lamar our Pathologist resigned his position to take effect the 1st of November He goes to New York to pursue research work in the Rockefeller Institute It was with great regret that we had to give him up He was a bright and faithful student and worker and we predict a bright future for him We are in correspondence with Dr David G Willetts who is now assistant in the Pathological Department of the Gov ernment Hospital for the Insane at Washington D C He has agreed to our terms and will be with us within the next few days to fill the vacancy left by Dr Lamar All other members of the Staff were reelected I feel that I cannot too highly commend the work done by our Staff for they are efficient and faithful Not only can I commend the Medical Staff but every other officer of the Institution When you gentlemen tendered me the responsible position of Superintendent of this great Institution I could not have undertaken the task had I not known so well the class of officers vou had at the head of all Departments I hereby tender them my sincere appreciation for their cooperation and faithfulness to duty26 SIXTYFOURTH ANNUAL REPORT I also wish to thank every employee who has been faith ful to duty We have also to report the resignation of Mr Chas H Whitfield who has so acceptably filled the office of Secretary for the past fourteen months He leaves us to engage in the mercantile business We wish him the success he deserves We consider the Institution fortunate in being able to secure the services of Mr H S Jones to fill the vacancy left by Mr Whitfield Mr Jones had formerly been Secretary for quite a number of years and is thoroughly familiar with all of its duties I hope you will continue to lay before the Legislature the necessity of providing separate buildings for our cousump tive cases It is a matter of common knowledge that the disease is contagious and we feel that it is a great injustice to those who are free from it to be shut up in wards with those who have it in all stages In this instance the golden rule should be applied We now have in the Institution something over 100 tuber cular casesabout 43 whites and 59 colored Epileptic and Feebleminded Children In the last Annual Report of this Institution the legislature was ably urged both by the Board and Superintendent to provide a colony for the epileptics and a separate home for the feebleminded children I cannot say more than was said then on this subject I hope you getnlemen will continue to place this important matter before the powers that be until they see it as we do and make the necessary provision Convicts I respectfully call your attention to page 107 Georgia Laws of 1904 No 586 with regard to insane convicts The law provides that insane convicts shall be kept at the prison farm and further that such convicts as are now in the State Sanitarium shall be returned by the Superintendent thereof to the Prison Commission as soon as arrangementsGEORGIA STATE SANITARIUM 27 have been made to care for said convicts as is provided in this act We have three convicts that we have been caring for for a number of yearsone white male and two colored males They ought to be cared for by the prison farm Health The health of the Institution has been as good as usual with the exception of having an epidemic of rneasels princi pally in the twin buildings Out of more than 150 cases we lostonly one case We also had some oases of chickenpox mumps erysipelas and typhoid fever Diarrhoea is very common among the insane especially with the old and feeble cases We are never without that Our death rate shows 9 12 per cent based on number treated which is better than the year previous Our recoveries based on the number of admissions show 407 per cent This is a better per cent than was made the previous year Below will be shown a sample of the examinations that are made on our reception wards when patients are admitted Also nurses notes on new cases MENTAL AND PHYSICAL EXAMINATION GEORGIA STATE SANITARIUM Date of admission Jan 21 1908 name Mrs age 32 sex W F weight 130 height 5 ft 5 in PRESENT STATE Violent threatened dangerous no destructive no homicidal no suicidal no nutrition good articulation normal facial ex pression suspicious excited at times melancholy no Mental StateDelusions various illusions probably hallucina tions yeshearing sight Habits Cleanly yes untidy yes Convulsive seizures no gait normal SecretionGlandular slightly exaggerated Patella slightly ex aggerated2S SIXTYFOURTH ANNUAL REPORT ReflexesAngle clonus absent Special SensesEyesight pupils are normal in size react to light and accommodation Tropic DisturbancesMuscles normal j bone normal hair nor mal Circulatory SystemPulse 70 regular volume good arteries A B imperceptible Slight systolic Heart murmur at apex Sec sound normal Sounds at the base normal Respiratory iSystemLungs chest is broad and full Expansion good Physical signs negative anteriorly Abdomen rather full firm resonant nonsensitive Sphincters Anal liver comes two finger breadths below costal border vesicle spleen is normal GenitoUrinary SystemNot made on account of resistance of patient DiagnosisManiac Depressive Insanity excitement NURSES NOTES ON NEW CASES Name Mrs admitted Jan 21 1908 22 First dayTemp resisted agitated appetite good one movement of bowels voided urine four times normal quantity and color Slept well 23 Second dayAx temp 98 pulse 74 resp 19 agitated de lusional appetite good one movement of bowels voided urine three times normal quantity and color slept well 24 Third dayAx temp 97 45 pulse 70 resp 20 agitated delusional appetite good one movement of bowels voided urine four times normal quantity and color slept very little 25 Fourth day Ax temp 98 15 pulse 78 resp 19 agitated delusional appetite good one movement of bowels voided urine three times normal quantity and color slept very little 26 Fifth dayAx temp 98 pulse 84 resp 20 agitated delusional appetite good no movement of bowels voided urine three times normal quantity and color slept very well 27 Sixth day Ax temp 98 pulse 96 resp 20 agitated de lusional appetite good one movement of bowels voided urine three times normal quantity and color slept very little 28 Seventh dayTemp resisted agitated normal delusional appetite good one movement of bowels voided urine four times normal quantity and color slept very little 29 Eighth dayAx Temp 97 45 pulse 74 resp 18 agitated delusional appetite good one movement of bowels voided urine three times normal quantity and color didnt sleep any 30 Ninth dayTemp resisted agitated delusional appetite good one movement of bowels voided urine four times normalGEORGIA STATE SANITARIUM 29 quantity and color slept very well 31 Tenth dayTemp resisted agitated delusional appetite good one movement of bowels voided urine three times normal quantity and color slept very little Namb Mr 21 1908 NOTES ON NEW CASE age 32 weight 136 admitted Jan HISTORY Has borne five children Date ot last birth Nov 17 1907 Date of first svmptoms of this attack Jan 1 1908 Symptoms manifest 2She thought the children were dead and left home She has not been homicidal suicidal violent destructive or filthy but di poed to do mischief with fire No hereditary tendency J Jan 6 Patient has been badly agitated and somewhat excited at times since received but realizes where she is and soys she knows she is not insane that there is not anything wrong with her except she has been shot in her head She also imagines that there is a gash in her head stuffed with paper that the rooms are fi led with chloroform and the building will be burned down at a certain hour She says she has borne five children but they and all of her sisters are dead and she heard a voice say that she herself was going to be killed too She is very restless during the day sel dom stays in one position five minutes at a time but is continually going from the windows to the doors and trying to get out and ays she can not be contented while so many people are dying and bein killed She is constantly calling or talking to some imaginary person and very often appears to be in a dread and will say some one is trying to shoot her At night she never goes to sleep without looking beneath her bed Says there are spirits in her room yet she usually sleeps well Her appetite is ravenous but she refuses medicine imagines it is poison and she does not like to have her temperature taken says the thermometer contains carbolic acid She has not been violent but very resisting at times She pre pares her own toilet but is careless about her appeaance but is cleanly No 4566 URINALYSIS Chemical and Microscopical Name Mrs Date l408 specimen taken at 630 am examined at 10 am PHYSICAL PROPERTIES Reaction acid color yellow odor normal sp gr 101630 SIXTYFOURTH ANNUAL REPORT ABNORMAL CONSTITUENTS IN SOLUTION Albumintrace SEDIMENT Calcium axalate crystals abundant Epithelial cells particularly polyganal form abundant Rose pale granular casts no pus no acids D G W M D Resident Pathologist For further details I respectfully refer you to reports made by Steward Assistant Steward Matron and other officers The statistical tables which follow will give in detail the movement of white and colored population In conclusion I beg to express my appreciation of the con fidence you have shown in placing me in such a responsible position and to assure you that I shall ever strive to merit your approval in all that concerns the welfare of the Institu tion and its unfortunate charges Very respectfully L M Jones SuperintendentGEORGIA STATE SANITARIUM 31 STATEMENT WHITE In relation to the number of white patients during the year or from January 1st 1907 to January 1st 1908 There were patients on hand January 1st 19072101 White Male Lunatics846 White Male Epileptics White Male Idiots 37 982 White Female Lunatics989 White Female Epileptics10 White Female Idiots 3011192101 There have been received during the year White Males287 ooc 572 White Females00 Total number under treatment2673 There have been Discharged restored 51 improved22 removed 3 eloped not insane There have died White Males101 AnB White Females84 185 495 Leaving on hand January 1st 1908 2178 CLASSIFICATION OF THE WHITES White Male Lunatics826 White Male Epileptics128 White Male Idiots 511005 White Female Lunatics964 White Female Epileptics142 White Female Idiots 47 lwd UB Of the white who have died there were of Males Females Pulmonary tuberculosis Senile Gangrene 19 5 Chronic enteritis Epilepsy32 klXTYFOVRTH ANNUAL REPORT Organic heart disease 13 11 Obstruction of bowels 1 0 Cerebral Hemorrhage 5 3 Hypostatical pneumonia 1 0 Exhaustion of Acute Mania 1 0 Unknown 2 0 Miliary tuberculosis 6 0 Status epilepticus 1 2 Pneumonia 2 4 Senility 7 p Acute dysentery 3 0 Exhaustion of senile dementia 1 0 Exhaustion 1 4 Acute enteritis 2 0 Chronic nephritis 5 0 Acute gastritis 1 0 Measles 1 0 Fracture of femur 2 0 Bronchopneumonia 1 0 Arterosclerosis 1 0 Pericarditis 1 0 Cerebral softening 1 0 Epileptic shock 1 0 Valvular heart disease 1 0 Paresis 4 Cellulitis 1 Sprue 1 Exhaustion of chronic mania 1 Acute Bronchitis Autointoxication 0 Chronic fibrinous peritonitis 0 Chronic bronchitis 0 Chronic dysentery 0 Meningitis 0 Gastroenteritis 0 Organic brain disease 0 LaGrippe 0 Chronic enterostomatitis 0 Multiple neuritis 0 Typhoid fever 0 Uraemic coma 0 Marasmus 0 Hydrocephalus 0 Maniacal exhaustion 0 Cancer of uterus 0GEORGIA STATE SANITARIUM 33 Neuritis Total 0 101 1 84 STATEMENT COLORED In relation to the number of colored patients received during the year or from January 1st 1907 to January 1st 1908 There were patients on hand Jan 1st 1907917 Colored Male Lunatics 404 Colored Male Epileptics 49 Colored Male Idiots 11 4G4 Colored Female Lunatics 425 Colored Female Epileptics 24 Colored Female Idiots 4 453 917 There have been received during the year Colored Males189 Colored Females176 365 Total number under treatment 1282 Of whom there have been Discharged restored 51 improved 60 eloped 10 removed 2 123 There have died Colored Males102 Colored Females 87 189 312 Leaving in the institution January 1st 1908 970 CLASSIFICATION OF THE COLORED Colored Male Lunatics 390 Colored Male Epileptics 58 Colored Male Idiots 39 487 Colored Female Lunatics 409 Colored Female Epileptics 46 Colored Female Idiots 28 483 970 34 SIXTYFOURTH ANNUAL REPORT Of the Colored who have died there were of Males Epilepsy 10 Acute dysentery 2 Maniacal exhaustion 5 Paresis 7 Cerebral hemorrhage 0 Bnterocolitis 5 Bronchopneumonia 1 Senility 12 Pulmonary tuberculosis 17 Organic heart disease 4 Unknown 5 Tubercular peritonitis 1 Parenchymatous nephritis 3 Interstitial nephritis 2 Cerebral embolism 2 Tubercular enteritis 3 Acute miliary tuberculosis 2 Organic brain disease 2 Proctitis 1 Senile gangrena 1 Inanition 3 Acute bronchitis Arteriosclcrosis 1 Chronic nephritis 0 GastroenteritiK 0 Asphyxiation 0 Chronic enteritis 0 Cerebral softening 0 Typhoid fever 0 Tumor of pituitory gland 0 Cancer of uterus O Ulcerative colitis 0 Acute enteritis 0 Total 102 Females 3 3 2 0 1 7 28 1 4 0 0 0 0 0 0 5 n 0 0 n 0 H 2 1 4 1 I 1 i 1 2 87 TABLE No 1 Showing the number of whites admitted during the year 1907 their respective ages at time of admission and Males Females Total Under 15 years 1 8 9 15 to 20 years 19 14 33 20 to 25 yeans 34 29 03GEORGIA STATE SANITARIUM 35 25 to 30 years 26 30 to 35 years 30 35 to 40 years 39 40 to 45 years 22 45 to 50 years 32 50 to 00 years 36 60 to 70 years 24 70 to 80 years 15 Over 80 years 7 Unknown 2 Total 287 35 61 31 61 48 87 21 43 27 59 31 67 23 47 14 29 2 9 2 4 285 572 TABLE No 2 Showing duration of insanity before admission Males Females Total Less than one month 16 n 27 1 to 3 months 49 28 77 3 to 6 months 26 20 46 6 to 9 months 23 22 45 9 to 12 months 11 9 20 12 to 18 months 15 19 34 1 to 2 years 7 7 4 2 to 3 years 20 18 38 3 to 4 years 15 22 3T 4 to 5 years 12 5 17 5 to 6 years 6 7 13 6 to 8 years 7 9 16 S to 10 years 3 5 S 10 to 14 years 7 15 22 14 to 20 years 8 8 16 20 to 30 years 16 22 38 Several years 19 34 53 Unknown 27 24 51 Total 287 285 572 TABLE No 3 Occupation of whites admitted during the year 1907 Housekeeper194 Carpenter11 No Occupation109 Farmer126 Undertaker 1 Railroad Man 5 Motorman 1 Merchant 6 Pattern maker 1 Dentist 136 SIXTYFOURTH AXNUAL REPORT Physician 3 Domestic 4 Bricklayer 1 Mechanic 4 Machinist Peddler 1 Boiler Maker 1 Contractor 1 Mill Operative 9 Clerk t Painter 3 Insurance Agent 1 Stone Cutter 2 Salesman 4 Agent 1 Accountant 2 Bookkeeper 4 Tinner 2 Gardener 1 Laborer 9 Stenographer 3 Nurse 2 Barber 2 Meat Cutter 1 Editor 1 Miner 3 Jeweler 1 Bookbinder 1 Dyer 1 School Teacher 3 Musician 2 Music Teacher 1 Liveryman 1 Lawyer 1 Telegraph Operator 3 Minister 2 Manufacturer 1 Saw Maker 1 School Girl 1 Dress Maker 1 Engineer 1 Marble Dealer 1 Printer 2 Turpentine Operator 1 Unknown 16 Total 572 TABLE No 4 Civil condition of the whites received during the year 1907 Married276 Single221 Widowed 76 Total 572 TABLE No 5 Homicidal and suicidal of whites received during the year 1907 Homicidal93 Suicidal67 Homicidal and suicidal56 Total216 TABLE No 6 Cause or supposed cause of insanity of whites received during the year 1907 Heredity47 Uterine Trouble 5GEORGIA STATE SANITARIUM 37 Typhoid Fever 7 Acoholism 32 Senility lb Change of lite 9 Fever 6 Child Birth 12 Drugs 13 Syphilis 5 n a 1 Grief 12 Fall 1 Domestic Trouble 3 Exposure 1 Paralysis 1 Spinal Trouble 2 Imbecility 7 Blow on Head 9 Idict 6 Worry 3 Sexual Excels 2 Sunstroke l Neurasthen a 1 General Debility i Overstudy l Menstrual Trouble i St Vitus Dance l Catarrh l Congenital 16 Masturbation 9 Female Trouble 9 111 Health 43 Organic Brain Disease 2 Financial Trouble 8 Over Work 9 Epilepsy 42 Religious Excitement 8 Nervous Exhaustion 1 Wounds Recd in War 1 Injury in R R Wreck 1 Doss of Child 2 Unknown 210 Total 52 TABLE No 7 Showing the number of colored admitted during the year 1907 and their respective ages at the time of admission Males Females Total Under 15 years 4 3 7 15 to 20 years 23 11 34 20 to 25 years 32 30 62 25 to 30 years 17 18 35 30 to 35 years 10 25 35 35 to 40 years 22 16 38 40 to 45 years 15 12 27 45 to 50 years S 17 25 50 to 60 years 20 14 34 60 to 70years 21 14 35 70 to 80 years 12 4 16 Over 80 years 1 3 4 Unknown 4 9 13 Total18 176 36538 SIXTYFOURTH ANKUAL REPORT TABLE No 8 Showing the duration of insanity of the colored before admission ales Females Total Less than 1 month 1 to 3 months 3 to 6 months 6 to 9 months 9 to 12 months 12 to 18 months 1 to 2 years 2 to 3 years 3 to 4 years 4 to 5 years 5 to 0 years 6 to 8 years 8 to 10 years 10 to 14 years 10 14 to 20 years 20 to 30 years Several years Unknown 19 16 12 28 30 26 56 24 21 45 15 15 30 6 6 12 10 12 22 2 3 5 10 13 23 4 12 16 3 5 8 3 8 11 7 8 15 2 2 4 10 5 15 3 o 5 8 1 9 17 4 21 19 21 40 Total189 176 365 TABLE No 9 Occupation of colored admitted during the year 1907 Uaborer 78 Raiaoad Hand 2 Brick Mason 1 School Girl 1 Drayman 2 Housekeeper 24 Cook 12 No Occupation 32 Turpentine Hand 5 Teacher 1 Plasterer 1 Washerwoman 10 Seamstress 1 Barber 2 Carpenter 2 Upholsterer 1 Fireman 1 Presser clothes 1 Farmer 50 Field Hand 68 Cigar Maker 1 Miner 1 Woodcutter 1 Backsmith 1 Waiter 1 Servant 23 Nurse 1 Peddler 1 Factory Hand 1 Porter 3 Rwy Mail Clerk 1 Stcnecutter 2 Tie Chopper 1 Gas Worker 1 Mesenger Boy 2 Unknown 40 Total365GEORGIA STATE SANITARIUM 9 TABLE No 10 Civil condition of the colored received during the year 1907 Married 154 Single 15 Widowed 60 Total 365 TABLE No 11 Homicidal and suicidal of the colored received during the year 1907 Homicidal 80 Suicidal 15 Homicidal and suicidal 19 Total114 TABLE No 12 Cause or supposed cause of insanity of the colored received during the year 1907 Ill Health 11 Masturbation 4 Menopause 5 Spinal Trouble 1 Grief 5 Menstrual Trouble 8 Semility 15 Blow on Head 10 Tumor of Brain 1 Love Affair 1 Exposure 1 Lightning Stroke 1 Unknown179 Epilepsy 36 Sexual Excess 1 Fever 4 Injury 8 Syphilis 9 Child Birth 6 Female Trouble 5 Domestic Trouble 7 Worry 1 Heredity 8 Paralysis 1 Dissipation 4 Faresia 1 Nervous Prostration 1 Religious Mania 18 Idiot 13 Total365 Form of psychosis of whites received during the year 1907 Mania Acute15 Toxic Insanity 22 Mania Chronic 21 Idiot 10 Mania Recurrent 8 Chorea 2 Mania Pueperal 4 Paranoia 8 Mania Morphino 9 Syphilis Cerebral 140 SIXTYFOURTH ANNUAL REPORT Melancholia Acute 22 Melancholia Chronic 13 Melancholia Recurrent C Melancholia Stuporpue 1 Melancholia Senile 1 Melancholia Simplex 12 Melancholia Hypochon driacal 1 Dementia Senile 42 Dementia Precox 29 Dementia Organic 21 Dementia Primary 1 Dementia Epileptic 2 Dementia Terminal 3 Dementia Secondary 6 Dementia Post Pebrili 1 Heberphrenia 3 Neurasthenia 1 Tabes Dorsalis 1 Manic Depressive Insan itv 129 Not Insane 4 Paresis 4 Snlity 6 Alcoholism Chronic 7 Alcoholic Insanity 10 Epileptic Imbecile 9 Epilepsy 31 Epileptic Insanity 4 Imbecile Hydrocephalous 2 Imbecile 76 Petit Mai 2 Insanity Adolescent 3 Hypochondriasis 4 Moral Pervert 3 Acute Delirium 3 Hysteria 4 Traumatic Insanity 2 Organic Brain Disease 1 Diagnosis not made 4 Total572 Form of psychosis of the colored received during the year 1907 Mania Acute87 Mania Chronic25 Mania Recurrent 17 Melancholia Acute47 Melancholia Chronic 17 Melancholia Recurrent 5 Dementia Semite36 Dementia Organic13 Dementia Primary 2 Dementia Syphilitic 2 Unknown1 Paranoia2 Imbecility 42 Epileptic Idiot 11 Idiocy 10 Epilepsy 14 Alcoholic Insanity 9 Epileptic Imbecile 3 General Paresis 3 Insanity Toxic 16 Insanity Circular 1 Not Insane 2 Total365GEORGIA STATE SANITARIUM 41 Dental Department Dr L M Jones Supt Dear Doctor The following is a report itemizing the Dental Treatment and Operations of this department during trie year 1907 Alveolar Abscesses Treated 39 Periodontitis Treated19 Stomatitis Treated 3 Pyorrhoea Alveolaris Treated 9 Acute Odontalia Treated11 Calcarious deposits removed Number of patients 76 Pulps Devitalized removed and cavities and pulp ca nals filled 81 Putrescent Pulps removed tooth treated cavites and pulp canals filled 57 Cavites filled with Oxphosphate Zinc 301 Cavites filled with Amalgam 402 Cavites filled with Guttapercha 2 Cavites filled with Gold 8 Crowns made 7 Crowns reset 2 Bridges made 2 Bridges repaired 1 Artificial Dentures made 5 Artificial Dentures repaired 4 Hypersensitive teeth from erosion or attrition cau terized with Nitrate of Silver Number of patients 3 Teeth Cleaned Number of patients 8 Teeth and roots badly decayed ulcerative and offensive extracted 874 Number of patients during the year 1357 Remarks During the year I have visited the wards taking them in numerical order examined the mouths of the patients and rendered such services as were feasible J C Richard Dentist42 SIXTYFOURTH ANNUAL REPORT Apothecary Department Milledgeville Ga January 1 1908 Dr L M Jones Superintendent Dear Sir The following is my report of Apothecary Department from January 1st 1907 to January 1st 1908 It being the policy of this department to manufacture all pharmaceuticals and preparations used by the institution we have clone so at all times where it was economy to do so re stricting purchases solely to chemicals and such specialties as were required by the physicians Statement The following is a statement of all expenditures etc of Apothecary Department from Jan 1 1907 to Jan 1 1908 Amount of drugs purehawed including all druggists sun dries dental and laboratory supplies etc all prepa rations for fumigation disinfecting and sanitary pair poses also all alcohol wine and whiskies368107 Amount of drugs sold officers and employees 35406 Amount of drug on hand302500 Amount of fixtures etc 38550 Number of prescriptions filled34139 Respectfully submitted D S Caerington Apothecary GEORGIA STATE SANITARIUM 43 Report of Treasurer Milledgeville Ga January 1 1908 Dr L M Jones Superintendent Dear Sir I beg to submit herewith my report of the Receipts and Disbursements of my office as Treasurer for the fiscal year eudingr December 31 907 Support and Maintenance RECEIPTS 1907 Jan 1 Balance 91755 Dec 31 Received from State Treasurer3700O0O0 Overdraft 267623 38259378 DISBURSEMENTS 1907 Dec 31 Subsistence 12061258 Clothing 4805165 Fuel and Transportation 3130973 Salaries 3142605 Wages 10387655 Incidental Expenses 4151697 Medical Supplies 368107 Contingencies 80539 Stationery and Postage 131379 38259378 Special Appropriation SPECIAL APPROPRIATION WATERWORKS 1907 Dec 31 Balance1207616 Received from State Treasurer1500000 270761644 SIXTYFOURTH ANNUAL REPORT DISBURSEMENTS Deo 31 Expenditures 2098742 Balance on hand608874 2707610 L H ANDREWS Treasurer 1907 In Account with the Georgia State Sanitarium Dec 31 Balance on Deposit in the M F Bank 1836779 Overdraft account Support and Maintenance 267623 Dec 31 Outstanding Vouchers for month of Doc Balance on hand for acct Waterworks 2104402 1495528 608874 2104402 Certificate of L C Hall Cashier of the Merchants and Farmers Bank attached and made a part of my report Respectfully submitted L H Andrews Treasurer Georgia State Sanitarium Milledgeville Ga Dec 31 1907 This Is to certify that Mr L H Andrews Treasurer Georgia State Sanitarium has on deposit in this Bank subject to check at the close of business this day Eighteen Thousand Three Hundred Sixtyseven and 79100 Dollars 1836779 L C Hall Cashier The Merchants and Farmers Bank Attest Jno T Day N P Baldwin County GeorgiaGEORGIA STATE SANITARIUM 45 Report of Steward Milledgeville Ga January 1 1908 Dk L M Jones Superintendent Dear Sir I have the honor to transmit through you to our honorable Board of Trustees this my report as Steward embracing the period from Jan 1 1907 to Jan 1 1908 Abstract A shows the balance brought forward from last year the amount drawn from the State Treasurer for the support and maintenance of the Sanitarium together with a classified statement of the disbursements and an over draft of 267623 due our Treasurer Abstract B shows the expenditures on account of sub sistence Abstract C shows the expenditures on account of cloth in t t 1 Abstract D shows the expenditures on account ot iuel and transportation Abstract E shows total amount officers pay rolls Abstract F shows total amount wages payrolls Abstract G shows the expenditures on account of inci dental expenses Abstract H shows the expenditures on account of Medi cal Supplies Abstract J shows the expenditures on account of contin gencies Abstract J shows the expenditures on account of station ery and postage Abstract K shows the expenditures on account of special appropriation for waterworks Abstract L shows the requisitions drawn on State Treas urer for support and maintenance Abstract M shows the average number of patients from 1873 to 1908 also the per capita cost per diem and per an num Abstract N shows the cost of maintaining one patient for vear month week and day46 SIXTYFOURTH ANNUAL REPORT Our Storekeeper Mr W H Hunter reports stock on hand 1452638 Our Apothecary Mr D S Carrington reports stock on hand 302500 Our per capita per diem is 34c By reference to the report of Mr G N Hollinshead As sistant Steward you will ascertain results from garden dai ries hogs etc also a report of stock wagons implements etc on hand In compliance with the law duplicate vouch ers of the expenses accompanied by the required certificate approved by the Superintendent and audited by the Trus tees have been filed in the Executive Department in Atlan ta I have devoted my entire time as required by the rules of the Institution to the Stewards work and have to the best of my ability discharged the duties incumbent upon me I am indebted to our Board of Trustees as well as yourself for the confidence reposed in me Respectfully submitted Lucius J Lamar Steward G S SGEORGIA STATE SANITARIUM 47 ABSTRACT A Showing Balance brought forward from last year also money re ceived with a Classified Statement of the Disbursements from Jan 1 1907 to Jan 1 1908 1907 Db Jan 1 To Balance 991755 1908 Jan 1 To State Treasurer37000000 To Overdraft 2671623 38259378 1908 CR Jan 1 By Subsistence12061258 Clothing 4805165 Fuel and Transportation 3130973 Salaries3142605 Wages 10387655 Incidental Expenses 4151697 Medical Supplies 368107 Contingencies 80559 Stationery and Postage 131379 25937848 SIXTYFOURTH ANNUAL REPORT Abstract B Shows the Expenditure on Account of Subsistence from Jan 1 1907 to Jan 1 1908 DATE Jan 31 TO WHOM PAID WHAT FOR Feb 2S k WatsonJ Tobacco Samples Groceries Samples Butterine Groceries Groceries Produce Sample Seed Lard C Feed Hams Meat Rice Flour Flour Grits Groceries Tobacco Tobacco L Comp Beef Hams Penn Nat Pkng Co Jno Conn Co Swift Co Nat Dairy Co JHall Lamar J F Bull J J Waxelbaum Co S R Jaques Co Robert Buist Co lArmour Pckg Co jOeonee R Mills I Jno C Roth Pkng Co Nat Pkng Co Burkenroad G Co JHall Lamar IBallard Ballard ILouisville C Mill Co S R Jaques T Co Berry Suiting T Co IW A Brown T Co ICudahy Pkng Co Armour Pkng Co Home Andrews Com Co A H Motley Co Tobacco J T CookiButter IWebb BradleyIButter J W StembridgeIButter R H Blood worthButter Jesse Miller Butter IW L VincentButter C K GreeneIButter Chandler BrosButter E L BarnesIButter IJ T WilliamsIButter J A BrooksMilk IJ A BuckIMilk IT TreanorIMilk The Fleisehmann ColYeast I Armour Pkng CoBeef Coe Mortimer CoFertilizers IMilledgeville Oil MillsC S Meal IBallard BallardIFlour IBowen Jewell CoMeal Sacks JJ A BrooksMeal Uno Conn CoGroceries IM w Johnson Seed Co Seed J F BellIGroceries IHall LamarGroceries AMOUNT 23017 257 14177 390 8033 28806 3290 15500 583 10050 16000 9503 14403 157149 25265 112433 61715 16827 328047 114OS 7500 19893 101890 20506 10500 1085 7575 2510 2055 1230 1100 1190 3445 750 650 4624 2996 3415 1890 79606 51218 18337 62750 5782 6200 5420 300 26 OS 8935GEORGIA STATE SANITARIUM Abstract BContinued 1 DATE TO WHOM PAID WHAT IOE AMOUNT Nat City Dairy CoButterine IJ J Waxelbaum Co Produce J C Both Pkng CoLard Nat Pkng CoI Meat Austin Nichols CoPepper IBurkenroad G CoRice Hall LamariBran IS R Jaques T CoI Groceries W A Brown T Co Tobacco Cudahy Pkng CoL Comp Ballard BallardI Bran Oconee R MillslMeal Lemons Butter Butter Butter Butter Butter Butter Butter Butter Butter Butter Mch 31 J J Waxelbaum Co R H Bloodworth Jesse Miller J T Cook iWebb Bradley Chandler Bros J W Stembridge C C Greene C M Hudson W L Vincent J A Thomas J A BrookelMilk IJ A BuckIMilk IT Treanor Milk JAustin Nichols CoPepper Louisville C Mill CoGrits The Fleischmann CoYeast Armour Pkng CoiBeef Nat Pkng CoI Samples Jno Conn CoGroceries Hall Lamar J P BelP JNelson Morris Co Nat City Dairy Co J J Waxelbaum Co IMcCord Stewart CoSamples lArmour Co Hams Uno C Roth Pkng CoSanf Nat Pkng CoMeat IBurkenroad G Cojce IHall LamarFlour IBallard BallardBran I Cudahy Pkng CoLa W A Brown Tob Co Tobaeco IH D AllenjBull lOconee R Mills lMeal S R Jaques T CoGroceries IR H BloodworthButter IJ W StembridgeIButter IWebb BradleyButter Groceries Groceries Butterine Butterine Produce 8033 7750 14549 153791 1449 26040 61200 299957 7500 21698 62750 5100 450 2190 955 725 3725 600 1220 400 945 600 390 4881 3056 4220 842 16338 1890 176388 693 4946 15653 3338 8415 8033 23400 727 25837 14606 141786 25480 61200 62750 22582 7500 3000 10200 219860 2320 1905 3185 50 SIXTYFOURTH ANNUAL REPORT Abstract BContinued DATE TO WHOM PAID I WHAT FOR Jesse MillerButter J T CookIButter C M HudsonButter W L VincentIButter J A BrooksMilk IJ A BuckMilk T Treanor IMilk IJ I FarmerMilk IJ H EnnisFish Fleischmann Co jYeast lArmour Pkng CoBeef jj H EnnisIProduee IHorne Andrews Com Co Hams lArmour Pkng CoBeef IRobson EvansGroceries Apr 30 IJ A BrooksjMeal Louisville C Mill CoGrits Chandler BrosProduce Penn WatsonI Tobacco ILouisville Pkng CojSampIes Uno Conn CoIGroceries INat Pkng CoISamples S SulzbergerISamples S R Jaques T CoSamples INelson Morris CoIButterine Nat City Dairy CoIButterine Han La marIGroceries J F BellGroceries allnngton Dairy CoIButterine ISwift CoISamples IHall LamarISamples Lomax T R Drug Co Ginger ICudahy Packing OoILard Armour CoIHams IMangeks Herald Co ISyrup ILouisville Pkng CoILarrl W A Brown Tob CoTobacco A H Motley CoTobacco Robson Evans IGroceries IMcCord Stewart Co IGroceries Austin Nichols Co ISyrup IHall LamarIBran IS R Jaques T CoIGroceries Armour Pkng CoIButterne Uesse MillerIButter IJ T CookButter Webb BradleyIButter IR H BloodworthIButter IJ N SrmbriidgeIButter IP J Cline IRutte IC E GreeneIButter IChandler BrosBoitter AMOUNT 1120 890 1215 425 6424 4059 5205 1836 340 1540 131362 4488 9900 37849 117807 6400 17100 1025 15345 220 7750 265 347 249 16830 16066 33497 1655 7140 238 1800 371 93 10 59750 38375 18414 12690 15750 80500 45119 24464 161194 355549 160X 2390 270 7240 2390 1550 500 6 25 2850GEOHGIA STATE SANITARIUM Abstract BContinued 51 DATE TO WHOM PAID WHAT FOR AMOUNT E L Barnes W L Vincent J T Williams J A Thomas J F Bell J A Brooks J A Buck T Treanor J I Farmer Armour Pkng Co JFleisichmann Co J H Ennis Mav 31 IJ Crest Dairy Co WaxelbaumH H P Co Jno Conn Co J F Bell M W Johnson S Co Hall Lamar A J Carr Co IS R Jaques T Co ICudahy Pkng Co lArmiour Co Louisville Pkng Co IW A Brown Tob Co lAustin Nichols Co I Hall Lamar lOconee R Mills Robson Evans Armour Pkng Co IFleischman Co J W Stembridge R H Bloodworth A C Westbrook I Jesse Miller IWebb Bradley ij T Williams T A Napier U A Thomas IP J Cline E L Barnes IJno Farrar IJ A Brooks IJ A Buck IT Treanor IJ I Farmer J H Ennis j Armour Pkg Co Jun 30 J H Ennis Armour Pkng Co J F Bell INat City Dairy Co I Hall Lamar Butter Butter Butter Butter Butter Milk Milk Milk Milk Beef Yeast Fish Butter Produce Oat Meal Groceries Seed Groceries Lemons Groceries L Comp jHams I Lard I Tobacco I Syrup Groceries C Feed I Sugar Beef 1 Yeast Butter I Butter Butter j Butter Butter I Butter I Butter I Butter IButter Butter IButter IMilk IMilk Milk IMilk IFish I Beef Mutton IButterine I Groceries IButterine Groceries 720 630 710 670 680 8597 4587 7110 3035 163839 2520 188 3180 2200 825 2145 615 36457 1380 404594 9563 67673 19035 13050 23923 20146 10200 73600 122788 2520 2120 1915 675 2395 7150 2785 1505 3505 200 795 250 8825 4808 7355 3100 128 86579 1909 16000 1110 8033 12326o SIXTYFOURTH ANNUAL REPORT Abstract BContinued DATE TO WHOM PAID WHAT FOE J H EnnisProduce Oconee R Mills C Feed Jno Conn GoGroceries Waxelbaum H P Co Produce Nelson Morris CoButterine Cndahy Pkng CoL Comp Armour CoHams Louisville Pkng CoLard W A Brown Tob Co Tobacco Austin Nichols Co Syrup Armour Pkng Co Beef S R Jaqueo oi T CoGroceries Petty CashjProduee IS R Jaques Groceries J G BurdenSeed Fleischmann CoJYeast J H EnnisProduce R H Bloodworth Butter J W StembridgeI Butter P J ClineIButter Jesse MillerButter J T WilliamsIButter Iino FarrarIButter T A NapierIButter Webb BradleyIButter C A UnderwoodIButter S NapurButter J A ThomasIButter IJ A BrooksMilk J A BuckMilk T TreanorMilk J I FarmerMilk IJ H EnnisIMutton IA J Carr CoILeemons JAustin Nichols CoISyrup iRobson Evans IBran lArmour Pkng CoJBeef July 31 IPetts CashIProduce IWaxelbaum H P Co Lemons lOconee R MillsC Feed IHall LamarGroceries IS R Jaques T CoSamples lArmour Pkng CoButterine INat Pkng COSamples Bouisville Pkng CoI Samples ISwift CoISamples INat City Dairy CoiButterine J F BellGroceries INeLson Morris CoIButterine IMorris CoISamples IS R Jaques T CoIGroceries A H Motley CoTobacco AMOUNT 2325 10200 5338 1000 8415 8523 13820 17955 12330 24720 99809 321225 30000 43437 1748 2240 2062 1505 3425 435 2735 3400 745 1615 4305 720 360 300 10400 5635 7461 3000 60116 3850 12149 57500 84294 30000 2000 7650 7900 249 16000 245 189 2 27 SO 33 2363 8415 659 211044 10500GEORGIA STATE SANITARIUM 53 Abstract BContinued DATE TO WHOM PAID WHAT FOR AMOUNT Aug 31 W A Brown Tab CoTobacoo McCoid Stewart Co Groceries C M Gilbert CoGroceries Swift Co ILard IHorne Andrews Com Co Hams Penn WatsonTobacco IRobson EvansBran Jno Conn CoI Groceries Burkenroad G CoRice Dan Talmage 2ndRice lArmour Pkng GoIBeef Hall LamarGroceries Petty CashProduce Austin Nichols Co Syrup lArmour Pkng CoIBeef Armour Pkng CoIBeef IFleiscbmann CoYeast lOconee R MillsC Feed R H BloodworthButter J W StembridgeButter Jesse MillerIButter J T WilliamsButter J A ThomasIButter IS NapierIButter IWebb BradleyButter T A NapierButter A H JohnsonButter C M HudsonButter A D Freeman CoIutter Jno Farrar J A Brooks jj A Buck T Treanor J I Farmer J H EnnisMutton J A BrooksI Meal IHall LamarGroceries IA J Carr CoILemons IJno Conn CoI Groceries lOconee R MillsC Feed W H Produce CoLemons IHall LamarGroceries lArmour Pkng Co Butterine IRobert Buist CoSeed S R Jaques T CoGroceries W A Brown Tob Co Tobacco 10 M Gilbert CoICoffee I Swift CoILard IHorne Andrews Com Co IHamis Jno Conn CoGroceries lArmoni Pkng CoIBeef IFleischmann CoYeast Butter Milk Milk Milk Milk 5610 218961 37376 34463 21353 15936 42754 6875 32703 21481 83942 23647 30000 12684 46530 46741 2520 10200 850 2430 2005 3010 975 1340 1990 U655 1655 4455 940 910 11469 5904 7810 3090 33228 7500 35368 4450 6115 10200 2400 6204 16000 969 210281 5610 41059 23188 54546 6875 107H97 252054 SIXTYFOURTH ANNUAL REPORT Abstract BContinued DATE TO WHOM PAID WHAT FOK AMOUNT Hall LamarBran J A BrooksMilk J A BuckJMilk T TreanoriMilk jj I FarmerMilk A H Johnson Butter jj H JonesButter J W Stembridgej Butter IC M HudsonButter R H BloodworthButter T A NapierButter Wetb BradleyButter S NapierIButter Jesse MillerJButter Jno FarrarButter jj T WilliamsButter JW H ZachryIButter J A ThomasIButter jj H EnnisMutton Sep 30 A Brown Tob CoTobacco MoOord Stewart CoFlour 1 Austin Nichols Co Syrup Swift Co ard Thorne Andrews Com Co riams lOconee R Millsc Feed Nat City Dairy CoButterine A J Carr CoGroceries Hall LamarGroceries IJno Conn CoGroceries J F Bell Groceries Robson EvansGroceries is R Jaques T 10Groceries j A BrooksMeal Armour OoiBeef Jesse MillerIButter IWebb BradleyButter IS NaipierIButter j W StembridgeGutter R H BloodworthIButter ijno Farrar IButter iC M HudsonIButter J A BrooksMilk J A BuckIMilk IT TreanorIMilk J I FarmerIMilk iFleischmann CoI Yeast Armour CoI Beef Hall Lnmar IBran Swift CoLard Armour CoBeef Oct 31 Hall LamarIBran J H EnnisIMutton 472 94 114 Ill 56 90 82 30 30 74 8 00 0 20 43 85 47 35 15 15 16 00 18 60 20 75 7 90 7 9 55 25 45 o 00 201 11 56 10 945 00 125 16 164 till 533 10 159 60 80 33 78 01 59 98 56 70 25 90 311 15 1931 93 80 00 1554 75 11 20 10 60 25 25 27 60 0 60 6 55 35 00 79 62 32 SI 70 04 2825 25 20 469 06 472 04 272 06 459 66 406 77 23 oil GEORGIA STATE SANITARIUM 55 Abstract BContinued DATE TO WHOM PAID WHAT FOlt AMOUNT Nov 30 Meal Tobacco Bran Lemons Samples Samples Samples Samples Pkng CoSamples IMilledgeville Oil Mills jPenn Watson Hall Lamar A J Carr Co iS R Jaques T Co Foster Jones Co ILouWille Pkng Co McCbrd Stewart Go Nat Armour Pkng CoButtenne INat City Dairy CoButterine lOconee R MillsC Peed IHall LamarIBran J F BellGroceries IMilledgeville Oil MillMeal Leippert Scales Co ITobaceo IFlournoy Groc CoFteh Keed Murdoch CoFruit W A Brown Tob CojTobacco Berry Subling T Co Tobacco Louisville Pkng CoI Lard Jno C Roth Pkng Co Jonas Mendel Nat Pkng Co Thorme Andrews Com Co Iliurkenroad G Co IS R Jaques Co Milledgeville Oil Mill Marietta F Co Hall Lamar Marietta F Co Armour Co J W Stembridge C M Hudson Jno Farrar Jesse Miller J A Brooks J A Buck J I Farmer T Treanor Flelschmann Co lArmour CoTeef J H BnnisOysters IJno Conn CoGroceries fRobson Evans Syrup Armour Pkng CoButterire Nat City Dairy CoIButterine j F BellGroceries IHall Lamar IGroceries A J Carr GoLembns IR Buist Co ISeed ILeifpert Scales Co Tobaeeo Hams Bans Meat Hams Rice Groceries Meat Fertilizer Bran Fertilizer Beef Butter Butter Butter Butter Milk Milk Milk Milk Yeast 587 252 112 28 320 80 63 466 12 75 55 406 201 87 90 183 186 67 1576 246 236 2497 587 360 792 274 1411 43 8 10 3 90 31 30 64 25 344 1 12 57 160 80 18 139 18 57 55 50 33 21 79 70 65 85 12 94 00 33 75 12 15 00 30 50 88 00 90 30 62 93 42 57 70 13 50 00 48 49 40 55 75 15 95 14 86 65 63 20 51 75 75 75 00 33 95 54 00 80 30 5G SIXTYFOURTH ANNUAL REPORT Abstract BContinued DATE TO WHOM PAID WHAT FOR AMOUNT Dec 31 IThurman Groc Co Reed Murdoch Go W A Brown T Co Thorne Andrews Com Co Louisville Pkng Co Jno C Roth Pkng Co S R Jaques T Co Nat Pkng Co Hall Lamar Rurkenroad G Co Jonas Mendell Armour Co Fleischmann Co J W Stembridge Jesse Miller J A Thomas Chandler Bros J A Brooks J A Buck T Treanor J I Farmer J C Block Co G C Reves M B Jones Hall Lamar Ruislh Produce Co Robson Evans IJno Conn Co J F Bell Hall Lamar Milledgeville Oil Mills Leippert Scales Co Thurmon Groc Co Reed Murdoch Co W A Brown Tob Co Home Andrews Com Co Louisville Pkng Co IJno C Roth Pkng Co Burkenwoad G Co Jonas Mendel Nat Pkng Co IS R Jaques T Co W T Garrard IMaxelbaum P Co Am Produce Co JArmour Co S R Jaques T Co Waxelbaum H P Oo T W Stembridge Jesse Miller C M Hudson T A Napier Fish 42300 20188 Tobacco 7250 Hams 19650 Lard 18395 18652 Groceries 257130 Meat 159780 Bran 57708 Rice 23016 4543 Beef 109571 2520 Butter 5350 Butter 706 IButter 337 Butter S75 Milk 8752 Milk 3510 Milk 5376 Milk 3000 Candy 6108 Turkeys 2995 960 Bran 44782 Butter 19700 Syrup 5863 Oatmeal 850 Groceries 1835 80688 Soap 3750 Tobacco 5530 Fish 35550 Fruit 19000 Tobacco 7250 13382 Lard ISO05 Hams 18827 24360 Beans 9282 Meat 150701 320324 Turkevs 1206 20304 Apples 20820 Beef 167893 Groceries 138174 Dates 4222 Butter 4819 Butter 375 512 Butter 700 GEORGIA STATE SANITARIUM 57 Abstract BContinued DATE TO WHOM PAID WHAT FOR AMOUNT Butter Milk Milk Milk Milk JFleischmann CoYeast Total J T Williams jj A Brooks J A Buck T Treanor J I Farmer 1494 9617 2980 6032 3100 2240 12061258 Abstract C Shows the Expenditures on Account of Clothing from Jan 1 1907 to Jan 1 1908 DATE TO WHOM TAID WHAT FOR AMOUNT 3660 Dry Goods 4136 Dry Goods 3100 Shoes 1290 J K Orr Shoe Co 2812 E E Bell 11523 W H Thomas Co 1608 The W H Brigham Co 64922 W H Thomas Co Bleaching 29715 Burton Taylor Wise Co Sheeting 33125 37583 12999 Wingo Elliott C Shoe Co 10164 A A Waxelbaum Bro Shoes 37800 J K Orr Shoe Co 23000 Shoes 13070 Domestics 21553 Ginghams 64008 3276 j Sheeting 43027 The Dannenberg Co jDomestics 28723 ISheeting 134813 34828 W H Thomas Co 1470 Blankets 47500 W H Brigham Co 678 W H Brigham Co Domestics 82908 E A Waxelbaum Bro 36000 J K Orr Shoe Co 23000 13125 E E Bell 63148 Domestics 46276 58 SIXTYFOURTH ANNUAL REPORT Abstract CContinued DATE TO WHOM PAID WHAT FOR IWingo Elite C Shoe Co Shoas Dimnenberg CoI Hosiery Mch 31 JBurden Smith CoSwiss jCarwm Pirie Scott Co Buttons Wingo Elite C Shoe Co Shoes Apr 30 IHaber Blk Hat CoHats I Davis Edwards Samples Burden Smith CoSanples JMcCraw MiyrechjClothing Hopp BrosSpreads Goodman Wootten Samples J K Orr Shoe CoSamples W H Brigiham Cosamples M C Kiser CoShoes J Rosenbaum S CoI Shoes IDunnenberg Co Samples IMunhard Sehaul CoSamples JGuzzenheimer CoSamples Gans LipmanHats I Carson P Scott CoI Samples W H Thomas CoCoats IE E BelliShoes F E Calloway CoDomestics IE E BellDomestios C B Scott CoCrash Ij K Orr Shoe CoIShoes J Rosenheim Co Shoes IM C Kiser CoIShoes IDavis EdwardsICaps Bibb Mfg CoIHosiery IGuzzenheimer Co Domestics IDennenberg CoDomestics IW H Thomas CoI Spreads HowittWarner Co Sheeting IJones LipmanHats IX G Smith CoCoverts iHowett Warner CoSheeting May 31 1Thread AgencyThread IHowett Warner CoiDomestics I E E BellShoes Goodman WoottenShoes IHowett Warner CoI Sheeting F E Calloway CoIDomestics IE E BellIShoes J K Orr Shoe CoIShoes II Rosenhum CoIShoes IM C Kiser Co IShoes IBibb Mfg CoIHosiery IBnrden Smith CoiSpreads IGuggenheimer CoIcireads IThe Dannenberg CoIHosiery IC P Scott CoISamnles 10GEORGIA STATE SANITARIUM Abstract CContinued DATE TO WHOM PAID WHAT FOR Jun 30 July 31 Aug 31 Sep 30 Oct 31 W H Thomas CoOoats Burden Smith CoM Nets IBurden Smith CoSpread Dannenberg CoDomestics C P Scott CoBrushes IW H Thomas CoCoats W H Thomas CoU Robes U K Orr Shoe CoShoes IWingo Ellett O S Co Shoes M C Kiser CoShoes Quinn Marshall CoSamples j Rosenheim S CoShoes Guggenheimer Coj samples S Putney S CoShoes Dannenberg Co Sampies E E Bell Samples W H Thomas Cosamples IJ K Orr Shoe CoI Shoes The Dannenberg CoDomestic W H Thomas CoDomestics The Thread AgencyThread Carson P Scott CoCrash Guggenheimer CoHosiery IE E BellShoes IHowett Warner CoSheeting J G Swift CoCoverts W H Thomas CojDomestics J Rosenheimer S CoShoes IBurden Smith CoDawn W H Thomas Co Vests J K Orr Shoe CoShoes The Dannenberg CoShirting The Dannenberg CoDrill J G Swift CoCoverts J K Orr Shoe CoShoes JW H Thomas CoDomestics E El BellShoes IGoodman WoottenCalico C P Scott CoSamples Rosenheim S CoShoes W H Thomas CoCoats E E BellShoes IW H Thomas CoShoes Burton T Wise CoSamples Davis EdwardsSamples Alex Sloan Jr CoSamples J K Orr Shoe CoShoes IP Hany S CoShoes IGoodman WoottenClothing IHaber Black H CoHats United C W CoBlankets IHowett Warner CoSamples 59 AMOUNT 16500 1425 22500 69532 1970 3US1W 8250 2811 906 2023 492 5454 271 2413 3395 5032 1565 47772 86304 52122 15837 8820 12079 34996 29250 12130 108368 14976 570 14309 21792 38173 35101 8160 42312 68081 1863 3247 63 624 54217 19264 19036 375 467 420 359 824 10000 1J617 4551 241460 SIXTYFOURTH ANNUAL REPORT Abstract CContinued DATE TO WHOM PAID WHAT FOR AMOUNT Munmhard Schaul Co Burden Smith Co Guggenheimer Co Quinn Marshall Co W H Thomas Co M C Riser Co Wolff C W L Co Coats Blankets Samples Samples Samples Shoos Hosiery The Dannenherg CoiHosiery E E Bell Shoes Cans LipmanHats Joseph D G Co Samples C P Scott CoSamples Dannenberg CoI Domestics J G Swift CoIGoverts Sheeting Blankets Coats Sheeting Oil Cloth Shoes Hats Shoes Domestics Hosiery Shoes Blankets Jeans Outing Shoes Vests Blankets Shoes Blankets Thread Coats Covert Domestics Blankets Plaids Sheeting Jeans Coats Shoes Shoes Hats Shoes Corsets Burton T Wise Co IBurden Smith Co JE E Bell JHowett Warner Co C P Scott Co M C Riser Co Gans Lipman J K Orr Shoe Co QuinnMarshall Co Guggenheimer Co E A Waxelbaum Bro W H Thomas Co J C W Mills Nov 30 IBurden Smith Co IE E Bell W H Thomas Co lUnited C W Co Goodman Wootten IE E Bell The Thread Agency I The Dannenherg Co fj G Swift Co I Burton T Wise Co IBurden Smith Co IQuinnMarshall Co IHowett Warner Co J C Woolen Mills W H Thomas Co E A Maxelbnum Bro M C Riser Co Gans Lipman j R Orr Shoe Co Dec 31 IE EL Bell IGoodman WoottenIHandkerchiefs IE E BellIBlankets The Dannenherg CoIDomestics J G Smith CoCoverts IBurden Smith CoBlankets I 5210 7419 1655 1629 7710 2330 4932 1475 8880 2266 6998 3442 93390 17000 24250 122250 91390 98306 5344 33750 13650 31056 75872 3000 5310 03040 37078 4532 3000 28853 4500 997 80275 15837 53057 17000 22975 56854 25400 140835 36085 57500 10620 25500 3575 22824 3579 3305 23460 03512 10502 856 SiGEORGIA STATE SANITARIUM 61 DATE Abstract CContinued TO WHOM PAID WHAT FOE I Shoes pi ci Bell Howett Warner Co iSheeting J C Woolen Millsl W H Thomas Co E A Waxelbaum Bro M C Riser Co Gans LipmonaCL J K Orr Shoe CoShoe Burton T Wise CoBlankets Coats Shoes 1 Shoes AMOUNT 91255 54163 37120 120010 14100 36750 6500 38400 US 21 TotalI 4805165 Abstract D Shows the Expenditures on Account of Fuel and Transportation from Jan 1 1907 to Jan 1 1908 DATE TO WHOM PAID WHAT FOR AMOUNT Jan 31 ISo Ex Co Freight Ga K R OoFreight C of G Ry CoFreight Ga R R CoSel5 W P OvermanWood C C HurtWood IWingo C C CoCoal H B Bowling C CoCoal H B Bowling C CoCoal H B Bowling C CoCoal So Ex CoFreight Feb 28 IH B Bowling C CoCoal IH B Bowling C OoCoal C of G Ry CoFreight The B Bowling C CoCoal The B Bowling C CoCoal IThe B Bowling C CoCoal So Ex Oo Freight IThe B Bowling C CoCoal G R R Co freight C of G Ry CoFreight H B Bowling C CoCoal IWingo C C OoCoal C C HurtWo011 JH B Bowling C Oo Mch 31 IH B Bowling C Co So Ex Co H B Bowling C Co H B Bowling C Co Coal Coal Freight Coal Coal 1965 13059 9096 5707 3700 9712 7228 12788 8828 8993 1945 13200 31599 2369 10808 33000 12540 1545 35311 5251 12022 32919 4099 5874 19718 00885 910 25988 132002 SIXTYFOURTH ANNUAL REPORT Abstract DContinued DATE TO WHOM PAID WHAT FOR AMOUNT IH B Bowling C Co H B Bowling C Co H B Bowling C Co H B Bowling C Co IH B Bowling C Co H B Bowling C Co I So Ex Co H B Bow Ling C Co IC of G Rv Co H B Bowling C Co IH B Bowling C Co C of G Ry Co H B Bowling C Co C C Hurt So Ex Co Apr 30 IA D Nesbit Agent IProctor C Co IG R R Co C of G Ry Co ISo Ex Co May 31 Ic C Hurt So Ex Co G R R Co IR O Campbell C Co IC of G Rv Co IC of G Ry Co IBenj Hill C Co IG R R Co IC C Hurt H B Howling C Co Jun 30 O Campbell C Co R O Campbell C Co IR 0 Campbell C Co IThe H B Bowling C Co IBenj Hill C Co ISo Ex Co IG R R Co IBenj Hill C Co IC of G Ry Co IG R R Co IR O Campbell C Co I So Ex Co IR 0 Campbell C Co IC C Hurt IR 0 Campbell C Co IR O Campbell C Co IR 0 Campbell C Co July 31 ip O Campbell C Co R 0 Campbell C Co ISo Ex Co IBenj Hill C CoiCoal Coal Coal Coal Coal Coal Coal Freight Coal Freight Coal Coal Freight ICoal Wood iFTeight Freight jCoal JFreight j Freight Freight IWood I Freight Freight JCoal JFreigiht I Freight Coal JFreight Wood ICoal Coal Ooal ICoal ICoal Ooal JFreight Freight ICoal I Ft eight IFreght Coal IFreight ICoal Wood ICoal Coal JCoal ICoal ICoal Freight R 0 Campbell C Co ICoal 74086 24833 603OS 10148 25741 12623 1410 17821 13660 42406 37538 17821 22523 5020 1515 37822 0547 14368 1620 11 35 823 2288 22566 9608 11193 1517 5971 4150 6151 20048 65594 27722 104638 10148 22401 2500 7387 12212 2884 4544 33315 1551 36700 4750 30083 22713 23936 27136 64104 2000 13153 84991GEORGIA STATE SANITARIUM 63 Abstract DContinued DATE TO WHOM PAID WHAT FOR AMOUNT Benj Hill C Co So Ex Co R 0 Campbell C Co C of G Ry Co R 0 Campbell C Co G R R Co C C Hurt So Ex Co Aug 31 iSo Ex Co R 0 Campbell C Co R O Campbell C Co R 0 Campbell C Co So Ex Co G R R Co R O Campbell C Co C of G Ry Co IR O Campbell C Co R O Campbell C Co C C Hurt W P Overman Sep 30 R 0 Campbell C Co So Ex CO IBenj Hill C Co Benj Hill C Co R O Campbell C Co IBenj Hill C Co R O Campbell C Co Nat Stock Yards IBenj Hill C Co C of G Ry Co G R R Co G Bernard Co IBenj Hill C Co IC C Hurt W R Overman Oct 31 R O Campbell C Co H B Bowling C Co G R R Co R O Campbell C Co R O Campbell C Co R O Campbell C Co R 0 Campbell C Co So Ex Co R 0 Campbell C Co G R R Co ISo Ex Co IC or i Ft Co G R R Oo C C Hurt W P Overman Nov 30 lHancock W Co G R R Oo Coal Freight Coal Freight Ooal Freight Wood JFreight Freight Coal Coal Coal Freight IFreight Coal Freight jOoal Coal Wood i Wood Coal iFreight Coal Coal Coal I Coal I Coal Mules Coal IFraight Freight Harness Coal I Wood Woor Coal Coal JFreight ICoal ICoal iOoai Coal Freight ICoal Freight Freight IFreight IFreight IWood Wood I Wagons IFreight 10614 735 70769 6794 38810 4997 11922 1185 505 88039 47571 27872 890 7061 65443 6073 58138 46648 25650 13300 49228 545 13082 10579 135157 39103 38625 90000 15514 2937 5613 4557 15052 15105 5842 46850 33991 6222 68174 97268 37153 59195 2291 93500 1574 885 17470 7280 16150 6792 15380 398264 SIXTYFOURTH ANNUAL REPORT Abstract DContinued DATE TO WHOM PAID So Ex Co IA D Nesbit Agent G R R Co C C Hurt W P Overman So Ex Co Dec 31 IG R R Co So Ex Co So Ex Co C C Hurt W P Overman C of G Ry Co G R R Co ISo Ex Co G R R Co WHAT FOR Freight Freight Freight Wood Wood Freight Freight Freight Freight Wood Wood Freight I Freight Freight Freight I Total AMOUNT 3005 12395 3729 15152 6175 855 2340 945 17 65 18240 3610 9575 6493 915 IS91 3130973 Abstract E Shows Amount of Salaries Paid Officers per month together with the aggregate amount from Jan 1 1907 to Jan 1 1908 DATE Jan 31 Feb 28 Mch 31 Apr 30 May 31 Jun 30 July 31 Aug 31 Sep 30 Oct 31 Nov 30 Dec 31 TO WHOM PAID WHAT FOR AMOUNT Pay Roll Pay Roll I Pay Roll I Pay Roll I Pay Roll Pay Roll I Pay Roll IPay Roll I Pay Roll IPay Roll Pay Roll I Pay Roll Jan 31 Feb 28 Mch 31 Apr 30 May 31 Jun30 July 31 IPay Roll IPay Roll IPav Roll IPay Roll IPay Roll IPay Roll Pay Roll 267495 267495 267495 267495 267495 267495 267495 261800 252495 252495 251675 251675 Total 3142605 833885 855690 857315 858205 857455 861550 878895GEORGIA STATE SANITARIUM 6 Abstract EContinued DATE TO WHOM PAID WHAT FOR AMOUNT Aug 31 Pay Roll Sep 30 Pay Roll Oct 31 Pay Roll Nov 30 Pay Roll Dec 31 Pay Roll Total 862335 859395 880350 881870 894710 10387655 Abstract F Showing Amount of Wages paid to Employees per month together with aggregate amount from Jan 1 1907 to Jan 1 1908 DATE TO WHOM PAID WHAT FOE AMOUNT Jan 31 mr J B TSaircf Services Dr W P BrunnerServices Buckeye S CoopIChipis G D Case Sundries IS S White D M CoDent Sup Dow Wire WorksIRepairs I Lombard I W S CoPipe Enterprise Mfg CoRepairs IFoote Davies CoIBooks IMerritt Hardware CoHdw ISumter Tool M CoSupplies ISemmes Hardware Co Spoons jWarren BrosIPaints I Standard Oil Co lOil B W Stone CoIRepairs iThe Bosihlen CoIValves Ahrens Ott M CoIValves IConklin T P M CoITin B J P D Willingham Cane IT C BurkeI Paint T W Wolf CoAmmonia IMorning NewsIPrinting Savannah Press IPrinting ITJnion RecorderIPrinting lAnderson Hdw CoTinware j B Clow SonsIRepairs IStevens Bros CoIPipe J StaleyHardware R H WottenICrockery R W Hatcher IHardware IP J Berckmans Co Trees IJno Van Rouge CoIRanges J L Mott Iron WorksRepairs 66 SIXTYFOURTH ANNUAL REPORT Abstract FContinued DATE Feb 28 TO WHOM PAID WHAT FOK Beck Gregg Hdw CoHardware King Hardware CoHardware W D Lengold King Hardware Co G W Stone S W Brown Co Standard Oil Ci Sav Sta Prin Co Beck Gregg Hdw Co Semmes Hardware Co Anderson Hardware Co Merrett Hardware Co C Rasmstun Co Am S Match Co Standard Oil Co J L Culver Trammell L Co C of G Ry Co Journal of Psychology J T Brantley Junnall L Co W U Tel Co Blec Light Co N P Bowsher Co W T Weaver Cen Ga Tel Co Milledgeville Tel Co J L Culver R W Hatcher Con Dent Man Co S S White Dent Man Co Herman Boiler Co Ga Quincy T Co E BeckerRepairs J W WilcoxServices IT C BurkePaints Dixon WilliamsSpoons W R JonesRoofing IDombard J W S CoI Pipe IB J P D Willingham Linoleum S S White D Man CoD Supplies Enterprise Mfg CoRepairs Armour Pkng CoAmmonia lAm E B Tel CoTile Morning NewsPrinting A H Thomas CoLab Sup H Cannon CoDuck J StaleyTinware JKing Hardware CoTinware J W M MellanBrick S S Electric CoISupplies L W LoomisTinwnre Fencing Tinware Brooms Brooms Candles Pencils Tinware Tinware Crockery Crockery Matches Repairs Oil Services Lumber Tickets Book Services Lumber Telegrams Lights Mill Lumber Messenger Rent Sewers Wire Supplies Supplies Repairs Granite AMOUNT 4 104 59 22 41 162 21 36 70 89 45 22 27 33 14 137 110 3 138 25 5 75 71 90 4 8 14 47 1 2 5 42 1 400 154 14 77 43 256 1 2 25 634 30 10 81 3 7 75 20 108 48 26 65 55 50 85 00 39 00 80 22 77 27 50 12 06 56 00 00 23 50 08 00 23 94 45 00 06 97 28 34 80 15 00 00 50 50 84 79 11 65 25 17 13 50 69 40 29 50 00 65 00GEORGIA STATE SANITARIUM Abstract FContinued 67 DATE TO WHOM PAID WHAT FOR AMOUNT Men 31 Anderson Hardware Co Cordlay Hayes Yale T Mfg Co C S B Supply Co J D Mott Iron Works Ahrens Ott Mfg Co King Hardware Co G W W Stone S W Brown Co Tinware Spittoons Keys Pipe Pipe Repairs E Ware Brooms Brooms Sv S Printing CoPaper Merrett Hardware CoDocks Standard Oil CoOil Oamden P S CoSbda J BronhamServices Electric L CoLights Anderson Hardware CoBrushes Union Carbide CoCarbide Portland C CoCement INat Ph CoPhonographs S A StoneyC Seed IT M SwiftServices IHenry BanksServices jj L CalvinServices Union RecorderPrinting IBartlett Snow CoNails E D BarnesLime IDunlap Hardware CoIS Irons Cumberland NurseriesCuttings Enterprise Mfg CoMowers T C Burke Plaster iLombard I W S Co Pipe F W MannB Mill IHenson Westcott CoRepairs JAugusta Chron CoPrinting lAtlanta J CoPrinting Standard Oil CoI Oil Am B Tile CoTile S S White Dent M Co ISupplies I King Hardware Co Docks IBurton Range CoUtensiils IFoote Davies CoIBook Oeo Turmonn CoInstruments Munecke Coi Supplies E J P D Willingham Matting IMorning NewsPrinting J B Dippincott CoJournal G D Case Brushes J StaleyTinware C S B Supply CoIPipe I Fairbanks Mfg CoIRepairs ICook D CoISash IT A Dans Co Journal 1649 1125 226 16097 2818 5418 20833 2025 3720 1036 1467 3312 2915 18240 7500 4149 3750 13500 9500 600 9186 1094 1406 1650 4000 3400 2060 300 810 3750 3465 1200 197 300 360 1228 1476 2155 1170 2100 1200 15546 5089 145520 3150 650 1145 6300 27741 198 540 18068 8IX1YF0URTH ANNUAL REPORT Abstract FContinued DATE TO WHOM PAID WHAT FOli IAhrens Ott M Co IStandard Oil Co G W W Stone IS W Broom Co Tunnell L Co R W Hatcher Anderson Hardware Co Buckeye Soap Co Milledgeville Tel Co Cen Ga Tel Co Sav S P Co I Electric L Co W U Tel Co P V Carrington Apr 30 ISemmes Hardware Co P W Brown W F Brunner Henry Banks J L Culver S T N Drug Co J Staley Lombard I W S Oo G Bernard Co S S White Dent Man Co Macon Tel Pub Co Oconee R Mills Enterprise Mfg Co Merrett Hardware Co Augusta Chronicle I Savannah Press Atlanta Journal Co iFoote Davies Co J A Fay Egan Co IStandard Oil Co IJ B Clow Son Uones H Man Co R D Cole Man Co Underwood T W Co iTripod Paint Co lUnion Recorder IBulhall Tatmum Co G D Case M S D A Byck ISemmes Hardware Co lAJirens Ott Mfg Co Anderson Hardware Co I Beck Gregg Hdw Oo ICordemanRechlin Co IConklin T P M Co ILester B S Co R W Hatcher Chicago W L Oil Co IRepairs jOil Brooms Brooms Lumber Hardware Hardware Soap Rent Messages Ink Lights Messages Lumber Tinware Feathers Services Services Services M Balls Tinware Pipe Leather Supplies Printing Sox I Mowers Crockery Printing Printing Printing iPrinting Repairs Oil Repairs Samples IRepairs Ribbons Paint Printing R Goods Brushes Pa per IRepairs Repairs Hardware Hardware IRepairs Tin Printing Fencing Lead AMOUNT 913 2500 1350 3720 12850 1112 2250 16160 800 665 643 7500 94R 32474 6702 5520 5075 1144 1853 297 1225 15309 2500 299 600 250 2708 550 300 500 240 450 350 5367 2324 148 300 924 1800 2175 3911 1338 150 381 2659 796 1210 700 7052 5000 3978 8136GEORGIA STATE SANITARIUM Abstract FContinued G DATE TO WHOM PAID WHAT FOR AMOUNT a pies E Ware E Ware Dusters Repairs Oil E Ware I Plant Lumber Candles Messages Expenses Expenses Messages Lights Jno Van Range Co Utensils C S B Supply Co Pipe King Hardware Co Brushes IMeClure Ten Cent Co IKing Hardware Co Beck Gregg Hdw Co M S D A Byck C S B Supply Co i Standard Oil Co lAnderson Hardware Co Columbus Iron Works Ivey Bloodworth Standard Oil Co Cen Ga Tel Co T O Powell IT G Lawson W U Tel Co JElecric Light Co IPostal Tel Co IMeseages May 31 Henry Banks Expenses J L Culver Expenses E L Barnes Lime IS S White D M Co D Supplies Man R Pub Co IPrinting G Bernd Co JBuekles Lombard T W S Co Repairs IDow Wire Works Wire H R Worthington Repairs ITInderwood T W Co I Ribbon IN P Bowsher Co IRepairs J Staley Tinware lAhrens Ott M Co IRepairs C S B Supply Co IPipe ICastle Bicycle Co IRepairs M B Fun Co ILeather IW P Bowe Tile IThe Bashlin Co IValves IGeo Tumann Co ITubing IMacon Phon Co IRemairs E J P D Willingham Linoleum Standard Oil Co lOil IMorning News IPrinting IKing Hardware CoITinware R G Bad erer IRepairs IHarrisou Bros CoIPaint IR W Hatcher IHardware ITmsr Record IPrinting IT W McMillanIBrick J B Davis Son IRepairs J L Mott Iron Works IRepairs Dunlap Hardware Co ILockis King Hardware Co IE Ware 34632 370 5096 269 11250 12240 3530 600 3437 7409 99090 18010 16650 320 20000 20000 1031 7500 241 1144 1406 4250 233 1740 923 215 850 585 90 113 1355 515 1963 100 1000 61662 4488 1350 ioon 17048 8158 1850 4620 300 11025 1358 3600 2975 1492 112 945 979870 SIXTYFOURTH ANNUAL REPORT Abstract FContinued DATE TO WHOM PAID WHAT FOE AMOUNT Jun 30 Beck Gregg Hdw Co E Ware Stembridge YardsLumber F J Cooledge SonjPaint King Hardware CoHardware Carson Perie Scott Co Oil Cloth Tunnell L CoJLumber Standard Oil CoOil Columbus Iron Works I Plant Ivey BloodworthLumber Milledgeville Tel CoRent Anderson Hardware Co jCrockery ij G Pearce Lumber B J P D Wiillingham Furniture A Wolff C W L Co Linters Singer S Mach Co Repairs Enterprise Mfg Coj Repairs The ManufacturerPrinting Munecke CoL Supplies Lester B S CoPencils Electric L CoLights Ahrens Ott M CoB Tubs J W McMillanBrick B C McC Lumber CoShingles Phoenix S Co Starch T G Lawson Services Ivey BloodworthJLumber Singer S M CoI Machine F G PearceJLumber E L HarrisLumber Buckeye S CoChips C L DowsingFeathers L W LoomissTinware S S Bed CoBeds F G PearceLumber Rich JohnsonServices Anderson Hardware CoBrushes Henry BanksExpenses S S White D Man Co Material Dunlap Hardware CoHardware Merrett Hardware CoHardware JW H Thomas CoIB Robets Lombard I W S Co Pipe I Standard Oil CoOil IF J Cooledge BroPaint E BeckerRepairs e J P D Willingham Matting G D CasePaint J StaleyHardware R W HatcherHardware IMacon Tel Pub CoPrinting Walsh and W Boiler Co Repairs Augusta ChronicleIPrinting 2400 880 31502 2539 3000 10503 2562 118600 15060 800 15200 3796 17850 26316 865 353 675 1590 1800 7500 11121 5847 29425 2573 8494 4438 3250 6061 5943 16490 2200 13000 15346 3926 9415 2250 1144 1211 1440 1050 5000 2200 6987 13350 125 19241 4440 1840 440 300 5988 300GEORGIA STATE SANITARIUM 71 Abstract FContinued DATE TO WHOM PAID WHAT FOE AMOUNT G Bernd Coleather S Lumber YardsjSash Castle Bicycle CoiRepairs Morse T D M Co Drills Savannah Press Printing Atlanta J CoI Printing IKewona Boiler CoRepairs C S B Supply CoPipe Fairbanks M CoMaterial IPoote Davies CoBooks IJ W McMillanBrick Jno Van Rouge CoTJtensils IColumbus Iron Works jl Plant Standard Oil CoOil F G PearceJLumber Oamden Phila S Co W Soda L W LoomissJTlnware Cook L Co Lumber Rich Johnson1 Services Shaver P CoJReports Bowen Jewell CoSax Gonklin T P M CoTin Lombard I W S Co Pipe C S B Supply do IPipe I Standard Oil CojOil Cook L CoLime Tunnell L CoILumber Imp Italian BandMusi G C Tunnell Manager Lumber E L HarrisJLumber F G PearceILumber Buckeye S Co IChips JElectric L CoLights IMilledgeville Tel CoRent ICen Ga Tel CoIMessages July 31 S S Bed CoIBed Ivey BloodworthLumber E L HarrisILumber Henry BanksIServices J L CulverIServices W F BrunnerIServices T M SwiftIServices J B BeardIServices IR W Hatcher IHardware lUnion RecorderIPrinting JDow Wire WorksMaterial Lombard I W iS Co iMasterful I Standard Oil ColOil ICensue J J P CoBook E J P D Willingham IMattlng T C BurkePalnt Anderson Hardware Co Samples 75 OO 158 200 400 500 420 1080 250 870 5875 375 31200 125000 2500 3302 2813 5400 1650 15000 23410 6664 3206 5350 11560 7736 1650 15728 3500 500 4010 4491 16464 7500 400 1150 12789 19127 7916 1144 2812 4878 12248 8780 4895 3000 595 352 4381 1000 31623 3225 35112 SIXTYFOURTH ANNUAL REPORT Abstract FContinued DATE TO WHOM 1AID WHAT FOR AMOUNT Aug 31 Columbia Drug CoSamples C S B Surely Co Pipe berch ii outioedgejsampies Beck Gregg Hdw Co Hardware King Hardware CoI Hardware W H Thomas CoIChair Cuyler MohlerPipe M S D A ByckPaper S W Broom CoBroom R H Wootten Crockery Cement ISamples I Plant Printing IPkng IPrinting Samples Material Locks Repairs Carolina P C Co ISemmes Hardware Co Columbus I Works JMorning News Garlock Pkng Co Eatonton Messenger Jones H Mfg Co Am L Mach Co Dunlap Hardware Oo Hender Mfg Co ICourierDispaitch Printing The Tradesman Printing J Staley Tinware G D Case Paint J A Rowling Ins Co W4re E L Harris JLumber Beck Gregg Hdw Co Tinware j Jones H Mfg Oo ITinware jiStandard Oil Co jcandles JBerch Cabbedge E Ware Andenson Hardware Co IE Ware IColumbia Drug Co Paper Rich Johnson Services E L Harris iLumber IBurkenroadWilcox Co IPlates Standard Oil Oo Odl T G Lawson Services IHenry Banks Services IC J Monrgomerv services lElectric L Co Lights ISouthern Med Jonrnal ITunnell L Oo ILumebr IE L Harris Lumber IG T Whilden Carriages Ilvey Blondworth Lumber E Tj Harris iLumber IJ T Brantlev Services ICamden Phil S Co W Soda E L Harris Lumber IRichafd Ivey ILumber IHenry Banks IServices J L Culver Services 309 682 441 650 510 225 4273 1360 55 2041 9170 22 125000 4600 3544 175 131 4070 2565 123 108 1700 1172 985 3772 9151 7200 3080 16650 16265 1440 3035 11682 5705 1490 2500 1712 1644 8666 7500 400 14327 14327 20 OO 1511 3637 2750 54 K 4128 15631 726 1406GEORGIA STATE SANITARIUM Abstract FContinued 73 DATE TO WHOM PAID WHAT FOE AMOUNT Sep 30 J L Culver E L Barnes Foote Davies Co S S White D M Co Morning News Harrison Bros Co Lombard I W S Co Beck Gregg Hdw Co E J P D Willingham So Belting Co T C Burke Standard Oil Co R W Hatcher G D Case C S B Supply Co ISumter Tel M Co Columbus I Works i Buckeye S Co IBromhall Deane Co W F Bowe I Dow Wire Works Ennis Amend Jno Van Rouge Co JDunlap Hdw Co I Stevens Bros Co Kirkpatrick H W Co lArmour Pkng Co W H Thomas Co J Staley A H Thomas Co R W Brown G T Whilden IJones H M Oo IBerch Cubbedge Electric Light Co IStandard Oil Co lAnderson Hardware Oo IBeck Gregg Hdw Co lTines H M Co IHall Lamar I L Harris IE Napier IT M Smith IJ L Culver IColumbus I Works E L Barnes IMncon Tel Pub Co Augusta Chronicle I Atlanta J Co I Savannah Press F J Oooledge Bro R W Hatcher Services Iljime Book Material Blanks Paint Pipe Hardware Linoleum j Belting Paint Oil Hardware iJaint Belting I Material 11 Plant IChip IBrushes I Granite Wire Material Ttensiils 1 Handles Pipe Axles i Ammonia Tents I Tinware Supmplies i Feathers Carriages Tinware I Brooms Lights 1011 E Ware Lock Glassware Brooms Lumber Lumber Services Services T Plant time I Printing Hnting Titing Jnting IGlass I Fencing 1756 4000 960 722 2000 7313 5200 1800 24748 3277 4968 1301 6987 3530 3392 2652 125000 16708 400 214 4975 320 11566 660 2100 2323 2856 15000 1535 1997 1760 3000 3112 15680 7500 1562 6042 1200 3112 16250 7843 5262 7662 1406 125000 4750 300 300 240 500 8962 2830DATE Oct 31 SIXTYFOURTH ANNUAL REPORT Abstract FContinued TO WHOM PAID WHAT FOR Standard Oil CoCandles King Hardware CoBrooms Underwood T W CoRibbon Standard Oil Co Morning News Stevens Bros Co A B Farguher Co Phoenix Supply Union Recorder Ahrens Ott M Co M S D A Byck Jno Van Rouge Co Curtis Curtis Oil Printing Pipe Repairs Acid Printing Material Pencils Repairs Repairs Cameron Barkley Co Material So States Elec Co Supplies C S B Supply Co Pipe E L Harris Lumber Fred Case Co Insurance A H Thomas Co Supplies Electric L Co Lights Columbua D Co Cards iSemmes Hardware Co Tinware IConklin T P M Co Tin Palmer Hardware Co Hardware ISemmes Hardware Co Tinware jj P Davis Co Chips Standard Oil Co Oil ISemmes Hardware Co Tinware Columbia D Co Brushes jpittsburgh P G Co Paint Conklin T P M Co Tin W F Brunner Services J L Culver Services Henry Banks Services J B Baird Services W F Brunner Services J Staley Tinware IR W Hatcher Tinware S S White S M Co So States Elec Co Lombard I W S Co Enterprise Man Co Garlock Pkng Co JArmour Co King Hardware Co IConklin T P M Co JKirkpatrick H W Co I Standard Oil Co INorwall Mfg Co Repairs N P Bowsher CoRepairs M S D A ByckPaper ISemmes Hardware Co Tinware Supplies Supplies Pipe Repairs Pkng Ammonia Hardware Tin Hardware Oil AMOUNT 6063 2750 924 2750 3150 13820 4034 500 1225 2468 3240 1100 1100 1190 625 5271 3911 18400 540 7500 3208 5096 0088 6833 4292 16768 1500 5704 4158 5835 1461 7507 1406 1144 3800 2500 1322 812 842 4128 1175 225 3544 2800 914 8700 5150 16244 2340 178 150 94GEORGIA STATE SANITARIUM Abstract FContinued 75 DATE TO WHOM PAID WHAT FOK AMOUNT Anderson Hardware Co Pittsburgh P Glass Co Lester B S Oo Warren Bros Co Ahrensi Ott Mfg Co Beck Gregg Hdw Co Jno Van Rouge Co Allen Pottle Merchant Evans Co Sav Woodenware Co Foote Davies Co Macon Phono Co G D Case IDixon Williams Dunlap Hardware Co Columbia Drug Co Berch Cabbedge The Boshlin Oo Beck Gregg Hdw Co T W DeVoe C T R Berch Cabbedge McNeil Marble Co King Hardware Oo M S D A Byck B L Harris Sav Woodenware Co Home Ins Co JHartford Ins Co I Standard Oil Co ISenrmes Hardware Co Electric Light Co jpeterson Oven Co Nov 30 C S B Supply Co IPeterson Oven Co C Spring B Co J W Butt Peterson Oven Oo JHenry Banks Co IT M Smith jj L Culver jj W Burke Co C F Barrett J Staley Dunlap Hardware Co I Cook L Co T Bernd Co IWatkins L Mach Co T C Burke J E Buerk JDowman Johnson Morning News Electric L Co Tinware Paint Envelopes Paint Material Brushes Utensils Services Tin Samples Book Repairs Paint Spoons Hardware Cards Samples IValves Hardware Paint E Ware Slab Rrushes Dusters Lumber 1 Brooms Ins jlns Oil Tinware Lights I Contract iPlpe Contract Material Lumber Contract Services Services Services i Printing i Material Tinware Sad Irons Lumber father IRepains Piaster Repairs Printing Printing Lights 209 7749 720 4558 4500 5376 14729 5000 3100 82 1200 25 1765 3440 1875 2615 560 3930 6525 10500 24458 5000 7500 2145 6860 2700 3750 6250 2250 2200 7500 20000 14297 15000 6664 15000 23256 15826 7575 1406 1675 30 455 468 4200 731 5325 3475 1035 4650 2050 1053476 SIXTYFOURTH ANNUAL REPORT Abstract FContinued DATE TO WHOM PAID WHAT FOB AMOUNT Dec 31 Lombard I W S Co Pipe Standard Oil Co Oil Conklin T P M CoMaterial G D CaseBooks Union RecorderPrinting z c Basshor CoRepairs H Connor Col Apron Babcock Wilcox CoBrushes Continental Clay CoJRepairs King Hardware CoT boa IE J P D Willingham ILinoleum I Stevens Bros Co IPipe Foster B S Coo Envelopes IBromhallDeane Co Supplies L McManuis Co S S White D M Co Gardner Gov Co IC S B Supply Co Bereh Cubbedge IKing Hardware Co Beck Gregg Hdw Co IB W Hatcher ICordley Hayes IRich Johnson J T Brantley Rich Johnson J Bronham Electric L Co J W Butts T G Lawson ig IT M Swifti i services J L Culver Services E L BarnesLirae W J OaruthersSpokes j carpet Material Repairs Pipe E Ware E Ware Hardware Fencing Ciiipidois Services Services Services Services Lights Lumber ervices Locks Printing Fee IDunlnp Hardware Co lUnion Recorder Walter Paine IDow Wire Works Wire StaleyITinware Peterson Oven CoIContract Atlanta J Co Printing Beck Gregg Hdw Co N P Boweher Co J W Burke Columbus I Works Savannah Press Standard Oil Co iFoote Davies Co ISumter Tel Co IStembridge L Yards ILombard I W S Co Axles Repairs Printing Nut Printing Oil Printing Material Lumber Pipe A Lotzis Sons CoRepai 3710 1518 4237 255 110O 3030 57IS 2400 1270 2450 5122 569 1025 1520 8153 2125 23 975 16650 11500 4467 21408 1275 9439 11000 12916 17160 7500 14610 8428 3062 1406 4750 259 1078 1175 200 6000 1055 50000 360 180 324 2600 40 500 6201 125 3043 14055 3972 1300DATE GEORGIA STATE SANITARIUM Abstract FContinued 77 TO WHOM PAID Dixon Williams I Phoenix S Co I Morning News G D Case I Yale T Mfg Co IB J P D Willingham C S B Supply Co Plantt Iron Work Harrison Bros Co Western Elec Co J P Davies Co B L Morris IKing Hardware Co JBerch Cubbedge C L Morris Electric L Co jUnion Carbide Co WHAT FOB AMOUNT Spoons Starch Printing Paint Locks Seats Material Repairs Paints Supplies Chips Lumber Brushes Brooms Lumber Lights Carbide Total 3700 1877 4600 3000 4177 4808 375 2467 6825 9076 17115 17020 13500 6342 29146 7500 3750 4151697 Abstract H Shows the Expenditures on Account of Medical Supplies from Jan 1 1907 to Jan 1 1908 DATE TO WHOM PAID WHAT FOE AMOUNT Jan 31 Lamar T R Drug Co Park Davis Co W R Warner Co Sharp Dohme IBluthenthal Bickart IGreen R Dis Co JLamar T R Drug Co JLamar T R Drug Co Feb 28 Armour Pkng Co IBecktonDiekenson Co S Label Box Co Mch 31 ISharp Dohme ISohaeffilin Co IColburn Berks Co IFrederick Dis Co Apr 30 IMcKesson Robbins ILamar T R Drug Co Armour Pkng Co IMcKesson Robbins IMason Tablet Co JLamar T R Drug Co Drugs Drugs Drugs Drugs Whiskey Whisikey Drugsi Drugs Glycerine IThermometers Labels Drugs Drugs Alcohol Disinfectant Drugs Drugs IGlycerine Drugs ITreonal IDrugs 6567 573 1155 12505 12975 10361 3741 772 1450 1350 2122 6133 15798 2292 1655 11148 3371 1400 3382 3750 42fi78 SIXTYFOURTH ANNUAL REPORT Abstract HContinued DATE TO WHOM PAID WHAT FOR AMOUNT B H Carroll Co Park Davis Co Lamar T R Drug Co May 31 JLamar T R Drug Co Seabury Johnson Muneck Co G D Case Schuffilin Co Sharp Don me Park Davis Co Jun 30 Schuffilin Co C C Stults Co A H Thomas Co Ennis Amend Sharp Dohme E R Stubb Son Henry Troemer W H Thomas Co Lamar T R Drug Co July 31 iColburn Berks Co Armour Pkng Co J EllwoodLee Co Sharp Dohme I West Disn Co lLamar T R Drug Co A H Thomas Co E H Carroll Co Soittle Bros JBluthenthal Bickart Park Davis Co Aug 31 Willis Pritchard Seabury Johnson Schuffilin Co Sep 30 Armour Co Lamar T R Drug Co I Sharp Whiskey Drugs Drugs Drugs Drugs Drugs Drugs Drugs Drus Drugs Drugs Wine Instruments Instruments Drugs Drugs Malt Glasses Drugs Alcohol Glycerine Thermom Drugs Disinfectnt Drugs Instrument Whiskey Whiskey Whiskey Drugs Wine Drugs Drugs Glycerine Drugs DohmeDruss Oct 31 Nov 30 Dec 31 McKesson Robbing lint Chem Co West Disn Co I McKesson Robbing Prederick Disn Co IE H Carroll Co IBluthenthal Bickart IColburn Berks Co I Lamar T R Drug Co ILomar T R Drug Co ISharp Dohmej Drugs IMcKesson RobbinsIDrugs lArmioumr Co Glycerine 10 D CaselAntitoxin IMason Tablet CoITreonal lLamar T R Drug Co JDrugs Drugs Disinfectant Disinfectant Drugs Disinfectant Whiskey Whiskey lAlcohol IDrugs IDrugs 10887 3170 414 6477 12737 1960 2535 6498 8683 2014 770 3938 877 820 2659 1792 1772 1325 629 2292 1500 160 1267 2600 4080 75 9675 11050 12878 3288 7500 4318 19170 1575 4016 15697 13526 6984 2600 1680 1688 11025 12590 2509 578 202 6569 1735 1750 650 3000 7405GEORGIA STATE SANITARIUM Abstract HContinued 79 DATE TO WHOM PAID WHAT FOE AMOUNT ISeabury JohnsonDrugs 792 Scuffllin CoDrugs l2800 Total 368107 Abstract I Slows the Expenditures on Account of Contingencies from Jan 1 1907 to Jan 1 1908 DATE TO WHOM PAID Jan 31 IG R R Co P M Wood M J Hasher C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co c of G Ry Co Sam Simpson Feb 28 IG of G Ry Co G R R Co C of G Ry Co C of G Ry Co C of G Ry Co W TJ Tel Oo Macon Tel Put Co W B Saunders Co C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co Mch 31 C of G Ry Co IC of G Ry Co JC of G Ry Co G R R Co I Sam Simpson W A Stone Shff C of G Ry Co C of G Ry Co I Sam Simpson C of G Ry Co G R R Co C of G Ry Co IC of G Ry Co WHAT FOR Dis Patient Escp Patient Dis Patient Dis Patient Dis Patient Dis Patient Dis Patient Dis Patient Dis Patient Escp Patient Dis Patient Dis Patient Dis Patient Dis Patient Dis Patient Messages Printing Books Dis Patient Dis Patient Dis Patient Dis Patient Dis Patient Dis Patient Dis Patient Dis Patient Dis Patient Escp Patient Escp Patient Dis Patient Dis Patient Escp Patient Dis Patient Dis Patient Dis Patient Dis Patient AMOUNT 378 200 667 316 250 318 318 859 318 1104 544 168 540 318 564 697 600 1500 470 620 435 675 436 513 510 540 600 2041 300 318 668 1071 346 279 570 45080 SIXTYFOURTH ANNUAL REPORT Abstract IContinued DATE j TO WHOM PAID WHAT FOB AMOUNT Dis Patient Dis Patient Dis Patient Dis Patient Dis Patient Esicp Patient Escp Patient Dis Patient Dis Patient Dis Patient Dis Patient Dis Patient I Dis Patient Dis Patient Dis Patient Dis Patient Escp Patient Apr 30 C of G Ry Co G R R Co IC of G Ry Co IC of G Ry Co C of G Ry Co H M Hurt J W Bayley C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co C of G Ry Co May 31 C of G Ry Co C of G Ry Co G R R Co W S Holley C of G Ry CoDie Patient Cnas HolmesEsCp Patient w HendrickSonEsep Patient JSr CnTelegrams C of G Ry Cobis Patient Jun 30 C of G Ry CoDs P2tlt C of G Ry Co mis IC of G Ry Co Dis IC of G Ry CoDig Sam Simpson IC of G Ry Co IC of G Ry Co C of G Ry Co W U Tel Co July 31 Uas Talley C of G Ry Co D Summers W U Tel Co ICen Ga Tel Co IMilledgeville Tel Co Rent Patient Patient Patient Escp Patient Dis Patient Dis Patient Dis Patient Telegrams Escp Patient Dis Patient Dis Patient Messages Messages Dis Patient Dis Patient I Escp Patient Dis Patient Dis Patient TeIegrams Aug 31 IC of G Ry Co IG R R Co IF L Riley IC of G Rv Co IG R R Co IW U Tel Co IHamp Ohason DJs ICen Ga Tel CoMessages Pr y VoDis Patient C of G Ry CoDis Patient Herald Pub CoiWintinf G of G Ry Co Dis Patient M J HarperDis patient Sep 30 421 225 3436 540 340 200 500 600 554 550 318 96 430 16 620 279 1149 636 200 so J86 503 e57 475 18 125 600 2067 1059 318 8 43 7 58 665 989 1658 355 4 DO 1932 468 700 1893 66 199J 55 71i 29 29 lOO 648 35 471GEORGIA STATE SANITARIUM Abstract IContinued 81 DATE TO WHOM PAID WHAT FOR AMOUNT Nov 30 J Record of Med W U Tel Co Oct 31 jE L Lawson IMilledgeville Tel Co Cen Ga Tel Co JW U Tel Co C of G Ry Co IMilledgeville News Ga R R Co C of G Ry Co C of G Ry Co C of G Ry Go C of G Ry Co B L Lawson Hancock Pub Co C of G Ry Co C of G Ry Co W W Beard Stiff C of G Ry Co Cen Ga Tel Co IMilledgeville Tel C of G Ry Co B L Lawison Dec 31 C T Andrews W M Berry JW U Tel Co C of G Ry Co C of G Ry Co G R R Co C of G Ry Co W U Tel Co Co 400 Telegrams 354 Escp Patient 1287 Rent 800 Messages 3595 Telegrams 354 Dis Patient 403 Printing 360 Dis Patient 209 Dis Patient 383 Dis Patient 394 Dis Patient 495 Dis Patient 290 Escp Patient 429 Printing 240 Dis Patient 290 Dis Patient 582 Escp Patient 2332 Dis Patient 471 Messages 540 Rent 800 Dis Patient 691 Escp Patient 407 Escp Patient 1000 Escp Patient 420 Telegrams 838 Dis Patient 1720 Dis Patient 2712 Dis Patient 306 Dis Patient 1267 Telegrams 463 Total 539 Abstract J Shovs the Expenditures on Account of Stationery and Postage from Jan 1 1907 to Jan 1 1908 DATE TO WHOM PAID WHAT FOR AMOUNT Jan 31 IT L Sibley P M IPostage IJ L Sibley P M Postage J L Sibley P M I Postage Feb 28 IJ L Sibley P M Postage J L Sibley P M Postage it u sib o IPostage Mob 31 J L Sibley P M Postage 6740 2060 2000 2560 4620 4240 4560SIXTYFOURTH ANNUAL REPORT Abstract JContinued DATE TO WHOM PAID WHAT FOR Apr 30 May 31 Jun 30 July 31 Aug 31 Sep 30 Oct 31 Nov 30 is sa J L J L J L J L J L J L J L J L J L J L J L J L J L J L J L J L J L J L J L J L J L J L J L J L J L J L L L I I L L J L J L Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postaee Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M Postage Sibley P M IPostage Sibley P M Postage Sibley P M Postage Sibley P M IPostage Sibley P M IPostage Sibley P M IPostage Sibley P M Postage AMOUNT 3500 2500 5240 3120 2500 3500 2060 4240 1060 3500 25 60 2570 2000 2560 6533 2562 3564 3564 2564 2564 3564 4124 3000 4948 2500 2564 1062 3500 2564 1064 5756 3000 1064 3628 Total 131379GEORGIA STATE SANITARIUM 83 Abstract K Shows the Expenditures on Account of Special Appropriation for erecting and constructing a system of waterworks from Jan 1 1907 to Jan 1 1908 Db DATE TO WHOM PAID WHAT FOR AMOUNT Jan 1 IBalance on hand Apr 17 Requisition 1207616 1500000 2707616 Cb Jan 31 Walton Wagner Contract U S C I P F CoPipe Feb 28 I Walton Wagner Contract Men 31 IWalton Wagner Contract Walton Wagner Contract Iwalton Wagner Contract IWalton Wagner Contract Alpr 30 IWalton Wagner Contract May 31 IWalton Wagner Contract Jun 30 IWalton Wagner Contract Sep 30 IWalton Wagner Contract Walton Wagner Contract IWalton Wagner Contract IWalton Wagner Contract Oct 31 IC S B Supply CoPipe U S C I P F CoPipe Waterman CoMules Nov 30 ICen Foundry CoI Pipe G Bernds Co Harness B D Wood CoMaterial Cen Foundry CoIPipe Chanman V Mfg Oo Material Hancock Wagon Co Wagon IC L MorrisLumber Dec 31 IWaterman CoExchange JC S B Supply Oo Pipe IBalance on hand 41380 42936 37500 145050 278100 114700 107200 5209 150000 37500 347958 300000 243241 62800 9368 27721 47500 18815 2425 11004 2439 40180 7680 10536 5000 2500 608874 270761684 SIXTYFOURTH ANNUAL REPORT Abstract L Shows Requisitions drawn on State Treasurer for Support and Main tenance from Jan 1 1907 to Jan 1 1908 DATE TO WHOM PAID WHAT FOK AMOUNT Jan 21 Feb 21 Men 20 Apr 17 May 20 Jim 19 July 20 Aug 21 Sep 19 Oct 18 Nov 19 Dec 2 Requisition 3083333 Requisition 3083333 Requisition Requisition Requisition Requisition Requisition I Requisition Requisition Requisition Requisition Requisition 3083333 3083333 3083333 3083333 3083333 3083333 3083333 3083333 3083333 3083337 37000O0O Abstract M Shows average number of patients per capita per diem and per an num from 1873 to 1908 Per diem Per annum 5750 19070 4850 17706 3750 13688 3775 13777 3063 13370 3455 12611 329 12010 3564 130O9 339 12374 31 58 14098 333 12146 3425 12690 3418 12476 3350 12319 3412 12740 3483 12740 3437 12681 3143 11473 GEORGIA STATE SANITARIUM 85 Abstract MContinued 1891 3208 11709 1892 1618 3233 11833 1893 3195 11662 1894 1709 3221 11860 1895 1783 3200 11680 1896 1912 3221 3311 3223 3220 11833 1897 2085 12085 1898 2247 11850 1899 2383 11700 1900 2943 10899 1901 2573 3029 11056 1902 2625 3087 3095 3012 11268 1903 2696 11297 1904 10994 1905 2880 3328 12179 1906 2938 3096 11300 1907 1 2978 3224 11768 1908 3083 3400 12410 Abstract N Shows cost of maintaining one patient per year month week and day For one year12410 For one month 1020 For one week 238 For one day 3486 SIXTYFOURTH ANNUAL REPORT REPORT ASSISTANT STEWARD Milledgeville Ga January 1 1908 De L M Jones Superintendent Dear Sir I herewith hand you my report as Assistant Steward for the year 1907 of the Dairies Garden Farm Pork and Trans portation Also statement of stock wagons etc on hand January 1 1908 We have lost since the last report one old mule and seven head of cows The stock are all in fair con dition Very respectfully Geo W Hollinshead Assistant Steward 1907 OLD DAIRY Cr By Sweet Milk gals 34529 58 at 20c690592 Sale of empty sacks No 30 at 5c 150 Sale of Bull Calves No 11 at 100 1100 Sale of Hides 1465 Beef lbs 1666 at 70 7830 OLD DAIRY Cr To Wages and Board Hands 102210 Bran lbs 318250 376210 Cottonseed Meal tons 12 12 29525 Cottonseed Hulls lbs 24450 9168 Cow feed lbs 46875 39843 Sacks Salt No 24 10 84 Cotton rope lbs 15 12 279 Stock Powders lbs 48 4 go Well Rope lbs 8 j 9g Lantern Globes No 4 20 Lantern No 2 2 00 Feed Buckets No 12 200 Well Buckets number 2 i66 Milk Cane number 1 900 Lantern Wicks number 6 03 Grass Blades number 2 j 30 Pad Locks number 2 60 55970GGEORGIA STATE SANITARIUM 87 OLD DAIRY Ck By Balance in favor Old Dairy141431 1907 NEW DAIRY Cr By Sweet Milk gals 31905 12 flit 20c638110 Sale Empty Sacks number 200 at 5c 10 Sale Bull Calves number 13 at 1 13 Sale Hides 1240 Beef lbs 1379 at 470 6481 648131 To NEW DAIRY Dr Wages and Board Hands103200 Bran pounds 318250376210 Cottonseed Meal tons 12 12 39525 Cottonseed Hulls pounds 24450 9168 Cow Feed pounds 46875 39843 Sack Salt number 24 1084 Cotton Rope pounds 20 370 Stock Powders pounds 48 480 Lantern Globes number 6 30 Weeding hoes and helves number 2 95 Lanterns number 2 Lantern Wicks number 6 3 Shovels number 1 100 Axes and helves number 1 6rt AYheelbarrows number 1 2i x Pitchforks number 1 75 Feed Buckets number 4 60 Milk Buckets number 2 l5 Grass Blades and Stocks number 2 250 Well rope pounds 12 192 Pad Locks number 2 60 571305 NEW DAIRY CR By balance in favor New Dairy76826 1907 GARDEN Or By Cabbage Heads 14252 at 5c 7126088 SIXTYFOURTH ANNUAL REPORT Collards heads 13403 at 5c 07015 Asparagus bu 1 34 at 2 3 50 Beets bu 292 at 50c He00 Butter Beans bu 75 14 at 1 7525 Snap Beans bu 259 12 at 75c 19462 Pop Corn bu 5 at 2 1000 Cucumbers bu 70 12 at 1 7050 Kale bu 1609 at 20c 3338 Lettuce bu 85 12 at 20c 1910 Onions bu 932 at 90c 33 80 Okra bu 94 34 at 1 947g Pepper bu 19 at 50c 9 50 English Peas bn 80 34 at 1 8075 Mixed Peas bu 63 at 150 94 50 White Peas bu 84 12 at 2 169 00 Sweet Potatoes bu 1302 12 at 60c 731 50 Irish Potatoes bu 283 12 at 1 283 50 Rapeu bu 1614 at 20c j8 Radish bu 269 at 50c 134 50 Squash bu 376 at 60c 25 60 Rough Turnips bu 4105 at 30c 1231 50 Turnip Greens bu 1323 at 20c 264 64 Tomatoes bu 820 34 at 50c 410 37 Parsley bu 1 at 1 Egg Plant number 2429 at 3c 7 87 Oanteloupmes number 22355 at 3c 670 65 Green Corn doz 2471 12 at 10c 247 15 Mixed hay lbs 150937 at 50c 74 os Sheaf Oats lbs 34733 at 75c 60 40 65 10 GARDEN Cii To Wages and board Mr Simpson 45000 Wages and hoard Mr Hobby 39000 Wages and Board Mr Bnteman 39000 Wages and Board Mr Leonard 39000 Wages and board of hands 163855 Farm Implements 9910 Garden Seed jj j0 Seed Irish Potatoes 71 75 Onion Sets 57 80 Fertilizers gg r Cutting Oats 16 05 Blank Book jjGEORGIA STATE SANITARIUM 8 Feed wear and tear mules 72000 501047 GARDEN Cr By Balance in favor garden 387318 1907 COLONY Ck By Peaches crates number 920 at 75c 69000 Canteloupes number 2679 at 3c 8037 Watermelons number 22386 at 5c 111930 Cabbage number 587 at 5c 2935 Collards number 1302 at 5c 6o10 Chickens number 199 at 30c 5970 Sweet Milk gals 4071 at 30c 81420 Syrup gals 1077 at 30c 32310 Green corn doz 135 12 at 10c 1355 Eggs doz 581 at 15c 8715 Corn bu 6120 at 80c 489600 Sweet Potatoes bu 5600 at 60c 336000 Irish Potatoes bu 1 at 1 l Mixed Peas bu 372 12 at 150 55875 Shelled Oats bu 1881 12 at 60c 112890 Onions bu 35 at 90c 3150 Rough Turnips bu 124 12 at 30c 3735 Turnip Greens bu 353 at 30c 7060 I Beets bu 8 at 50c 400 Okra bu 32 34 at 1 3275 Squash bu 45 34 at 60c 745 Tomatoes bu 43 at 50c 2150 Snap Beans bu 18 12 at 75c 1387 Butter Beans bu 1 34 at 1 175 Rape bu 175 at 20c 3500 Kale bu 90 at 20c 18n0 Radish bu 1 at 50c50 Scuppernongs bu 2 at 1 200 Cucumbers bu 6 at 1 600 Rye bu 59 12 at 2 11900 Wheat bu 22 at 150 3300 Cottonseed bu 1664 at 25c 41600 Turkeys lbs 318 12 at 15c 4777 Oat Straw lbs 43045 at 60c 25827 Fodder lbs 43752 at 75c 32814 Grapes lbs 310 at 5c ISSO90 SIXTYFOURTH ANNUAL REPORT Pork lbs 11345 at 7 c 79415 Mixed Hay lbs 43800 at 50c 21900 Lint Cotton lbs 27426305331 1907 COLONY Db To Wages and board Mr Massey 51000 Wages and board Mr Durden K 36000 Wages and board Cook 26800 Wages and board hands 254600 Farm Implements 18489 Fertilizers 104770 Seed Irish Potatoes 1025 Stock Powders 260 Copperas 30 Floradora Cottonseed 600 Ginning bagging and ties 13628 Spaying pigs 540 Watermelon seed 615 Cutting grain 5595 Feed wear and tear mules and horses 153000 667552 1907 COLONY Ck By balance in favor Colony1213736 1907 PORK Cb By Porks lbs 20827 at 7c145789 PORK Db To Spaying Pigs 800 1907 PORK Cb By Balance in favor Pork144989 TRANSPORTATION To Corn bu 2826 at 80c 226080 Bran lbs 21375 at 125 12 26826 Hay lbs 150937 at 50c 75468GEORGIA STATE SANITARIUM 91 Sheaf oats lbs 34733 at 76c 26049 Stock Powders 38 at 10c 380 354802 NUMBER OF HEAD OF STOCK FED AT STABLES FOR THE YEAR 1907 Number head 35 showing cost of feed for one head of stocK for one year one month one week and one day For one vear10137 17 month 844 34 week 211 day30 12 Cr By Total Credit Dairies Garden Farm and Pork4264710 Dr To Total Debit Dairies Garden Farm and Pork2300410 Cr By Total Balance in favor Dairies Garden Farm and Pork 1964300 INVENTORY OF STOCK WAGONS ETC ON HAND JANUARY 1 1908 Mules 41 Horses 5 Carriages and harness 3 Buggies and harness 1 Twohorse wagons and harness 9 Onehorse wagon and harness 1 Dray wagon 1 Dump Carts and harness 6 Hearse wagon 1 Ox carts 6 Ox wagon 1 Plow stocks and gear 24 Dixie plow stocks 16 Twohorse plows 3 Road plow 1 Road machine 1 Pea huller 1 Mowers 2 Acme Harrow 2 Bone Mill old 1 Lawn Mowers 2 Pitchforks 12 Rakes 8 Spades 3 Shovels 16 Weeding hoes 36 Picks 6 Mattocks 6 Stretchers pairs 3 Hand saws 1 Hammers 1 Squares 1 Brace and bits 1 Grass blades 4 Grain cradles 9 Doubmle Plow Sotcks 5 Cotton Planters 4 Stump Puller 192 SIXTYFOURTH ANNUAL REPORT Horn rakes 2 Rooter i Tooth Harrows 1 Wheelbarrows 6 Separator i Reapers and binders 2 Seed Drill i Cultivators 2 Shredder i Milch Cows 150 Calves 62 Heifers 78 Steers 20 Work oxen 13 Bulls 9 Hogs and pigs 188 Goats 20 GEORGIA STATE SANITARIUM 93 REPORT OF ENGINEER Milledgeville Ga January 1 1908 Dr L M Jones Superintendent Dear Sir I have the honor to submit herewith my report of the workings of this department from January 1 1907 to Jan uary 1 1908 Respectfully submitted T H DeSaussure Engineer Improvements The Avaterworks for the construction of which a special appropriation was given in 1905 has been completed and is in daily use The plant is located on the bank of the Oconee river 20648 feet distant from the institution and above the city of Milledgeville Any contamination of the river from either surface drainage or the sewage of that city is an im possibility The building is of brick with tin roof and the chimney is of brick also The site is on a bluff six hundred and twentyfive feet from the river bank and is above the highest water known Three hundred feet in the rear of the building is a hill on which is located the sedimentation ba sins There is a brick intakewell in the river from which runs a sixteen inch cast iron pipe to the suction well near the pumping station The raw water is pumped into the sedi mentation basins and is given the dose of chemicals necessa ry to produce the proper coagulation while in transit As the sedimentation basins have to be cleaned out every few months two of them have been built Each one has capacity sufficient for the work The water flows by gravity from the sedimentation basins to the filters of which there are two each having a capacity of five hundred thousand gallons per twentyfour hours and through the filters to the clear water basin from which it is taken by the clear water pumps and delivered by them into the elevated tank at the sanitarium All of the94 SIXTYFOURTH ANNUAL REPORT important pumping machinery of the plant the boilers and the sedimentation basins are in duplicate and all of the larg er pumps four in number are of the compound type and are worked condensing As the river at the station has an artificial height of eight feet above its normal flow caused by the dam of the Oconee River Mill located about a mile and a half below we had to safeguard ourselves against having the intake pipe left high above water should the river fall to its normal level on ac count of a washout of the dam below This has been accom plished by placing the intake pipe below the level of normal flow While this was troublesome and expensive to do it was very essential We get an abundance of bright spark ling water which has been shown by analysis to be of ex cellent quality for all purposes Ninetynine per cent of the bacteria found in the raw water is removed by the process of sedimentation and filtration The rehabilitation of the kitchen of the T O Powell build ing which was begun in 1906 has been completed The side walls of this building which are sixty by forty feet had been whitewashed so often that it could not be made to look well so the entire surface of the walls were chopped away and the surface plastered with cement mortar and painted The overhead work ceiling and trusses has been ceiled with wood and painted and a large ventilator running the full length of the building has been built on the roof The floor which was of brick and much worn has been relaid with two inch gray hexagon tile on a concrete foundation The walls have been wainscoted with white enamel brick for a height of six feet and new sash with large glass used to replace the old ones Two new wrought iron ranges to replace the old ones have been used One of them is a twelvefoot two fire four oven range and the other is six feet loner with a single fire and two ovens Four 4bushel vegetable steam ers and an eightygallon jacketed steam kettle have been put in also and the old sink has been replaced by two sinks placed on an iron pipe frame An iron frame table having a drainboard top has been placed nearbv The old steam jack eted copper coffee urns which were much battered and wornGEORGIA STATE SANITARIUM 95 from long usage have been replaced by two new ones of eighty and fifty gallons each respectively The best one of the old urns has been worked over and lined with block tin and put back into use for the preparation of fruits etc A tenton absorption ice machine has been bought and set up in the place of the old threeton plant which the institu tion had outgrown The new machine has a capacity of eight and onehalf tons of ice per day and two and onehalf tons of refrigeration A new twelvefoot two fire four oven wrought steel range has been put in the kitchen of the Negro Building A building thirtyone by twenty feet with an engine shed twelve by eighteen feet and a counter shaft shed eight by forty feet has been built at the colony and equipped with the necessary stones machinery and shafting for shelling and grinding corn into meal and the grinding of various food stuffs for the stock This machinery is run by the twenty horse power gasoline engine purchased for the farm the year previous All of the tin roofs of the institution thirtyone hundred and ninetytwo squares in all were painted during the sum mer The grounds at the rear of the Whittle Building have been graded and leveled into such shape that the water will not lie on it after a rain and some of the banks have been sod ded to prevent washing A Avater closet has been put in the Laundry for the use of the female operators We have put in on trial in the West Detached Building a water closet which seems to meet all the requirements of a sanitarium for the insane better than any we have ever had It consists of a vitreous earthenware closet made in a sin gle piece and without any moving parts whatever There is not even a wooden seat the seat being formed by the pecu liar shape of the top of the closet which is of such shape and so substantial that it can be bolted securely to the floor and wall The water supply is from an enameled iron syphon tank placed high on the wall and actuated by a small sub96 SIXTYFOURTH ANNUAL REPORT stantial knob so placed in an iron runway that it can not possibly be injured with the hands alone To prevent the growth of algae in the filtered water and to keep out all polluting matter from the clear water basin at the waterworks it has been covered with a light wooden roof All of the telephone wires about the institution have been renewed and the two lines to Milledgeville and that to the waterworks have been made metallic circuits in order to avoid troubles arising from stray currents and induction from the citys electric light wires Twentyfour and one half miles of wire was used in this work Four new telephones have been added to the exchange during the year one to the sewing room one in the house of the engineer at the water works and two on the wards One of the cottages has been reshingled and a tin roof has been put on its piazza The old oven in the Bakery has been torn out and a twelve by thirteen foot Petersen oven built in its place This oven is a continuous baker as the fire does not enter the baking chamber at all We get much better bread since this oven has been in use and it is very economical in the use of fuel All of the material for the new dairy is on hand and fifty per cent of the work is done Besides the ordinary repair work the following articles have been made in the carpenter shop and tin shop 08 Boxes for shipping coffins 42 Large benches for yard 333 Coffins Plow beams 3 TTominy Paddles 1 Wagon tongue 0 Bakers peels 8 Coupling poles IS Dining Tables 1 Large tool box 0 Voucher Boxes 1 Meal box 2 Wagon bolsters 3 Lattice doors 13 Meat boxes 150 Mop handles 24 Tubs 10 Wooden trunk boxes IRecord box 2 Water troughs 3 Commodes 4312 Square feet of flooring laid 2 Double shelf tables on wards 2 Large bread safes for bak 1 Soap paddle ery 2 Water tables GEORGIA STATE SANITARIUM 97 1 Cart Body 2 Iake pans 2 Rakes 2 Yard horns 2 Doubletrees 28 Dish pans 21 Shuck Mops 4 Buckets 1 Wagon Bolster 2 Galv iron center seals for 1 Wagon crossbar gas works 2 Sink tables 1061 Chairs repaired 1 Wire guard 92 Cane seats put in chairs 1 Medicine Cabinet 45 Cane seats repaired 1 Lattice and partition across 9 Cane backs repaired sun room 14 Cane backs put in new 3 Clothes racks 76 Tables repaired 1 Telephone booth 3 Nightwatchclock cases re 1 Ratproof harness closet paii ed 6 Coffee pots 469 Woor en veneer seats put 168 Halfgallon pitchers in chairs 3 Bread pans 23 New bed springs put in 1 15gallon oil can 40 Bed springs repaired 22 60pound lard cans 13 Lounges upholstered 5 1gallon pots 19 Lounges repaired 12 Bread tubs 9 Chair seats upholstered 26 Potato steamers 3 Chair backs upholstered 3 1quart oil cans 3 Chair backs upholstered 1 8gallon can 1 Oxbow made 5 Mess pans 17 Sets of harness repaired 53 Small messpan boxes 5 Bridles repaired 1 Doughnut cutter 2 New Check reins made 3 Large galv iron tubs 6 New back bands made 3 Sugar boxes 2 New breast yoke strops 2 Post Lamps made 25 Large kitchen dippers 2 Breast yoke strops re 1 Fish bucket paired 2 Bread boxes 14 Hame strings made 2 Sterilizer cans 5 Reins repaired 21 Dinner pails 3 New shaft bands made 1 Saucepan 16 Hold back straps made 1 Cracker box 16 Breechings repaired 6 Scoops 5 Small straps made 4 Galv Iron drip pans 1 Harness saddle repaired 20 Drip cups 1 Collar repaired 2 8in funnels 2 Office tables recovered 1 Galv Iron float 1 Mail pounoh repaired 25 Milk pans 37 Dressers repaired 1 Cream freezer 38 New mirrors put in 26 Baking pans 4 Mangle aprons made 8 Milk shake cups 1 Bench repaired SIXTYFOURTH ANNUAL REPORT 98 4 Fire screens repaired 4 Beds repaired 2 Locks repaired 5 Safes repaired 2 Ice chest repaired 1 Lapboard made 1 Settee repaired 1 Carer made for twohorse wagon 2 Trunks repaired 24 New dressers set up 9 Windows repaired 213 Window curtains put up 10 Leather cobler seats put on chairs 1 Violin repaired 1 Christmastree set up 1 Door casing repaired 8 Wards Cocoa matting laid 1 Shaving stand repaired 2 Bedsteads repaired 1 Piano repaired 1 Bedstead varnished 1 Cushion made 1 Carpet put down 1 Halter made 1 Stool repaired China matting put down on two room floors Shades repaired on six wards Linoleum put down on eleven wards REPORT OF MATRON Milledgeville Ga January 1 1908 Dr L M Jones Superintendent Dear Sir With thanks to the officers and to my coworkers who have in any way aided me permit me to submit the enclosed as my report from January 1 1907 to January 1 190S I would add that all repairing has been done for the insti tution and all scraps and remnants put to a good use and have been properly accounted for through Storekeepers Of fice Respectfully submitted Mrs J M Darnell Matron Aprons 640 Bed ticks 1664 Beds made over 265 Bonnets 123 Curtains 146 Covers Screen 8 Covers Table 547 Pillows Feather 117 Pillows Burial 213 Pillows Oases 4610 Pillows Ticks 657 Shades Window 12 Sheets10856 Sheets Draw 200GEORGIA STATE SANITARIUM 99 Chair Cushions Chemise 4164 Capes Flannel 220 Drawers 3875 Diapers 365 Dresses Calico 12 Dresses Homespun 2586 Dresses Gingham 1939 Dresses strong 738 Gowns 3462 Pants 4756 Skirts Under 2698 Shirts 4348 Shirts Night 520 Shirt Waists 21 Towels 4386 Table Cloths 18 Wrapper 2 Waists Under 427 Napkins 96 Total 57692 CLOTHING MADE FROM GOODS BELONGING TO PATIENTS Skirts Dress3 Skirts Under15 Skirts Flannel1 Shirt Waists24 Aprons 2 Cnemise3 Corset Covers 4 Dresses17 Drawers10 Gowns 10 Pillow Cases2 Wrappers2 Total 93 CANNED FRUIT AND PICKLES Canned Fruit gal 27 Preserves lbs259 Jelly Glasses229 Catsup gals 17 Pickle gals 62 BANDAGES Bandages Bandages Bandages Cotton rt Flanned 22324 Sterile Gauze yds 1516 300 6 100 SIXTYFOURTH ANNUAL REPORT REPORT OF CHAPLIN Milldegeville Ga January 1 1908 Dr L M Jones Superintendent Dear Sir Permit me to report that I served as Chaplain of the Sani tarium from November 1 196 to October 31 1907 Services were regularly held during the year every Sunday The pa tients seemed to derive much comfort from the services and attended them in large numbers Funeral services were held for deceased white patients whose remains were not transported to their former home Respectfully submitted D W Brannen Chaplain REPORT OF LIBRARIAN Milldegeville Ga January 1 1908 Dr L M Jones Superintendent Dear Sir Below you will please find my report for the year ending January 1 1908 Number of magazines and books at last report17503 Judge T G Lawson magazines 60 Judge T G Lawson assortment of religious papers Mrs C B Speer Madison Ga magazines 73 Miss Julia Stulb Augusta Ga books 74 Mr Samuel Simpson Sanitarium book 1 Mrs S H Young books 2 Mr J Edgar Thompson Atlanta Ga books 2 Dr E M Green Sanitarium magazines 35 Mr R H Wooten Milledgerflle Ga magazines and booksi 25 Mrs T M Green Washington Ga magazines and books 81 Miss Julia Stulb Augusta Ga magazines and boobs 42 Mr W B Lockheart books 3GEORGIA STATE SANITARIUM 101 Mr W C Dodson Atlanta Ga books 155 Dr E M Green Sanitarium magazines 19 Mr Cthas Whitfield Milledgeville Ga books 7 Mr Win OByrne magazines 8 Mr E H Murphy Macon Ga magazines 43 The following papers and magazines come to the library free as complimentary copies sent by the editors 1 copy Macon Telegraph daily Atlanta Journal daily EnquirerSun Columbus Ga daily Morning News Savannah Ga daily Savannah Press Savannah Ga daily Albany Herald Albany Ga daily Augusta Herald Augusta Ga daily RomeTribune Rome Ga daily Wesleyan Christian Advocate weekly Union and Recorder weekly Atlanta Georgian and News daily Golden Age weekly Christian Index weekly Calhoun Times weekly Calhoun Times weekly North Georgia Citizen Dalton weekly Technical World Magazine Chicago monthly Southern Farm Magazine monthly American Poultry Journal monthly Respectfully submitted N Maddox Librarian SIXTYFIFTH ANNUAL REPORT OF THE BOARD OF TRUSTEES OF THE FOR THE YEAR ENDING DECEMBER 31st 1908 1909 M S D A Byck Company Savannah GaPoarb of trustees Georgia State Sanitarium Thos G Lawson PresidentEatonton Ga Jno T Brantley Vice PresidentBlackshear Ga Richard Johnson SecretaryGray Ga Isaac HardemanMacon Ga Thos R Wright M DAugusta Ga Thos M Hall M DMilledgeville Ga J Frank Harris M DPavo Ga E Bates Block M DAtlanta Ga W A McCurryFairburn Ga K T AlfriendMacon Gaammittees ai tlje fbaro of Urwstes EXECUTIVE COMMITTEE Jno T Brantley Chairman W A McCurry Kyle T Alfriend Richard Johnson Thos M Hall FINANCE AND AUDITING COMMITTEE Thos M Hall Chairman Kyle T Alfriend W A McCurry Richard Johnson Jno T Brantley COMMITTEE ON SANITATION MEDICAL AND DISPEN SARY SERVICE E B Block Chairman J Frank Harris Thos R Wright COMMITTEE ON BUILDINGS AND GROUNDS Isaac Hardeman Chairman E B Block Thos R Wright COMMITTEE ON FARM AND OUTSIDE BUSINESS J Frank Harris Chairman Isaac Hardeman W A McCurryhttittt OMfiters of Sanitarium L M Jones M DSuperintendent and Resident Physician J M Whitaker M DFirst Assistant Physician J W Mobley M DAssistant Physician E M Green M DAssistant Physician N P Walker M DAssistant Physician R C Swint M DAssistant Physician Y A Little M DAssistant Physician L P Longino M DAssistant Physician Y H Yarbrough M DAssistant Physician D G Willetts M DPathologist J C Richard D D SDentist D S CarringtonPharmacist L J LamarSteward G W HollinsheadAssistant Steward W H HunterStorekeeper H S JonesSecretary W A GillespieBookkeeper T H DeSaussureEngineer Mrs J M DarnellMatron L H AndrewsTreasurer Rev Lamar SimsChaplainJifixtjrftfflf ttmral Up0rf OF THE Jfoaxfr ni mltt of flje dkortfja For the Year Ending December 31st 1908 Milledgeville Ga January 1st 1909 To His Excellency Hoke Smith Governor SirIn compliance with Section 1421 of the Code of Georgia the Board of Trustees of the Georgia State Sani tarium submits herewith its report of the conduct and man agement of this institution for the year ending December 31st 1908 The Board was organized promptly upon the appoint ment of its members and has maintained during the year a close supervision of all the affairs of the Sanitarium visit ing it once each month for this purpose The best interests of the State have been constantly studied and every effort made with the limited means at its disposal to provide the inmates with everything needed for their comfort and restor ation to health Supplies continue to be bought on competi tive bids from samples submitted The Colony farm is made to contribute substantially to the support of the insti tution The dairies are being reconstructed under the super vision of an experienced dairyman and the supply of milk so vital in the nourishment of the sick is being largely in creased as a result The Board notes with much gratification the harmony prevailing among the officers of the Sanitarium and com mends their faithful devotion to duty The responsibilities resting upon Dr Jones the Superintendent are very heavy and the Board would be derelict in its duty did it fail to make due acknowledgment of the ability and fidelity with6 SIXTYFIFTH ANNUAL REPORT which he meets them The work of the Sanitarium under his guiding hand moves along smoothly and satisfactorily Forming part of this report will be found the reports of the Superintendent and Resident Physician Steward Treasurer and other officers which will supply you with all needful details as to the movement of its population and the expenditure of monies for its support Population The close of 1907 found 3148 patients on hand Refer ence to the Superintendents report shows 947 patients re ceived during the year The total number of patients under treatment during the year was 4095 while the daily aver age was 3130an increase of 47 patients over the daily aver age for last year The number of patients on hand is 3112 as against 3148 in 1907 This decrease is accounted for by the discharge of a large number of patients who were out on furlough The number out on furlough in 1907 was 250 while now it is 105a reduction of 145 patients The recoveries for the year based on the number of admissions was 49 per cent as against 40 710 per cent last year Cost to the State For the support and maintenance of the Sanitarium for 1908 the Board expended 40018874 which sum includes the payment of an overdraft of 267623 brought over from 1907 The regular and supplemental appropriations for the year placed in the hands of the Board for this purpose 40500000 leaving a balance on hand of 481126 The cost per annum of each patient was 12700 The daily cost per patient was 34 710 cents The increased cost per an num of each patient over 1907 was 290 From the above figures it will be seen that the estimate of the Board towit 39830600 as to funds needed for 1908 was approximately correct The Board would direct your Excellencys atten tion to the steady increase in the number of patients to the growing age of many of the buildings and their con stantly increasing need of repairs to the advancing cost of supplies and to the destructive tendency on the part of inGEORGIA STATE SANITARIUM 7 sane persons The Board practices every wise economy but the cost of maintenance is increasing slowly Foreseeing that the regular appropriation for 1908 would be insufficient to meet the needs of the institution the Board was compelled to ask for a supplemental appropria tion of 1500000 for 1908 which appropriation was gener ously granted by the General Assembly In considering the cost of this institution to the State the large and in creasing number of patients under treatment in it should not be overlooked Electric Lights In 1905 an appropriation of 7500000 was made for the construction of waterworks and electric light plants at the Sanitarium The waterworks plant has been completed and is daily supplying the institution with an abundance of pure filtered water An unexpended balance of 421215 from this appropriation is in the hands of the Board for the con struction of an electric light plant This sum of money is not sufficient for this purpose and the Board has thought it best to enter into contract with the Oconee River Mills of Milledgeville for supplying the institution with lights and power A contract has been made which in the judgment of the Board will supply both to the institution at less cost than could be had from a plant owned by the institution and the unexpended balance will therefore be used in wir ing the buildings and grounds for this purpose Water Reservoir Needed The present storage capacity for water at the Sanitar ium has been long outgrown An abundant supply of water is enjoyed but should a breakdown occur in the pipe line from the pumping station 3 miles away or in the pumps the supply stored at the Sanitarium would be quickly ex hausted Such a condition in the event of a fire might result in a disastrous loss of human life and property The matter is one of such seriousness that the Board is constrained to ask an appropriation of 1500000 for the purpose of build ing an underground concrete reservoir of sufficient capac8 SIXTYFIFTH ANNUAL REPORT ity to meet the present and future needs of the institution Such reservoir should hold not less than 600000 to 700000 gallons of water Wards for Tubercular Patients There having occurred during the last five years 430 deaths from consumption the Board renews most earnestly its appeal for a special appropriation with which to build and equip four suitable wards for the proper isolation and treatment of consumptive patients It is of course neces sary to provide a separate ward for each sex both white and colored The medical staff of the Sanitarium is a unit in strongly urging that this humane provision be no longer de layed The erection of such wards will not only provide the means for properly caring for this class of patients but at the same time it will remove from the wards an ever present and ever increasing danger to the other inmates this dan ger being very much greater than that among responsible persons The Board recognizing the fact that for the care of this particular class of patients the ordinary requirements will not be sufficiently secure to afford the necessary pro tection or treatment estimates that 1500000 will be re quired for this purpose Training School for the Feebleminded In the absence of special provision for them by the State the Sanitarium is required by law to admit the feebleminded children who may be legally committed to it Being pri marily designed for the care and treatment of the insane the pitiful injustice of such commitments is apparent The Sanitarium is not equipped as a school and all it can do for such cases is to provide shelter food raiment and protec tion In all the State there is no place where such children can be sent for their proper training The grosser types only are sent here Others find refuge in the various or phanages of the State but the majority are kept at home where unless carefully guarded they fall an easy prey to the evilminded about them If not prevented they fre quently marry and the resulting offspring but increases theGEORGIA STATE SANITARIUM menace to society and the burden to the State Suitable schools are provided by the State for her deaf dumb and blind but thus far she has done nothing for her feeble minded children Surely they have a claim equally as great as the others and this sacred duty should be neglected no longer The State should speedily gather them into a school properly equipped where they can be given all the training they are capable of receiving and be fitted in some measure to contribute to their own support The door of hope should no longer be closed to them and the Board will be glad to see some action taken by the next General Assembly looking to the establishment of the Georgia State School for the Feebleminded which shall have no connection with this institution Epileptics Not Insane As is the case with feebleminded children the State makes no special provision for her epileptic citizens who are not insane and requires the Sanitarium to receive all such who may be legally committed to it A hospital for the in sane is assuredly no place for them and their presence in it is injurious no less to themselves than to the insane with whom they must associate For this unfortunate class spe cial provisions ought to be made Our late Superintendent Dr T O Powell felt very strongly on this subject and his last report to this Board contained a strong appeal in their behalf A life time of distinguished service in this institu tion to afflicted humanity gives to his words weight and meaning In this report he said Epileptics are perhaps neglected more than any other class of the afflicted Very little attention is given them until the disease becomes chronic and incurable The most favorable time for the suc cessful treatment is upon the first manifestations of the pre monitory symptoms They are to be pitied and their ap peals for help are strong and pathetic They are shunned by friends the doors of associates entertainments of all kinds and even the door of the church is closed against them Is it then strange and surprising that they should become irritable and insane under such circumstances and ultimately land in a hospital for the insane for life If we io SIXTYFIFTH ANNUAL REPORT had a colony in Georgia where they could be systematically employed in various ways receiving proper attention and diet which is perhaps more beneficial than medical treat ment I think man would go to such colony in the early stages of the disease and be restored to full and complete health and then they could go out into the world and be selfsupporting instead of a burden to the State their entire life Dr Powell was well informed as to the opinions held by the best scientists of the age for the treatment of this most insidious disease and it will be seen he urges that they be colonized by themselves The Board hopes the way may be clear for the State of Georgia to follow in the lead of her sister States in caring for these afflicted ones in this way Such a colony should have no connection with this institution No better monument could be erected to the memory of Dr Powell and none would have gratified him more Funds Needed in 1910 and 1911 For the support and maintenance of the Sanitarium and to enable it to make the necessary repairs and improve ment in the buildings and equipment which their growing age and use demand the Board in the exercise of its best judgment asks appropriations as follows For 3230 patients in 191042442200 For 3280 patients in 191143099200 These estimates are based on a per diem cost per capita of 36 cents For the construction of an underground reservoir of 600000 to 700000 gallons capacity an appropriation of 15 00000 is asked For the erection and equipment of four wards for tuber cular patients an appropriation of 1500000 is asked In Conclusion In conclusion the Board thanks your Excellency for the cordial support given it in the discharge of its dutiesGEORGIA STATE SANITARIUM and through your Excellency the General Assembly for its generous provision for the support of this great charity Respectfully submitted Thos G Lawson President Jno T Brantley VicePresident Richard Johnson Secretary Thos M Hall M D Thos R Wright M D J Frank Harris M D W A McCurry E Bates Block M D Isaac Hardeman K T Alfriend SIXTYFIFTH ANNUAL REPORT For the Year Beginning Jan ist 1908 and Ending Dec 31st 1908 Georgia State Sanitarium Jan 1st 1909 To the Honorable Board of Trustees Georgia State Sani tarium GentlemenI respectfully submit for your official con sideration the sixtyfifth annual report of this institution for the year ending Dec 31st 1908 On Jan ist 1908 there were white patients on hand 2178 and colored 970 There have been received since 567 whites and 380 colored making a total reception of 947 There have been discharged removed eloped and died 983 leaving in the institution Jan ist 1909 3112 patients of whom there were JJ whites and 28 colored on furlough not discharged The average number of patients under treatment dur ing the year was 3130 while the total number receiving treatment was 4095 It will be seen that the average number receiving treat ment was 47 more than last year The actual number of patients on hand Jan ist 1909 over the actual number on hand Jan ist 1908 is 109 From observation of the above figures it would appear that we have fewer patients on hand than we had one year ago as at that time it was reported that we had 3148 This can be explained by showing the difference in the number on furlough It has been the custom of the institution to ex tend furloughs on application by writing at the expiration of the usual ninety days hence some patients have had their furloughs extended every ninety days for the whole year almost and at the end of the year still have their names on our books For the last year we have adhered strictly to the ninety days furlough consequently at the end of the yearGEORGIA STATE SANITARIUM 13 we are carrying none on our books who have been out of the institution over ninety days At the end of the year 1907 our books showed 250 on furlough At the end of the year 1908 they show 105a difference of 145 This method of dealing with the furloughed cases makes our daily aver age show less than it has been showing heretofore hence tends to make our per capita appear larger than it would otherwise appear Our per capita per diem for the previous year was 34 cents which included all expenses connected with the man agement of the institutionsalaries wages maintenance medicines repairs etc For the year just ending it has been 347 With the increased wages we have paid some of our attendants and the increased cost of supplies our per capita would have been larger had we spent as much for improve ments and repairs as we did the year previous In the be ginning of the year we were handicapped by a deficit of several thousand dollars and could not carry on such im provements and repairs as we desired to Had it not been for the timely aid we received at the hands of our generous and bighearted legislators last July in supplementing our appropriations to the amount of fifteen thousand dollars we could not have gone through the year without a large de ficit I am happy to report that we have closed the year with a balance of something over four thousand dollars to our credit I feel confident that we will be able this year to make some very much needed improvements and repairs that have been delayed We very much desire to replace all of the old unsani tary water closets in both of the detached buildings and in the negro building This being done we will be enabled to keep water on in all of the buildings both day and night With the old automatic tanks this could not be done with out a great waste of water which we could not afford unless we had a greater storage capacity In asking for appropriations for the years 1910 and 1911 I trust you gentlemen will deem it of sufficient im portance to ask for enough to build additional storage room for water as our institution has greatly outgrown our pres ent capacity We have the water and now need somewhere14 SIXTYFIFTH ANNUAL REPORT to store it for use in case of fire or accidents to our pump ing station Another improvement I would like very much to make in our buildings and that is to have concrete or cement floors in all of our water closets and bath rooms with show er or rain baths to take the place of the tub The board floors are so constantly kept wet they soon decay and let the water through to the plastering below causing it to fall off This does not look well besides being unsanitary These two items will cost about fifteen thousand dollars The importance of segregating our tubercular patients has been brought to the attention of our General Assemblies so repeatedly without it having been given any serious con sideration I almost feel embarrassed in mentioning the sub ject again However it is our duty and we do not intend to let the subject drop until it shall have been given proper at tention The time is not far distant when more room will be needed more especially in the white female and colored departments and any room now made for the tubercular cases will relieve the present building to that extent and de lay the necessity for an appropriation for new buildings We have improved our dairy herd by adding twenty five high grade Jersey cows and one fine registered Jersey bull By order of the Executive Committee our pathologist Dr D G Willets made the tuberculin test of our entire herd last Summer and the results of his findings are very gratifying Only one or two cows showed any reaction and we feel that we have as healthy a herd as can be found anywhere The beef butchered from our herd was worth between fourteen and fifteen hundred dollars at our con tract price and practically paid for the new cows we bought We have about completed one new barn with fortysix stalls and I feel confident that it is as sanitary as one can be built It is well ventilated and the light is good The floor is of concrete and cement with a platform for the cow to stand and lie on and concrete trough in front for the food and one in the rear to catch the droppings Both of these troughs have a slight fall from the ends toward the centre where they are connected with an outlet so they can be washed as often as necessary to keep them cleanGEORGIA STATE SANITARIUM i5 By direction of the Executive Committee we employed an experienced dairyman He commenced service in De cember and we feel confident he will more than earn his wages in seeing that the cows are properly fed and milked and cared for generally Our chef Mr D J Sullivan resigned his position last October to take a similar one with the Government Hospi tal for the Insane at Washington D C It was with regret that we gave him up for he was an excellent gentleman and filled his position faithfully Mr John Sullivan his broth er was appointed to the place and is filling it very accept ably We have had no difficulty in filling any vacancy that oc curred in the white male department during the last year and had a better class of men to select from Very few of our male nurses have left the service and I feel that I would be safe in saying that as a whole we have a better class of men at this time than we have had at any time in the past In the white female department we have had more difficulty in keeping the vacancies filled Still we cannot complain for we have suffered less than formerlythe worst feature being the constant change of nurses It takes some time for a nurse to become efficient and useful in this work it is so different from ordinary nursing hence the longer they remain the better they understand how to get along with the patients Quoting from Tuke Bucknell Attendants for the insane are more than nurses for the sick They keep watch and guard are the instruments of order and discip line and to a great extent the active agents of moral treat ment To their proper selection training and guidance the success of treatment whether curative or palliative security from harm or accident and the general comfort and well being of the patient are in a great measure due The re quirements we make upon their patience endurance tem per and health are so great that their services when thor oughly good are well nigh invaluable In our training department for nurses we do not give certificates but require all of the females to attend lectures regularly given by the medical staff and that with the bed side training given by Miss A V Cross our Superintendenti6 SIXTYFIFTH ANNUAL REPORT of Nurses who is a graduate fits them admirably for the service required Colony and Garden You will see from the report of our Assistant Steward what was done during the year at the colony and in the garden At the colony we have about So or 90 colored male patients who work on the farm It does not require any more help to look after them than it would if they were idle They much more than make expenses raising all the corn we use for our stock cane enough to make over a thousand gallons of syrup over five thousand bushels of sweet pota toes nearly a thousand bushels of field peas about twenty five hundred bushels of oats forty bales of cotton all the water melons we could use during the season a nice lot of peaches and grapes chickens turkeys and a good lot of pork In the garden about fifty or sixty of our white male patients work They are glad to get out for the open air exercise Of course we do not compel any of them to work and never allow them to overwork We consider it the best treatment they can get when they are in proper condition for the exercise Besides those mentioned above a good many of the male patients are employed in the dairy kitch ens dining rooms gradings etc While directing some work on the water works system last fall our engineer Capt T H DeSaussure came near being killed by a colored male patient who was assisting in the work The patient took upa delusion that the engineer was about to attack him with a knife and dealt him a blow on the back of the head with a sledge hammer felling him to the ground and was about to renew the attack when arrest ed by the foreman of the work I feel that the hand of Providence saved the life of our engineer for it was a terrific blow calculated to crush the skull His suffering was in tense for a week or two but gradually grew less and he was finally restored to his usual health we are thankful to say We can never know what is passing through the mind ofGEORGIA STATE SANITARIUM 17 the insane and those who are not experienced do not realize the danger one is in who is constantly thrown with them The colored females engage in laundry work and gen eral housecleaning and sewing The white females help on the wards and dining rooms and do sewing Harmless and Incurables For the lack of funds we were compelled to refuse ad mission to a good number of harmless and incurable cases the first half of the year After the Legislature gave us the supplemental appropriation we received all applicants ex cept a very few who were very old helpless and harmless such as we could not do any good and could be cared for at home Law Requiring Ten Days Notice Before a Patient Can Be Committed While on the subject of receiving patients I would like to call your attention to Section 2573 of the Code which re quires that ten days notice shall be given to three of the nearest adult relatives before a patient can be tried and com mitted to the Sanitarium In many case this provision works not only a great hardship on the relatives and friends of the patient but keeps the patient from receiving prompt attention and treatment such as one cannot get out of the in stitution and perhaps such mischief may be done during that period as to render the case incurable I would respectfully ask you to consider the wisdom of having the law amended so as to allow relatives to waive ten days notice in urgent cases and allow them to be com mitted at once It is not infrequently the case that a female member of some of our best families becomes suddenly insane and violent and as the law now stands she must be held or tied and guarded day and night or be sent to jail until the expiration of the ten days before she can be sent to the Sanitariumi8 SIXTYFIFTH ANNUAL REPORT Religious Services By referring to the report of the Chaplain you will ob serve that religious services are kept up regularly every Sunday afternoon when the weather permits These serv ices are entered into by the patients and seem to be a source of great good Besides the Sunday services the Chaplain performs burial services whenever one is buried here Library We have quite a good lot of books magazines etc in our library and are constantly receiving more A good number of weekly and daily newspapers come regularly without charge The report of the Librarian will show the number of contributors for the year and we wish to publicly thank each one who has so kindly remembered the institution Amusements We have not had the means to provide such amuse ments as we would like to have provided The baseball team was not kept up during the Spring and Summer as it had been for several years past The weekly dances have been continued but we have changed the time to the after noon instead of evenings on account of so many patients taking advantage of the darkness in going to and from the Amusement Hall to make their escape Just before Christ mas we had an amateur company composed of young men and young ladies of Milledgeville with Prof Win E Rey nolds as director to come out and give us Topsy Turvy a play which our inmates enjoyed very much When our buildings are equipped with electric lights if we could be provided with a moving picture outfit I think it would afford more amusement and pastime than anything else for the amount of money required Medical Staff Dr Y H Yarbrough who had been serving as interne for some time was elected Assistant Physician at the meet ing of the Board last October after having passed a satisGEORGIA STATR SANITARIUM 19 factory examination As I mentioned in the report for 1907 Dr D G Willetts came early in January 1908 and took up the laboratory work His services have been satisfactory and the Board elected him Pathologist at the October meet ing We have employed Dr W J Cranston as interne and he takes up his work on the first day of the new year He comes to us highly recommended as being a perfect gen tleman studious in his habits and a second honor graduate in his class at the Medical Department of the University of Georgia No other changes have taken place in the Staff I desire to express my appreciation of the faithful serv ice rendered by the entire Medical Staff also to every other officer connected with our institution I hereby tender thanks for faithfulness to duty and cooperation in all departments To our faithful nurses and to all employees who have done their duty I would extend thanks and appreciation Health The health of the institution has been as good as usual with but few exceptions It is my painful duty to report two suicides during the year both of which have been reported to the Board before One white male and one white female The male patient had been in a state of deep melancholia and strongly suicidal for a long time and had attempted to take his life before coming to the Sanitarium He took his life by strangulationtied his suspenders to the transom over the door and then around his neck and suspended himself When discovered life was extinct The female committed suicide by taking poison She was rooming in the Infirmary ward opposite a surgical case The nurse was preparing to dress the case and with the dressings in the room was a bottle of bichloride of mercury solution While the nurse left the room temporarily get ting the dressings together the patient slipped across to the room and poured enough of the poison into a snuff bottle she had to destroy her life and was back in her room when the nurse appeared The poison she had taken out of the bottle was not missed and she secreted it until night and took it after everybody was quiet and asleep After the deadly poison had permeated her system and she found20 SIXTYFIFTH ANNUAL REPORT that her life was ebbing away she called the night nurse and told her what she had done A physician was called but too late and she soon expired This class of patients is a source of great anxiety and we feel thankful that we have no more cases than the two above mentioned to report Very few serious accidents have happened considering the large number of patients under treatment during the year We have had some broken limbs caused by patients falling or being pushed down by other patients and one white male died from asphyxia caused by being choked while eating an apple From Dr Longinos records we find that beginning January 25th 1908 there was a series of six cases of small pox in the colored male department The last case was dis charged as well March 25th 1908 Four of these cases were of the confluent type and were very severe Two cases were mild having but few skin lesions One of the cases died on the 12th day of illness with lobar pneumonia Five cases recovered The first case to have it was a pa tient who had been confined in the building for a number of years and how he became exposed we do not under stand We try to keep all patients vaccinated having a supply of virus constantly on hand and recjuiring the Assis tant Physicians to vaccinate all new patients as they come in hence we do not fear anything like an epidemic of smallpox The six cases above reported were treated in the building as they appeared in different parts of the building and so many had been exposed we felt that it was useless to move them out but did move them all to one ward and kept other patients isolated The number of deaths from tuberculosis was about the same in the white department as it was the year previous being twelve males and fourteen females In the colored de partment the number increased in the male department from seventeen to thirtyone and in the female department from twentyeight to thirtyfour making the whole number of deaths from tuberculosis ninetyone You will see from the above figures how important it is that everything should be done that is possible to stop the spread of this dread disease According to our diagnosis we have had twentythree deathsGEORGIA STATE SANITARIUM 21 from pellagratwo white males and six white females one colored male and fourteen colored females In my opin ion we have had this disease for years but have not called it pellagra because we did not know what to call it I do not know that we will be any better off for there has been no specific discovered to combat its ravages so far as I know It is said to be caused by the eating of spoiled maize and produces in persons afflicted with it a sort of intoxication If this be the cause we had better be careful about eating maize and if we find a case with any symptoms of the disease not allow any maize eaten at all Assis tant Surgeon C H Lavinder of the Public Health and Ma rine Hospital Service gives some of the symptoms as fol lows The disease usually begins with gastrointestinal disturbances followed shortly by the erythema of the skin and in a brief while there is more or less involvement of the nervous system It is a slowly advancing toxaema the brunt of which in the end is borne by the nervous system and each annual recurrence leaves a deeper and more in delible mark on the mental and nervous condition of the sufferer Dr Walker has furnished me the following notes Pellagra has existed in this institution for several years The first case of which any record was made occur red in January 1906 During the past year forty cases have been recorded among the negro women Of these nine were suffering from the disease when admitted In a few other cases the disease first became manifest a short time after reception The ages of those afflicted ranged from six years to seventyfive years The dates of onset of those cases orig inating in the institution were as follows March 1 April 1 May 2 June 2 August 2 September 5 October 10 Novem ber 5 and December 3 This does not correspond with the experience of those in foreign countries Of the forty cases above mentioned three were removed by relatives Of the remaining thirty seven twentythree have died eight are still under treatSIXTYFIFTH ANNUAL REPORT ment and six have apparently recovered The averag dur ation of the fatal cases was sixtytwo days Stomatitis dermatitis and diarrhoea constitute the chief physical phenomena The nervous symptoms so com monly seen in the chronic form do not play such an import ant role in the acute cases although they are not always ab sent The stomatitis usually begins with a reddening of the mucous membrane of the oval cavity This is followed by the appearance of a dirty whitish deposit which is most often first seen behind the last lower molar teeth This deposit may extend more or less rapidly to other portions of the mouth The dermatitis may begin as reddish elevated areas which pit slightly on pressure or the process may be slower in evolution and the reddening but slightly marked In the course of time the affected areas become dark in color and eventually the epidermis falls off leaving pigmented areas The dermatitis is usually symmetrical on the hands and on the feet This is not always true when it appears on the face and neck In one case it appeared on the breasts Blebs not infrequently form at the affected areas of skin Diarrhoea is practically always present in the early stages but constipation is often present later in the course of the disease The movements number as a rule from three to seven per day in the beginning Small amounts of blood and mucous are often seen in the passages at some stage Slight elevation of temperature with increased pulse rate may be observed for the first few days Tympanitis pain in back and abdomen may be com plained of Vomiting may occur with onset or later The deep reflexes may be increased diminished or un affected Vaginitis occurred in 15 per cent of the colored females The association of intestinal parasites with the disease is a matter of interest Our death rate based on total number under treatment during the year shows n per cent which is somewhat higher than the year previous Our recoveries based on the number of receptions during the year show 49 per centGEORGIA STATE SANITARIUM 2 This is a better per cent than was shown the year previ ous For further details I respectfully refer you to reports made by our Pathologist Steward Assistant Steward Mat ron Engineer Storekeeper Bookkeeper and other officers The statistical tables which follow will give in detail the movement of white and colored population In conclusion I wish to thank you for the faithful serv ice you have given to the institution and to express my appreciation of your continued confidence and kindness to ward me Yours respectfully L M JONES Superintendent Etc24 SIXTYFIFTH ANNUAL REPORT STATEMENTWHITE In relation to the number of white patients during the year or from January 1st 1908 to January 1st 1909 There were patients on hand January 1st 19082178 White male lunatics826 White male epileptics128 White male idiots 511005 White female lunatics964 White female epileptics142 White female idiots 4711732178 There have been received during the year White males295 White females272 567 Total number under treatment2745 There have been Discharged restored 31 Discharged improved 334 Discharged removed 19 Discharged eloped 5 Discharged not insane 2 Discharged unimproved 9 Discharged pregnant 1 401 Brought to the institution in this condition There have died White males m White females 80 191 592 Leaving on hand January 1st 19092153 CLASSIFICATION OF THE WHITES White male lunatics827 White male epileptics115 White male idiots 49 991 White female lunatics1016 White female epileptics 106 White female idiots 4011622153GEORGIA STATE SANITARIUM 25 Of those who have died there were of Males Dysentery g Organic brain disease 4 Cerebral hemorrhage 2 Senility 7 Exhaustion of chronic mania 1 Chronic nephritis 5 Fracture of femur Senile exhaustion 5 Apoplexy Organic heart disease 6 Cerebral softening 3 Epilepsy 4 Acute endocarditis 1 Acute enteritis 3 Lobar pneumonia 3 Exhaustion of acute delirium 2 Tubercular enteritis Chronic enteritis Pneumonia Dementia paralytica 5 Dementia organic 2 Epileptic shock 4 Tuberculosis r 1 11 2 Dysentery acute t Paresis c Asphyxia 2 Valvular heart disease 2 Cerebral syphilis Strangulation Tabes dorsalis Pellagra Bronchopneumonia Chorea Schlerosisamyotrophic lateral o Pulmonary edema o Enterostomatitis o Septicaemia o Acute bronchitis o Meningitis o Weils disease o Maniacal exhaustion o Carcinoma o Uraemia o Chronic diarrhoea o Postoperative shock o Suicide o Multiple neuritis o Sprue o Unknown 3 Females 3 4 o 2 o o o 2 3 3 o 2 o o 8 o I 2 I O o 2 14 O 4 o 0 o o o 6 2 o Total in 8026 SIXTYFIFTH ANNUAL REPORT STATEMENTCOLORED fn relation to the number of colored patients received during the year or from January ist 1908 to January 1st 1909 There were patients on hand January 1st 1908970 Colored male lunatics39 Colored male epileptics 58 Colored male idiots 39 487 Colored female lunatics49 Colored female epileptics 46 Colored female idiots 28 483 970 There have been received during the year Colored males188 Colored females192 380 Total number under treatment1350 Of whom there have been Discharged restored 27 Discharged improved 79 Discharged removed 3 Discharged eloped 14 I23 There have died Colored malesT3S Colored females133 268 391 Leaving in the institution January 1st 1909959 CLASSIFICATION OF THE COLORED Colored male lunatics387 Colored male epileptics 61 Colored male idiots 36 484 Colored female lunatics43 Colored female epileptics 43 Colored female idiots 29 47s 959 Of the colored who have died there were of Males Females Epilepsy n o General paresis II 2 Cerebral softening 3 4 Cerebral hemorrhage 7 4 Lobar pneumonia 7 o Tuberculosis 31 34 Edema of glottis I o Smallpox I o Organic brain disease 5 0GEORGIA STATE SANITARIUM 2 Pernicious anaemia I 0 Maniacal exhaustion 3 0 Tubercular peritonitis 3 0 Senility 6 14 Inanition 0 o Bronchitis 1 2 Acute nephritis 1 0 Tubercular enteritis 3 0 Pneumonia 2 o i Chronic nephritis 7 2 Gangrene 2 0 Miliary tuberculosis 1 0 Organic heart disease 2 o Exhaustion Dysentery I 2i Carcinoma of pylorus 0 Carcinoma of brain 1 0 Aneurism j 0 Pellagra j I4 Meningitis 1 x Sprue 0 2 Enterocolitis acute o 2 Colitis ulcerative 0 2 Nephritis chronic intestinal o 2 Enteritis chronic o 6 Heart disease valvular o 3 Septicaemia o 2 Enteritis ulcerative o 1 Exhaustion of acute mania 0 1 Enteritis acute o 5 Empyemia o 1 Nephritis acute paranchymatous o 1 Neuritis multiple 0 1 Arterosclerosis general o 1 Unknown 4 4 Total 135 133 TABLE No 1 Showing the number of whites admitted during the year 1908 and their respective ages at the time of admission Males Females Total Under 15 years 4 10 14 15 to 20 18 is 33 20 to 25 35 i7 52 25 to 30 39 29 68 30 to 35 37 38 75 28 SIXTYFIFTH ANNUAL REPORT 35 to 40 33 40 to 45 24 45 to 50 18 50 to 60 42 60 to 70 21 70 to 80 12 Over 80 o Unknown 12 Total 295 37 70 27 51 17 35 37 79 28 49 10 22 2 2 5 17 272 567 TABLE No 2 Showing duration of insanity before admission Males Females Total Less than one month 19 26 45 1 to 3 months 37 38 75 3 to 6 months 35 33 68 6 to 9 months 26 17 43 9 to 12 months 7 17 24 12 to 18 months 17 21 38 1Y2 to 2 years 6 5 11 2 to 3 years 22 13 35 3 to 4 years 10 15 25 4 to 5 years 11 13 24 5 to 6 years 9 12 2j 6 to 8 years 4 9 13 8 to 10 years 3 9 12 10 to 14 years 10 9 19 14 to 20 years 10 7 17 20 to 30 years 15 6 21 Several years 30 18 48 Unknown 24 4 28 Total 295 272 567 TABLE No 3 Occupation of whites admitted during the year Farmer 129 Shop Girl 1 Merchant 6 Laborer 14 Mechanic 2 Millhand 9 Real estate agent 1 Printer 3 Housekeeper 168 No Occupation 97 Physician 6 Harness Maker 1 Domestic 6 Cabinet Maker 2 Cook 1 Bookkeeper 5GEORGIA STATE SANITARIUM 29 Dressmaker 7 Clerk 11 Telegraph operator 1 Manufacturer 1 Stone Cutter 1 Plumber I Railroad Employee 1 Fireman I Engineer 3 Proof reader 1 Peddler 1 Seamstress 2 Reporter 2 Dairyman 1 Stock Dealer 1 Packer 1 Hotel Keeper 1 Horse Trader 2 Railroad Agent 2 Shoemaker 1 Candy Maker 1 Cigar Maker 1 Press Feeder 1 Draughtsman 1 Salesman 6 Stenographer 2 Blacksmith 3 Student 4 Engraver Midwife Machine agent Machinist Photographer Druggist Messenger Boy Teacher Nurse Sawmilling Electrician Carpenter Barber Unknown 4 Total S67 TABLE No 4 Civil condition of the whites received during the year 1908 Married 265 Single 227 Widowed 75 Total 567 TABLE No s Homicidal and suicidal of whites received during the year 1908 Homicidal 90 Suicidal 36 Homicidal and suicidal 44 Total 17030 SIXTYFIFTH ANNUAL REPORT TABLE No 6 Cause or supposed cause of insanity of whites received during the year 1908 Epilepsy 55 Illhealth 42 Financial Trouble 9 Senility 18 Drugs T5 Female Trouble 18 Paralysis 8 Religion 16 Lagrippe 3 Syphilis 5 Insomnia 1 Masturbation 12 Melancholia 3 Child Birth 8 Injury 6 Clot on Brain I Christian Science 2 Sexual Excess 1 Ovarian Trouble I Overstudy 2 Fever 3 Sprue 1 Injury to Spine 2 Pellagra I Heredity 31 Congenital 13 Alcoholism 14 Domestic Trouble 8 Blow on Head 8 Grief 9 Spinal Affection 4 Scald on Breast I Uterine Trouble 4 Overwork 12 Menopause 7 Typhoid Fever n Hysteria 2 Sunstroke I Nervous Prostration 4 Pneumonia I Worry 7 Womb Trouble I Paranoia I Menstrual Trouble 3 Tumor 1 Indigestion 1 Acute Gastritis 1 Unknown 278 Total 567 Form of psychosis of whites received during the year 1908 Brain tumor l Psychoses accompanying other nervous diseases 3 Senile psychoses 41 Organic brain disease 16 General paralysis 7 Alcoholic psychoses 2S Drug psychoses 10 Infective exhaustive psychoses 14 Depressions not sufficiently distinguished 6 Involutional melancholia 13 Paranoic conditions J6 Dementia praecox 41 Allied disorders 8 Constitutional inferiority 18 Manic depressive psychoses 194GEORGIA STATE SANITARIUM 3i Allied disorders 2 Epileptic psychoses 40 Imbecility 57 Idiocy I2 Secondary dementia I Dementia 3 Toxic insanity 3 Melancholia chronic 2 Not insane 4 Unclassified 21 Total 567 TABLE No 7 Showing the number of colored admitted during the year 1908 and their respective ages at the time of admission Males Females Total Under 15 years 5 2 7 15 to 20 17 14 31 20 to 25 18 26 44 25 to 30 22 24 46 30 to 35 12 32 44 35 to 40 16 23 39 40 to 45 20 18 38 45 to 50 8 8 16 So to 60 30 16 46 60 to 70 21 14 35 70 to 80 7 4 11 Over 80 3 47 Unknown 9 7 16 Total 188 192 380 TABLE No 8 Showing duration of insanity of the colored before admission Males Females Total Less than one month 28 24 52 1 to 3 months 40 30 70 3 to 6 months 19 18 37 6 to 9 months 10 8 18 9 to 12 months 7 6 13 12 to 18 months 11 16 27 1ZA to 2 years 3 5 8 2 to 3 years 7 15 22 3 to 4 years 459 4 to 5 years 6 7 1332 SIXTYFIFTH ANNUAL REPORT 5 to 6 years 3 6 to 8 years 3 8 to io years 3 io to 14 years 7 14 to 20 years 11 20 to 30 years 6 Several years 8 Unknown 12 Total 188 2 5 4 7 4 7 7 4 6 17 1 7 12 20 22 34 192 380 TABLE No 9 Occupation of the colored admitted during the year 1908 Laborer117 Farmer 56 Porter 2 No Occupation 31 Housekeeper 34 Carpenter 2 Washerwoman 14 Cook 22 Physician 1 Waiter I Well Digger 1 Messenger Boy 1 Tinner 1 Boardinghouse Keeper 1 Clerk 1 Millhand 1 Bartender 1 Electric Lineman 1 Railroad Hand 2 Barber 1 Domestic 13 Farmhand 33 Turpentine hand 2 Nurse Basket Maker Blacksmith Laundress Teacher Wood Cutter Student Brick Mason Janitor Baker Butler Gardner Drayman Unknown 27 Total 380 TABLE No 10 Civil condition of the colored received during the year 1908 Married190 Single 123 Widowed 67 Total 380GEORGIA STATE SANITARIUM 33 TABLE No 11 Homicidal and suicidal of the colored received during the year 1908 Homicidal 81 Suicidal II Homicidal and suicidal 19 Totalin TABLE No 12 Cause or supposed cause of insanity of the colored received during the year 1908 Epilepsy 24 Heredity 19 Domestic Trouble 14 Typhoid Fever 2 Blow on Head 11 Female Trouble 7 Change of Life 2 Spinal Trouble I Kidney Trouble 1 Fall 1 Softening of Brain 2 Dissipation 3 Ovarian Trouble 1 Idiot 1 Fever 2 Total Syphilis 15 Alcoholism 3 Congenital 7 Religious Excitement 22 Senility 17 Injury 1 Menstrual Trouble 3 Illhealth 13 Financial Trouble 5 Childbirth 4 Masturbation 3 Grief 2 Paralysis 3 Overheat 2 Uterine Trouble 1 Unknown188 380 Form of psychosis of colored patients received during the year 1908 Epilepsy 34 Mania acute 91 Mania chronic 32 Mania recurrent 24 Dementia organic 13 Dementia senile 41 Dementia secondary I Dementia primary 2 Dementia paralytica 1 Dementia praecox 7 Imbecility 39 Toxic insanity 3 Melancholia acute 39 Melancholia chronic 1334 SIXTYFIFTH ANNUAL REPORT Melancholia recurrent 3 Paresis 17 Idiocy 4 Paranoia 2 Puerperal insanity I Chronic delusional insanity I Not insane 2 Unclassified 4 Total 380 GEORGIA STATE SANITARIUM 35 Report of Jtatljolatfist GEORGIA STATE SANITARIUM Milledgeville Ga Jan ist 1909 Dr L M Jones Superintendent Dear SirI have the honor to submit herewith a report of the operations of the Pathological Department during the year ending December 31 1908 The work has been conducted during the past year along the same general lines as heretofore chief attention being given to Clinical Microscopy rather than to general pathological work It was deemed advisable to add the routine examination of feces to the regular work of the laboratory During the year 38 autopsies have been performed and 1028 clinical specimens have been examined as out lined below Some pathological and clinical work has been of such nature that it is impracticable to outline it in this report Several gross specimens and a number of micro scopic specimens have been added to the laboratory collec tion The major part of June and July was given to apply ing the tuberculin test to our herd in accordance with in structions from yourself and the Board of Trustees Be cause of the time taken up with this work and rather pro longed illness on the part of the pathologist considerable time was lost from the laboratory during the year36 SIXTYFIFTH ANNUAL REPORT TABLE No i Synopsis of Protocols of Autopsies 6 a V 1 rt Y i V a bo en c S so r u CT3 O 0 U 5 rt ANATOMICAL DIAGNOSIS 397 c F 31 Primary dementia 4 Chronic ulcerative pulmonary tuberculosis Chronic adhesive pleurisy Fatty infiltration of the liver Dilated stomach Diffuse nephritis 398 c M 60 Organic dementia 14 General arteriosclerosis Softening of right optic thalamus Pulmonary hypostatic congestion Pulmonary emphysema Diffuse nephritis 399 c F 50 Terminal dementia 13 Atheroma of aorta Pulmonary emphysema Pulmonary hypostatic congestion Slight adhesive pleurisy Diffuse nephritis Fibroid uterus Colitis 400 c F 40 Chronic mania Atheroma of cerebral vessels Valvular heart disease Rightsided adhesive pleurisy Fatty infiltration of the liver NephritisChronic cystitis Cystic ovary 401 c F 62 Senile dementia 4 Mild grade of general arteriosclerosis Rightsided adhesive pleurisy Bronchitis Nephritis Chronic cystitis Fibroid uterus 402 c F 16 Dementia praecox 2 Pulmonary emphysema Pulmonary hypostatic congestion Nephritis Passive congestion of the liver 403 c M 66 Senile dementia Cerebral cortical softening Atheroma of cere bral vessels Croupous pneumonia Pleurisy Pulmonary infarction Syphilitic liver Fatty infiltration of the liver Nephritis Ascites GEORGIA STATE SANITARIUM 37 TABLE No iContinued Synopsis of Protocols of Autopsies en o 1 Ft 5 w 1 O ANATOMICAL DIAGNOSIS 404 C F 70 Senile dementia General arteriosclerosis Bronchitis Pulmonary abscess Chronic adhesive pleurisy Fatty infiltration of the liver Arteriosclerotic kidneys Purulent cystitis Tuberculosis of the bronchial glands 40s C F 40 Acute mania 74 Atheroma of cerebral vessels Miliary tuberculosis of the lungs kidneys and liver Rightsided pleurisy Fatty infiltration of the liver Diffuse nephritis Purulent cystitis 406 C M 56 Organic dementia 9 Softening of the right optic thalamus Hemorrhage into right internal capsule and lenticular nucleus General arteriosclerosis Purulent bronchitis Arteriosclerotic kidneys 407 c M 47 Toxic insanity 16 Incomplete Brain and cord negative 408 c F 7 Cerebral softening General arteriosclerosis Arteriosclerosis kidneys Cystic kidney Cystitis Fibroid uterus 409 c F 26 Secondary dementia Valvular heart disease Pulmonary infarction Sclerosis of the liver Tabes dorsalis Nephritis 410 c F 35 Imbecility 17 Miliary tuberculosis of the lungs liver spleen mesenteries and bronchial glands Pleurisy with effusion Fatty infiltration of the liver 38 SIXTYFIFTH ANNUAL REPORT TABLE No iContinued Synopsis if Protocols Of Autopsies 0 in a O Pi V a g a M so u C 3 O ANATOMICAL DIAGNOSIS 411 C M 40 Acute melancholia 17 Pulmonary emphysema Myocarditis Hypertrophic cirrhosis of the liver Acute diffuse nephritis 412 C F 46 Paresis 2 Atheroma of cerebral vessels Softening of left optic thalamus Cerebro spinal fluid increased Lateral ventricles dilated Opacity of piaarachnoid Fatty infiltration of the liver Nephritis Fibroid uterus Cystic ovary 413 C F So Chronic mania 12 Atheroma of cerebral arteries Pulmonary emphysema Pulmonary congestion Atheroma of coronary arteries Chronic adhesive pleurisy Modified hourglass stomach Enterocolitis 414 c F 32 Acute mania n4 Chronic ulcerative pulmonary tuberculosis Chronic adhesive pleurisy Fatty infiltration of the liver tuberculosis of intestines and mesenteric glands 415 c F 65 Senile dementia 13 Softening in the right cms cerebri Atheroma of the cerebral arteries Pericarditis Nephritis Cystitis Fibroid ovaries and uterus 416 c F 22 Acute melancholia 4lA Chronic ulcerative pulmonary tuberculosis Tuberculosis of the liver Chronic adhesive pleurisy Fatty infiltration of the liver Nephritis GEORGIA STATE SANITARIUM 39 TABLE No iContinued Synopsis of Protocols of Autopsies d If a V 4 c ft 1 h en 3 1 0 H 1w5 ANATOMICAL DIAGNOSIS 417 c F 22 Epilepsy 554 Opacity of pia arachnoid Cerebro spinal fluid increased Lateral ventricles dilated Pigmentation of ependyma Atheroma of aorta Pulmonary tuberculosis Chronic adhesive pleurisy Fatty infiltration of the liver Diffuse nephritis Pigmentation of hands and feet Sore gums Thinning of small intestine Four adult round worms Ascaris lumbricoides 418 c F 20 Acute melancholia 17 Chronic ulcerative pulmonary tuberculosis Chronic intestinal tuberculosis Miliary tuberculosis of the lungs and liver Pleurisy Fatty infiltration of the liver Dilatation of the colon Nephritis 419 c F 26 Organic dementia 26 Hemorrhage in right optic thalamus Hemorrhage in pons Varolii General arteriosclerosis Chronic adhesive pleurisy Arteriosclerotic kidneys Cystitis 420 c F 6l 2 Chronic adhesive pleurisy Valvular heart disease Fibrous myocarditis General artericjsclerosis Congestion of the liver Arterioscjerotic kidneys Chronic cystitis Colitis 40 SIXTYFIFTH ANNUAL REPORT TABLE No iContinued Synopsis of Protocols of Autopsies d is u tn o X bo Tig it i co 0 TJ u ANATOMICAL DIAGNOSIS 421 c F 71 I2J4 Carcareous deposit in dura mater Opacity of piaarachnoid Cerebrospinal fluid increased Aneurism of left internal carotid artery Atheroma of cerebral arteries Pericarditis Valvular heart disease Chronic adhesive pleurisy Nephritis Colitis 422 c F 24 Acute mania 94 Chronic ulcerative pulmonary tuberculosis Chronic adhesive pleurisy Fatty infiltration of liver Nephritis 423 c F 75 Senile dementia 6 Cortical cerebral hemorrhage General arteriosclerosis Chronic adhesive pleurisy Valvular heart disease Arteriosclerotic kidneys Cartilagiuoid spleen Herpes 424 c F l Chronic melancholia 15 Pulmonary abscess Purulent pleurisy Nephritis Pyelitis Cystitis 42s c F 70 Senile dementia 7 General arteriosclerosis Valvular heart disease Chronic adhesive pleurisy Purulent bronchitis Pulmonary congestion Arteriosclerotic kidneys Ascites 426 c F 32 1 Chronic ulcerative intestinal tuberculosis Miliary tuberculosis of the omentum and mesenr teries Pulmonary congestion Adhesive peritinitis Ascites Nephritis Fatty infiltration of the liver GEORGIA STATE SANITARIUM 4i TABLE No 1Continued Synopsis of Protocols of Autopsies Case No X v 1 Mental Diagnosis en u co 2 O cU ANATOMICAL DIAGNOSIS 427 c F 38 Chronic melancholia 4 Pigmentation of lower portions of upper and lower extremities Chronic ulcerative pulmonary tuberculosis Miliary pulmonary tuberculosis Chronic adhesive pleurisy Nephritis Appendix retrocaecal 428 c M 45 Acute melancholia 6 Pulmonary emphysema Chronic adhesive pleurisy Nephritis Cancer of the stomach Ascites 429 c F 58 5 Chronic ulcerative pulmonary tuberculosis Tuberculosis of liver and spleen Tubercular lobar pneumonia Chronic adhesive pleurisy General arteriosclerosis Fatty infiltration of the liver Nephritis 430 c F 69 3 Chronic ulcerative pulmonary tuberculosis Chronic adhesive pleurisy Valvular heart disease Passive congestion of the liver Nephritis Cyst of the parietal lay of the peritoneum Fifteen adult round worms Ascaris lumbricoides 431 c F 24 Imbecility 9J Pulmonary tuberculosis Leftsided purulent pleurisy Rightsided adhesive pleurisy 42 SIXTYFIFTH ANNUAL REPORT TABLE No iContinued Synopsis of Protocols of Autopsies 6 V in a O a ft v be Mental Diagnosis r 1 3 0 CJ U L ANATOMICAL DIAGNOSIS 432 c F 28 Acute mania 7 Atheroma of cerebral arteries and of the coronary arteries Rightsided adhesive pleurisy Nephritis Dermatitis Hyperemic areas in small and large intestine 433 c F 61 Chronic mania 5 Fracture of inner third of left clavicle Chronic adhesive pleurisy Pulmonary congestion Fibroid uterus Nephritis 434 c F 55 Imbecility 12 Irregularly scattered areas of dermatitis Atheroma of coronary arteries Nephritis Hyperemic areas in stomach and colon The percentage of cases showing tuberculosis was 3783 which is somewhat lower than percentages usually given in heretofore The kidneys are found to be affected in 8918 per cent this is a high percentage but not surprisingly so when one considers the percentage of cases showing al bumin in the urine upon admission Atheroma and scler osis was found in 5675 per cent Valvular heart disease occurred in 1891 per cent of the cases In addition to this two cases of valvular disease were found at autopsy during the pathologists absence from the laboratory One case No 409 which had a typi cal buttonhole variety of mitral stenosis also has pos terio spinal sclerosis Gross lesions of the brain consisting chiefly of areas of softening were found in 8 or 2857 Per cent of the 28 brains removedGEORGIA STATE SANITARIUM 43 Other than the foregoing the following findings are worthy of special mention Tabes dorsalis hypertrophic cirrhosis of the liver syphilitic liver cancer of the stomach a cyst of the parietal layer of the peritoneum dilatation of the colon aneurism of the left internal carotid artery CLINCAL MICROSCOPYTABLE No 2 Synopsis Urinalyses466 Fecal examinations292 Blood examinations Hemaglobin estimations27 White counts26 Red counts25 Differential counts61 For Plasmodium malarie16 Widal reactions13 168 Sputum examinations For Tubercle bacillus96 For Diplococcus pneumoniae 6 102 Total1028 Urine Of the 466 specimens of urine examined during the year the vast majority were routine specimens from the white reception wards As usual most of the specimens received at the laboratory were the result of one act of mic turition and also the urine from a given patient was as a rule examined but once For these reasons and for the ad ditional one that nephritis and cystitis of the laboratory do not invariably correspond with those conditions as found by the clinician it is deemed inadvisable to attempt to prepare elaborate statistics of this work It is interesting to note the number of cases of albuminuria without cylindruria or pyuria which present either an amorphous or crystalline de posit this is quite in keeping with the statement of some authors to the effect that the passage of these solids may cause an albuminaria 44 SIXTYFIFTH ANNUAL RFPORT TABLE No 3 Synopsis of Urinalyses Total number of specimens examined466 Number showing neither albumin nor casts nor pus 76 Number showing albumin361 Number showing albumin without casts pus or organ ized sediment127 Number showing albumin with casts144 Number showing albumin with casts pus and reds 6 Number showing albumin with pus and reds 36 Number showing albumin with amorphous or crystal line sediment 48 Number showing casts without albumin 29 Feces Because of the prevalence of intestinal parasitism es pecially uncinariasis throughout the South Atlantic States as reported by numerous physicians in the last several years good reason existed for doing more fecal work in the labor atory than heretofore hence the routine examniation of the feces of admission patients was added to the ordinary rou tine examination of the urine This naturally aroused in terest in the subject of intestinal parasites so that more specimens of feces than usual were examined from selected cases The positive findings 3609 per cent of all cases examined fully justify this work and strongly indicate the continuance of it It is true that relatively few heavy infec tions were found but this fact does not argue against the importance of the work when the fact that we are dealing with a class of patients for whom there is so little treat ment beyond that included in general hygienic and dietetic measures is taken into consideration It is generally con ceded it is thought that our greatest hope in treating the unfortunate insane lies in building up their general nutri tion with the possibility that their mental condition will improve along with their physical improvement Granting this is it not indicated to remove from the intestinal tract parasites which are living there at the expense of the so poorly nourished hostGEORGIA STATE SANITARIUM 45 Again the parasites though few in number and causing no marked symptoms in a given patient should be removed for the reason that such an infection is a source of danger to noninfected patients many of whom may not be able to harbor even a mild infection without rather marked symp toms resulting therefrom Technic Specimens are taken with a piece of card board and placed in a widemouthed bottle which is provid ed with a tin top Upon being received at the laboratory ten cover slip preparations are made of each case This is best done by placing two medium sized drops of distilled water upon each of five ordinary microscopic slides and mixing with these drops a small quantity of the specimen by means of a platinum loop until a medium degree of milkiness is obtained Two seveneighth inch square cover slips are then used per slide and the ova or the embryos found in each cover slip are counted This counting renders it possible to determine to some extent the degree of infec tion present and also how well an infection is responding to treatment The use of a platinum loop which is so easily sterilized in preparing the microscopic specimens reduces the possibility of transfer of an infection from one specimen to another to nil An endeavor is made to use the same amount of fecal material in preparing each specimen so that a comparison of the various infections may be made The material for the ten specimens is selected from various parts of the speci men received at the laboratory in order that the examination may be as complete as possible It might be thought that ten cover slip preparations are too many to examine from a given specimen As a mat ter of fact however important infections have been found as late as in the ninth cover slip During the past year two infections were not determined until the tenth prepara tion was reached Specimens are examined as soon after being passed as possible For the ova of the various parasites an early ex amination is not absolutely necessary but it is undoubtedly of considerable importance to examine a specimen as quick ly as possible when looking for embryos of Strongyloides46 SIXTYFIFTH ANNUAL REPORT stercoralis Especially is this true if the specimen is from a constipated stool for disintegration of the embryos takes place very rapidly in such a case In the microscopic examination the light is reduced a No i eye piece a onethird Leitz objective and a mechani cal stage are used Upon examining 29 patients mostly children from the 29th white female ward 19 or 6551 per cent of them were found to be infected with one or more parasites Most of these infections were evidently mild ones but the examin ation of the blood of those infected with hookworms Un cinaria americana 13 or 4482 per cent disclosed an an emia in almost every case During the year 266 patients 292 specimens were ex amined Of this number 96 or 3609 per cent were found to be infected with one or more parasites Of the 96 pa tients infected two 075 per cent had quadruple infec tions five 188 per cent had triple infections 17 639 per cent had double infections and 72 2707 per cent had single infections as follows TABLE No 4 Uncinaria americana Trichuris trichiuria Ascaris lumbri coides and Strongyloides stercoralis 2 Uncinaria americana Trichuris trichuria and Ascaris lum bricoides3 Uncinaria americana Trichuris trichuria and Strongy loides stercoralis2 5 Uncinaria americana and Trichuris trichuria6 Uncinaria americana and Ascaris lumbricoides4 Uncinaria americana and Strongyloides stercoralis2 Trichuris trichuria and Stongyloides stercoralis4 Ascaris lumbricoides and Stongyloides stercoralis1 17 Uncinaria americana57 Trichuris trichuria7 Ascaris lumbricoides3 Strongyloides stercoralis4 Hymenolepis nana1 72 Total96GEORGIA STATE SANITARIUM 47 From the foregoing table it will be seen that infection with the five parasites in question occurred as follows TABLE No 5 Uncinaria americana hookworm76 times 2857 Trichuris trichuria whipworm24 times 902 Strongylaides stercoralis Cochin China worm15 times 564 Ascaris lumbricoides eelworm13 times 489 Hymenolepis nana dwarf tapeworm 1 time 037 TotalI2g It therefore follows that while the per cent of persons infected was 3609 the infection per cent was 4849 Blood Of the 15 cases 16 specimens in which the blood was examined for the malarial parasite 2 were found to be positive and 13 negative It is obvious that the blood was examined but once in all cases excepting one A positive Widal reaction was obtained in 3 out of 9 cases 13 specimens examined The pathologist was out of the laboratory during the greater portion of that part of the year when malarial fever and typhoid fever are most apt to occur Most of the blood work was done on cases of helmin thiasis and as already stated an anemia was found in a num ber of cases Quite the most interesting case upon which blood work was done was one which presented the clinical picture and the blood picture of Pernicious Anemia The various examinations resulted as follows48 SIXTYFIFTH ANNUAL REPORT r 0 1 0 1 C 13 X O 0 oo o d fts T tH CO 0 u S3 rt Z ho u 05 m o w PVi pC 0 Q K V 0 O Pi c CO 0 J 0 W I2I 35 1239216 142 2800 5100 3200 1460 340 I27 25 1062000 1117 6223 800 2311 355 39 65 2200000 147 2400 3575 3650 1600 u75 421 80 4676000I 08s 11000 5650 1450 1775 825 1023 100 5I04000 098 7600 5868 2955 933 244 00 o rt Q 127 REMARKS No nucleated reds found Microcytes and macro cytes numerous Poikilocytosis marked Several megaloblasts and a lesser number of normo blasts present Microcytes and macrocytes numer ous Poikilocytosis marked 39 Nucleated reds present as on i27o8 Poikilocytosis less marked 4211 300 No nucleated reds Blood picture much improved r ri j ut mnnlKIoct 1023 Two normoblasts and possibly one megaloblast seen in counting 450 whites General appearance of reds good I am indebted to Dr R C Swint of the Medical Staff for the following notes on the case D B white male age 31 weight 152 farmer Second admission July 27 1907 Physical condition good on admission Patella re flex slightly exaggerated Delusional Attention memory and ideaassociation fair orientation good At times excited at others depressed Said to be suicidal violent and destructive Diagnosis ManicDepressive Insanity In December 1907 patient began to complain of loss of appe tite and of weariness Given Syr Hypophos Co Drs2 t i d In January it was noted that there was no improvement in the pa tients condition In addition to the above symptoms he became jaundiced slightly oedematous about the ankles He complained of palpitation of the heart on the least exertion and had to be put to bed His countenance was pale the sclera had a pearly or glisten ing appearance and the muscles appeared soft and flabby January 26 1908 T P R 996Fii220 Patient complained of a weak feeling shortness of breath and a poor appetite bowels loose voided urine six times in 24 hours At 5 p m T P RGEORGIA STATE SANITARIUM 49 ioo2Fioo24 Began Liquor Potass Arsenitis 3 gtts in water t i d with directions to increase 5 gtts in dose in one week Feces negative for evidence of parasitism Patients temperature ranged between oaF and looF until about February 12 1908 when it became normal with an occasional rise of nearly iF Fowlers solution of arsenic was given up to 25 gtts t i d without any unpleasant symptoms but soon de veloped colicky pains and diarrhoea Arsenic was omitted for a few days when treatment was renewed as before Patients con dition steadily improved as the blood picture improved Sputum Of the 76 cases 96 specimens examined for Tubercle bacillus 12 or 1565 per cent were found to be positive In this connection it may be well to state that only specimens of a doubtful nature are sent to the laboratory for examin ation Four of the six cases examined for Diplococcus pneu moniae were positive Tuberculin Test of Herd As reported to you in detail under date of September 1 1908 the tuberculin test was applied to 325 animals during June and July with the result that not even one certainly positive reaction was obtained though there were a few doubtful reactions A detailed report of the test had been previously submitted to and passed upon by Dr A D Melvin Chief of the Bureau of Animal Industry Washing ton D C I desire to express my thanks to you and to the various members of the staff of assistant physicians for uniform kindness shown me throughout the year Very respectfully D G WILIvETS PathologistSo SIXTYFIFTH ANNUAL REPORT JlenM department Dr L M Jones Superintendent Dear DoctorThe following is a report itemizing the Dental Treatment and Operations of this department dur ing the year 1908 Tumors removed 2 Alveolar Abscesses Treated 4 Diseased Anthrums Treated Facial Neuralgia Treated Periodontitis Treated 21 Stomatitis Treated I Pyorrhoea Alveolaris Treated 5 Acute Odontalia Treated 6 Anchylosis Jaw caused by impacted 3rd Molars Calcarious deposits removed Number of patients 59 Pulps Devitalized removed and cavities and pulp canals filled 98 Putrescent Pulps removed tooth treated cavities and pulp canals filled Si Cavities filled with Oxphosphate Zinc 284 Cavities filled with Amalgam 472 Cavities filled with Guttapercha 2 Cavities filled with Gold 22 Crowns made 11 Crowns reset 1 Bridges made 2 Artificial Dentures made 7 Artificial Dentures repaired 5 Hypersensitive teeth from erosion or attrition cau terized with Nitrate of Silver number of pa tients 3 Teeth Cleaned Number of patients 10 Teeth and roots badly decayed ulcerative and of fensive extracted 701 Number of patients during the year 998GEORGIA STATE SANITARIUM Si Remarks During the year I have visited the wards taking them in numerical order examined the mouths of the patients and rendered such services as were feasible Very respectfully submitted J C RICHARD Dentist 52 SIXTYFIFTH ANNUAL REPORT JRepart of fTiimtrktt Milledgeville Jan 1st 1909 Dr L M Jones Superintendent Dear SirPermit me to submit the following as my an nual report for the year ending Jan 1st 1909 Number of books and magazines at last report18881 Contributions received of books and magazines during the year end ing January 1st iog Judge T G Lawson magazines 131 C H Murphy magazines 16 T R Bradly magazines 215 Mrs J M Darnell books 4 History Class Macon Ga books I Mrs William Turpin magazines 450 Mrs Tennant magazines 31 Mrs Sarah Fears books 14 Dodson Supply Co magazines 60 N Maddox magazines and books 7 Miss Julia Stubb magazines and books 70 Mrs L J Lamar magazines 28 T J Caraker magazines 27 Elbert Bivins books 3 Y M Hudson magazines 104 Mrs Anna Harrold magazines 60 P J Cline magazines 145 Total1375 The following papers come to library free as complimentary copies sent by the editors Macon Telegraph daily Atlanta Journal daily Atlanta Georgian daily Augusta Herald daily Savannah Press daily Savannah News dailyGEORGIA STATE SANITARIUM 53 Albany Herald daily Rome Tribune and Herald daily Christian Index weekly Wesleyan Chritian Advocate weekly Baptist World weekly Golden Age weekly North Georgian weekly Lidville Enterprise weekly Blackshear Times weekly Union and Recorder weekly D E KIBBEE Librarian ttv54 SIXTYFIFTH ANNUAL REPORT Import af iWatam Milledgeville Jan ist 1909 Dr L M Jones Superintendent Dear SirWith thanks to the officers and to my co workers who have in any way aided me permit me to sub mit the enclosed as my report from Jan 1st 1908 to Jan ist 1909 I would add that all repairing has been done for the in stitution and all scraps and remnants put to a good use and have been properly accounted for through Storekeepers of fice Respectfully submitted MRS J M DARNELL Matron Aprons 791 Aprons sleeve 1 Bed Ticks 2308 Bonnets 358 Bureau Scarfs 336 Curtains 186 Coats 12 Chemise 3600 Capes Flannel 250 Covers Table 260 Drawers 8040 Diapers 175 Dresses 5808 Dresses strong 1056 Gowns 2185 Mattresses made over 218 Napkins 74 Operating Suits 20 Pillow Feather 1 Pillow Cases 7958 Pilow Cases 7958 Pillow Ticks 1519 Pillow Burial 236 Pants 4856 Protector Chest 6 Shades Window 4 Sheets15330 Skirts Flannel 50 Shirt Waists 80 Shirts Night 330 Shirts 7 Skirts Under 5158 Suspenders 2700 Shirts 7108 Towels 5058 Waists Under 395 Total7254GEORGIA STATE SANITARIUM Clothing Made From Goods Belonging to Patients Aprons Bonnets Corset Covers Dresses Drawers pairs Gowns 9 2 6 18 6 2 Skirt Dress Sacque Dress Skirts Under Waists SS 8 2 14 Total 87 Bandages Cotton Bandages ft51937 Gauze Bandages ft56793 Bias Bandages ft 186 Sterile Gauze yds 1000 Flannel Bandages ft 1080 Iodoform Bandages yds 23 Tea Bandages 6 Abdominal Bandages 6 Canned Fruit and Pickles Canned Fruit gals 386 Preserves lbs370 Jelly Glasses1976 Jam lbs2485 Catsup gals 47 Pickle gals 355 ItK56 SIXTYFIFTH ANNUAL REPORT Jlepart af ttmxtttv Milledgeville Jan ist 1909 Dr L M Jones Superintendent Georgia State Sanitarium My Dear SirI submit herewith my report of the Re ceipts and Disbursements of my office as Treasurer for the fiscal year ending December 31 1908 Support and Maintenance RECEIPTS 1908 Dec 31 Received from State Treasurer40500000 DISBURSEMENTS 1908 Dec 31 Paid Overdraft 1907 267623 Subsistence 13304715 Clothing 4842221 Fuel and Transportation 3637987 Salaries 3160105 Wages 11165625 Incidental Expenses 3055208 Medical Supplies 405481 Contingencies 50861 Stationery and Postage 129048 40018874 Balance 481126 40500000 Special Appropriations WATER WORKS 1907 Dec 31 Balance on hand608874 1908 Dec 31 Disbursements 187659 Balance on hand 421215 608874GEORGIA STATE SANITARIUM 57 L H ANDREWS Treasurer In Account with the Georgia State Sanitarium 1908 Dec 31 Balance on deposit with the M F Bank2242117 Outstanding vouchers for month of December 1339776 Balance account of Water Works fund 421215 Balance account of general fund 481126 2242117 Certificate of L C Hall Cashier of the Merchants and Farmers Bank attached and made a part of my report Respectfully submitted L H ANDREWS Treasurer Milledgeville Ga Dec 31 1908 This is to certify that Mr L H Andrews Treasurer Georgia State Sanitarium has on deposit in this bank subject to check at the close of business this day Twentytwo Thousand Four Hundred Twentyone and 17100 Dollars 2242117 L C HALL Cashier The Merchants Farmers Bank Attest Jno T Day N P Baldwin County Georgia58 SIXTYFIFTH ANNUAL REPORT depart af lltyaplaht To the Trustees of Georgia State Sanitarium As Chaplain of the institution 1 have to report that the usual duties of said office were filled by me from November ist 1907 to November 1st 1908 I held religious service every Sunday afternoon in each month unless prevented by good cause sanctioned by your Superintendent and held funeral service for the dead when so ordered Respectfully submitted LAMAR SIMS potljecarjr department Milledgeville Ga Jan ist 1909 Dr L M Jones Superintendent Dear SirThe following is my report of Apothecarys Department from January 1908 to January 1909 It being the policy of this department to manufacture all pharmaceuticals and preparations used by the institu tion We have done so at all times when it was economy to do so restricting purchases to chemicals and such special ties as were required by the physicians Statement The following is a statement of all expenditures etc of Apothecarys Department from January 1908 to Janu ary 1909 Amount of drugs purchased including all druggists sun dries dental and laboratory supplies etc all prepara tions for fumigation disinfecting and sanitary pur poses also all alcohol wines and whiskies405481 Amount of drugs sold to officers and employees 27357 Amount of drugs on hand 287475 Amount of fixtures etc 3855 Number of prescriptions filled33220 Respectfully submitted D S CARRINGTON Apothecary G S SGEORGIA STATE SANITARIUM 59 Jteport of ninttv Milledgeville Ga Jan ist 1909 Dr L M Jones Superintendent Dear SirI have the honor to submit herewith my re port of the workings of this department from January ist 1908 to January ist 1909 Respectfully submitted T IT DeSAUSSURE Engineer Improvements During the latter part of the year 1907 work was be gun on a cow barn and a shelter for dry cattle These build ings have been completed and a threeroom cottage built at that location for the dairyman Twelve hundred and sixty feet of twoinch cast iron pipe has been laid to carry water from the nearest point of our water mains to this dairy Work has been begun on the buildings at the old dairy which are to take the place of the cow sheds that are in bad condition and need renewal or removal The wood work of the first of these buildings is completed and we are now putting down the concrete floor This building is one hundred feet six inches long by thirtyfive feet wide It is built of wood on a brick foundation and will have concrete floor gutters and feed troughs It will be fitted with swinging iron stanchions and iron pipe partitions between the stalls There will be stalls for fortyfour milkers and four box stalls ten by fourteen feet for sick cows and cows during the period of parturition For the calves and the bulls a separate building has been built This building is eightyfour by twentyfour feet It is divided up into box stalls on each side with an alley way between and a hay loft overhead6o SIXTYFIFTH ANNUAL RFPORT The two plats of ground on the east and west sides of the back yard of the T O Powell building have been plow ed up carefully cleared of all litter leveled and put in such shape that the grass thereon may be mowed with a horse machine and the hay saved The equipment of the bakery has been much improved during the year A threebarrel dough mixer and a flour sifter have been bought and installed These are run from a countershaft driven by the fan engine The change from hand mixed to machine mixed dough has resulted in a much better bread than was possible by the old method A dough divider has also been placed in the bakery and rolls are now made each morning for breakfast in place of the cracker biscuit The equipment of the bakery has been further im proved by the addition of steel dough troughs and pan racks all on casters and a proof box We have placed a screen of brass wire around the lower end of the suction pipe of the raw water pumps at the water works This is to prevent the clogging of the foot valve by pine straws and fine leaves coming through the coarser screen at the river end of the intake pipe A four inch relief valve and two automatic air valves have been put on the twelveinch pipe line from the water works and a small automatic air valve placed on the four inch pressure line to the sedimentation basins Iron pipe railings have been put up around the exposed edge of the pump pit and down the stairway leading to the floor below The clear water basin at the water works has been cov ered with a light wooden roof to prevent the growth of algae and to keep out polluting matter A considerable amount of grading and terracing has been done on the grounds around the water works station and the place is much improved There still remains much to be done along these lines however before the work is completed This work has been done entirely by colored patients at times when they can be best used in that way We have laid a duplicate line of twelveinch pipe across Fishing Creek and the low ground adjacent This line of pipe is so connected with the main line that should eitherGEORGIA STATE SANITARIUM 61 one fail under water it could be cut out until repaired with out crippling the service On open pavilion twenty by thirtysix feet has been built in the yard for female negro tubercular patients and the water closets in the yard covered and connected to the pavilions by covered ways A road way has been made through the lawn between the storehouse and the female convalescent building The radiators of the infirmary ward in the T O Powell building have been independently connected to the steam heating system so that that ward may be heated at times when it is not necessary to have steam on the entire build ing The hothouse has beenalmost entirely rebuilt raglazed and painted much of it having rotted on account of the humid atmosphere it is necessary to maintain therein New radiators have also been built in this building The 12x8x10 Worthington Duplex pump in the engine room of the T O Powell building which was put in in 1876 as a fire pump has been thoroughly overhauled and is now doing good service daily in pumping the water used at nights The 10x20 Fan engine has also been overhauled and a new governor put on This engine has been doing work daily except at such times as it has been laid up for repairs since 1856 Nine cottages have been reshingled during the year re quiring one hundred and thirtyeight squares to be laid One of the eightygallon steam kettles has been taken from the kitchen of the Twin Buildings and added to the cooking apparatus of the negro building and a sixtygallon kettle put in its place The coffee urn of the Twin Buildings being too small for the number of patients at that place a larger one eighty gallons has been bought and installed and the urn removed has been added to the equipment of the negro building A new galvanied iron shell brass cylinder washing machine has been added to the apparatus in the laundry A complete new set of brass tubes have been put in the water heater at the Green Building 62 SIXTYFIFTH ANNUAL REPORT A latticed partition with double doors therein has been placed in the archway leading into the Amusement Hall separating that portion of the building from the wards The parapet walls over the sunrooms of the Twin build ing have been waterproofed to prevent the moisture enter ing through the brickwork staining the plastering The following painting has been done The hallways of the lower floor five rooms and the stairways in the T O Powell Building Seven rooms and the hallway in the residence section of the female convalescent building The woodwork of the Amusement Hall Six bath rooms in the female convalescent building The entire woodwork and the walls of the cemented rooms of wards Nos I 2 7 9 10 11 12 and 13 The water tower and tank at the Colony The walls and woodwork of seventeen cemented rooms in various wards not mentioned above The outside of one eightroom cottage The inside of one threeroom cottage Forty dining tables Thirtytwo bedsteads The cover of the clear water basin Besides doing the ordinary repair work of the institu tion the following articles have been made in the several shops 432 Coffins 140 Boxes for shipping cof fins 2 Sink Drainboards 48 Tables 5 Lattice Doors 4 Hominy Paddles 1 Carving Board 4 Bread Peels for Bakery 1 Rolling Pin 1 Telephone Booth 8 Singletrees 1 Doubletree 3 Coupling Poles 1 Cart Shaft 2 Carry Logs g Doors 11 Benches 1 Ox Yoke 1 Examining Table 1 Chicken House 3 Wagon Crates 6 Rooms floored 6 Rakes 2 Hog Troughs 1 Water Trough 1 Cabinet for records 4 Plow Beams 6 Pair Steps 1 Towel Roller 1 Music Stool 14 Commodes GEORGIA STATE SANITARIUM 63 5 Gates 15 Chicken Coops 13 Platforms for Chicken Coops 1 Grating for Gas Works 12 Voucher Boxes 1 Large Box for Storing Vouchers 2 Wagon Bodies i Flat Top Desk 377 Shuck Mops 12 Meat Boxes 2 Tops for Dough Troughs 2 Chicken Troughs 74 Table Legs 1 Large Bookcase I Hall 14x128 feet floored 1 Hopper Rim 3 Feed Troughs for cows 45 Scrub Brush Handles 1 Cabinet for Keys 1 Tool Box I Pair of Crutches I7S Caps for Potato Hills 1 Hospital Litter 2 Pair Single Shafts for Wagon Tin Shop IS 50pound Lard Cans 42 ft of 10inch Stope Pipe 12 Meal Boxes for Wards 1 Salt and Pepper Box 18 Milk Pans 230 Hgal Pitchers 5 Coffee Pots 2 Potato Steamers 2 Large Galv Iron Tubs 14 Chicken Troughs 122 Large Dish Pans 1 Ice Cream Churn Can 4 Dinner Pails 12 Guano Horns 1 Sprinkler 1 Rice Pan r Reflector 2 5gal Water Cans 1 30inch Ventilator 2 10gal Coffee Pots 31 Cake Pans 4 Oil Cans 2 Funnels 1 Biscuit Cutter 1 Lining for laundry truck 3 Torches 1 Syrup Can 1 Syrup Skimmer 18 Potato Steamers 16 Milk Buckets 6 Milk Shakers in Cups 14 Scoops 2 Gallon Measures 1 Galvanized Iron Box 2 Bread Boxes 3 Rice Steamers 1 Cake Steamer Furniture Repair Shop 1184 Chairs Repaired 67 New Cane Seats put in Chairs 30 Cane Backs repaired 6 New Cane Backs 18 Chairs Upholstered 2 Cane Seats Repaired 1 Table covered 1 Whip made 5 Back Straps made 1 Leather Knee Cap made 4 Bridle Reins made 1 Stirrup Leather repair ed64 SIXTYFIFTH ANNUAL REPORT 1 Carriage Fender repair ed 4 Flower Stands 3 Night Watch Clock Cases Repaired 2 Beds Repaired ir Lounges Upholstered I Barber Chair I Door Repaired 174 Small Tables Varnished 503 Wooden Seats put in Chairs 81 Dressers Repaired 6 Leather Seats put in Chairs 1 Covering for Stretcher 3 Mangle Aprons made 1 Linemans Leather Belt 216 Small Tables Repaired 1 Bench Repaired 26 Glasses put in Dressers 6 New Bed Springs put in 77 Window Shades Repair ed 2 Lounges Repaired 5 Organ Stools Repaired 5 Halls covered with Lin oleum 4 Screens repaired I Examining Table Up holstered 3 Safes Repaired 34 Curtains repaired 4 Traces repaired 57 Back Straps repaired 1 Breast Yoke Strap made 5 Stay Straps made 15 Belly Bands Repaired 3 Back Bands Repaired 1 Medicine Case Set Up 9 Trunks Repaired 1 Halter for Ox Made 2 Safes Varnished 30 Dressers Varnished 106 Spring Beds Repaired 114 Chairs Varnished 1 Door Lock Repaired 2 Carpets Put Down 2 Wall Brushes Repaired 7 Tie Reins Made 141 Hame Strings Made 1 Ox Collar Made 2 Iron Bedsteads Repair ed 14 Reins Repaired 43 Breechings Repaired 18 Bridles Repaired 6 Collars Repaired 17 Sets of Harness Repair ed 2 Medicine Cases Repair ed S Trunks Varnished 2 Shaft Bands Put OnGEORGIA STATE SANITARIUM 65 depart af Jteitrarb Milledgeville Ga Jan 1st 1909 Dr L M Jones Superintendent Dear SirI have the honor to transmit through you to our honorable Board of Trustees this my report as Steward embracing the period from January 1 1908 to January 1 1909 Abstract A shows the overdraft brought forward from last year the amount drawn from the State Treasurer for support and maintenance of the Sanitarium together with a classified statement of the disbursements and the balance 481126 carried forward to next year Abstract B shows the expenditures on account of subsistence Abstract C shows the expenditures on account of clothing Abstract D shows the expenditures on account of fuel and transportation Abstract E shows total amount of officers pay roll Abstract F shows total amount of employees pay rolls Abstract G shows the expenditures on account of in cidentals Abstract H shows the expenditures on account of medical supplies Abstract I shows the expenditures on account of con tingencies Abstract J shows the expenditures on account of sta tionary and postage Abstract K shows the expenditures on account of spe cial appropriation for waterworks Abstract L shows the requisitions drawn on State Treasurer for support and maintenance 66 SIXTYFIFTH ANNUAL REPORT Abstract M shows the average number of patients from 1883 to 1909 and the per capita cost per diem and per annum Abstract N shows the cost of maintaining one patient for a year month week and day Our Storekeeper Mr W H Hunter reports stock on hand 1954523 Our Apothecary Mr D S Carrington reports stock on hand 287475 Our per capita per diem is 347 By reference to report of Mr G W Hollinshead Assis tant Steward you will ascertain results from garden dairy hogs etc also report of stock wagons implements etc on hand In compliance with the law duplicate voucher of the expenses accompanied by the required certificate approved by the Superintendent and audited by the Board of Trus tees have been filed in the Executive Department in At lanta I have devoted my entire time as required by the rules to the Stewards work and have to the best of my ability discharged the duties incumbent upon me Respectfully submitted LUCIUS J LAMAR Steward G S SGEORGIA STATE SANITARIUM 67 Abstract A Shows all money received from State Treasurer with a classified statement of the disbursements from January 1 1908 to January I 1909 1909 Dr Jan I To State Treasurer 40500000 1908 Cr Jan 1 By overdraft 267623 1909 Jan 1 By Subsistence 13304715 By Clothing 4842221 By Fuel and Transportation 3637987 By Salaries 3160105 By Wages 11165625 By Incidental Expenses 3055208 By Medical Supplies 405481 By Contingencies 50861 By Stationery and Postage 129048 40018874 By Cash on Hand 481126 4050000068 SIXTYFIFTH ANNUAL REPORT Abstract B Shows the Expenditures on Account of Subsistence from January 1908 to January 1 1909 DATE TO WHOM PAID WHAT FOR AMOUNT Jan 31 J H Ennis Natl Pking Co Waxelbaum H P Co Swift Co Whatfield Groc Co Fruit Samples Potatoes Samples Groceries Hall LamarIGroceries Feb 29 McCord Stewart Co Louisville Pkg Co Robert Buist Co Natl Pkg Co Burkenroad Goldsmith Co Hancock Bros Co McCord Stewart Co Perm Watson Berry Suhling T Co Mangels Herold Co S R Jaqucs T Co Hall Lamar Home Andrews C Co Swift Co Chandler Bros W A Brown T Co Chandler Bros Oconee R Mills Armour Co Fleischmann Co J W Stembridge J A Thomas F A Bradley T A Napier Jesse Miller J A Brooks J A Buck T Treanor W H Blanks Swift Co Hall Lamar Whitfield Groc Co Tno Conn Co Waxelbaum H P Co J F Bell Natl Pkg Co Burkenroad G Co Hancock Bros Co McCord Stewart Co N A Tob Co Berry Suhling Tob Co Foster Jeanes Co Groceries Samples Seed Hams Rice Tobacco Coffee Tobacco Tobacco Syrup Groceries Groceries Meat Lard Butter Tobacco Butter Meal Beef Yeast Butter Butter Butter Butter Butter Milk Milk Milk Milk Lard Prov Groceries Groceries Lemons Groceries Lard Rice Tobacco Rice Tobacco Tobacco Syrup 18465 518 8367 583 19790 2555 24811 243 9819 23828 2589S 6625 32398 15840 5625 31680 325413 125307 143864 20844 3IS0 5800 2435 41040 271474 2520 4269 2212 15550 2837 419 9909 2800 5125 3100 7888 27775 13750 8945 460 43L5 23492 24865 6625 35446 43So 5625 iS44GEORGIA STATE SANITARIUM Abstract BContinued 69 DATE TO WHOM PAID WHAT FOR S R Jaques CoGroceries Whitfield Groc CoGroceries Swift Co Hams Flournoy Groc Co Vinegar Armour Co Beef Oconee R Mills Meal Home A Com CoHams Fleischmann Co Yeast J W StembridgeButter Joe Hudson Butter Jessie MillerButter F A BradleyButter T A NapierButter J A ThomasButter A D Truman CoButter C A UnderwoodButter J A BrooksMilk J A BuckMilk T Trcanor Milk W H BlanksMilk Mch 31 Coes Mortimer Co Fertilizers Home A Com CoMeat Hall LamarProv M J Flynn CoTea Oconee R MillsC Feed Jno Conn CoGroceries M W Johnson S CoSeed Whitfield Groc Co Prov J F BellGroceries G R Jaques T CoPotatoes A J Carr Lemons Acid C S Meal Seed Lard Turnips Lard Rice Coffee Groceries Groceries Lard Meal Tobacco Yeast Beef Butter Butter Butter Butter Buttter S Evans Sons Co Milledgeville Oil Mills Robert Buist Co The Cudahy Pkg Co Roush Bros Co Nat Pkg Co Burkenroad G Co McCord Stewart Co S R Jaques T Co Whitfield Groc Co Swift Co Oconee R Mills W A Brown T Co The Fleischmann Co Armour Co F A Bradley T C Haddocks A D Thurman Co J W Stembridge Jesse Miller AMOUNT 29333 166304 26884 4838 221901 46080 14904 2240 4419 762 1850 8619 2425 4175 819 1250 10642 2621 3230 2900 97273 160127 29625 7698 5ioo 850 225 17497 2934 11000 400 35925 92004 I576 9720 7050 24178 25385 21742 310766 73390 27071 20880 4350 2520 192718 5994 2094 2125 3919 125670 SIXTYFIFTH ANNUAL REPORT Abstract BContinued DATE TO WHOM PAID J A Thomas T A Napier C A Underwood Joe Hudson J A Brooks J A Buck T Treanor W H Blanks T Treanor T E Godbey Son Apr 30 S R Jaques T Co Home A Com Co Hall Lamar Roush Produce Co Nat Pkg Co Waxelbaum P Co S R Jaques T Co WHAT FOR AMOUNT Butter Butter Butter Butter Milk Milk Milk Milk Butter Butter Flour Meat Groceries Potatoes Samples Turnips Samples Swift Co Samples Co Whitfield Groc J F Bell Hall Lamar S R Jaques T Co C Roth Pkg Co J F Bell Hall Lamar Milledgeville Oil Mills Cudahy Pkg Co T Schwart A H Motley Co W A Brown T Co Whitfield Groc Co Penn Watson C M Gilbert Co Home A Com Co Armour Co T C Haddock Napier Underwood Stembridge Bradley Thomas Truman Co Cline Joe Hudson Jesse Miller J A Brooks J A Buck T Treanor W H Blanks Robson Evans Flejschmann Co T A C A W A I A A D P J Groceries Groceries Flour Flour Hams Coffee Prov Hulls Lard S Rice Tobacco Tobacco Groceries Tobacco Molasses Meat Beef Butter Butter Butter Butter Butter Butter Butter Butter Butter Butter Milk Milk Milk Milk Sugar Yeast 7650 3600 3112 575 10937 2621 5590 3100 3000 4200 53000 82656 9400 6250 162 9315 i33 327 H597 2777 11700 102000 32067 30039 126100 975 7555 26690 4400 11400 40610 6600 13572 123006 238158 2025 5250 4237 4900 8687 13450 8175 i75 625 1419 11763 3962 7369 3000 162790 2520GEORGIA STATE SANITARIUM Abstract BContinued 7i Hall Lamar May 31 Milledgeville Oil Mills A H Motley Co Penn Watson Hall Lamar Oconee R Mills Whitfield Groc Co Jno Conn Co J F Bell Dejournette Co Lamar T R Drug Co S R Jaques T Co J C Roth Pkg Co Robson Evans J F Bell Hall Lamar Cudahy Pkg Co G Schwartz W A Brown Tob Co Whitfield Groc Co C M Gilbert Co Home A Com Co Chandler Bros Armour Co The Fleischmann Co J W Stembridge A D Truman Co Joe Hudson Jesse Miller P H M Ree F A Bradley C A Underwood T A Napier J A Thomas J T Williams P J Cline A C Westbrooks J A Brooks J A Buck P Treanor W H Blank June 30 S R Jaques Co Hall Lamar Penn Watson J H Ennis Hall Lamar Whitfield Groc Co J F Bell Jno Conn Co J C Roth Pkg Co J F Bell Prov Soap Tobacco Tobacco Flour Meal Groceries Groceries Groceries Butter Ginger Groceries Hams Prov Coffee Flour Lard Rice Tobacco Groceries Molasses Meat Butter Beef Yeast Butter Butter Butter Butter Butter Butter Butter Butter Butter Butter Butter Butter Milk Milk Milk Milk Groceries Groceries Tobacco Mutton Rice Groceries Groceries Groceries Lard Coffee 52690 6000 4400 6600 60558 17850 5124 10250 3630 3630 450 49124 34731 155100 30039 39900 7288 26690 11400 24901 6743 I46937 4950 196819 2730 4737 22331 3212 1987 4137 13412 3225 5162 17700 2525 250 325 11871 3430 9412 3ioo 127500 122000 6600 II5 6286 3400 1425 4671 35579 3003972 SIXTYFIFTH ANNUAL REPORT Abstract BContinued DATE TO WHOM PAID Co July 23 L Comp Rice Tobacco Tobacco Groceries Molasses Meat Yeast Butter Butter Butter Butter Butter Butter Butter Butter Butter Butter Milk Milk Milk Milk Beef Meat Bran Bran Samples Samples Lemons Samples Samples Seed Lemons Groceries Tobacco Meat Tobacco Tobacco C Oil C M Gilbert Co Molasses Cudahy Pkg G Schwartz A H Motley Co W A Brown T Co Whitfield Gro Co C M Gilbert Co Hore A Com Co The Fleischmann Co A D Truman Co Joe Hudson Jesse Miller T A Napier Bradley McRee Stembridge Thomas Williams Underwood Brooks Buck T Treanor W H Blanks Armour Co Home A C Co Robson Evans Robson Evans S R Jaques T Co Nat Pkg Co Waxelbaum P Co Swift Co J M Napier Co Robert Buist Co Hall Lamar Whitfield Groc Co Penn Watson Home A Com Co W A Brown Tob Co A H Motley Co So Cotton Oil Co K A P H 1 W T A 1 T C A I A 1 A WHAT FOR Burkenrood G Co S R Jaynes T Co Cudahy Pkg Co J M Napier Co McCord Stewart Co F W Wagener Co Mangels Herald Co Whitfield Groc Co A J Carr Co Renick Ford Armour Co Rice Flour Meat Hams Coffee Molasses Molasses Groceries Lemons Syrup Beef AMOUNT 6903 22315 4400 11400 24901 4833 10330 3150 I8937 2S5o 4262 3937 9450 3550 4487 13775 2919 412 10172 U455 2757 3000 267074 52664 112308 63766 209 386 2775 189 436 665 1400 4225 6600 163241 5600 7000 9824 3720 H7I5 221427 78056 34443 12000 10954 14638 26131 700 10704 196550GEORGIA STATE SANITARIUM Abstract BContinued 73 DATE Aug 31 TO WHOM PAID WHAT FOR IAMOUNT Americus Groc CoVinegar Hall Lamar Prov The Fleischmann Co Yeast J T WilliamsButter T A NapierjButter F A BradleyButter J W StembridgeButter J A BrooksMilk T Treanor Milk J A BpckMilk W H BlanksMilk Annie Hudson Butter A D Freeman CoButter Joe HudsonButter J A Thomas Butter P H McRee Butter Jesse MillerButter J C Roth Pkg CoLard McCord Stewart Coffee Petty Cash Produce Waxelbaum P CoLemons J F BellGroceries Whitfield Groc Co Groceries Jno Conn CoGroceries Robt Buist CoSeed J N Napier CoHams Home A Com CoMeat Penn WatsonTobacco W A Brown T CoTobacco A H Motley CoTobacco So Cotton Oil CoOil J C Roth Pkg CoLard C M Gilbert CoMolasses Burkenroad G CoRice Penick Ford Syrup F W Wagener CoSyrup Mangels Harold Co Whitfield Groc Co S R Jaques T Co Cudahy Pkg Co Armour Co Hall Lamar J W Stembridge Annie Hudson Jesse Miller C M Hudson A D Freeman Co F A Bradley J T Williams T A Napier Joe Hudson Rice Groceries Groceries Meat Beef Bran Butter Butter Butter Butter Butter Butter Butter Butter Butter 9798 48800 3150 3625 11400 6100 3975 12100 10470 3970 3100 537 15462 3206 15412 3400 3050 18102 6i3S5 30000 1560 1852 5179 14296 439 35018 131464 6600 5600 7000 10032 18167 7225 11895 10432 14638 10954 28019 192400 70940 204339 36600 6031 1612 4612 1369 18844 7750 4031 4375 188774 SIXTYFIFTH ANNUAL REPORT Abstract BContinued DATE TO WHOM PAID WHAT FOR AMOUNT J A Thomas P H McRee J A Brooks J A Buck T Treanor W H Brants The Fleischmann Co Hall Lamar Sep 30 Hall Lamar Waxelbaum P Co Hall Lamar Whitfield Groc Co Jno Conn Co J M Napier Co Lenn Watson W A Brown T Co So Cotton Oil Co J C Roth Pkg Co C M Gilbert Co Burkenroad Groc Co Penick Ford F W Wagener Co S R Jaques Co Cudahy Pkg Co Petty Cash Robson Evans Armour Co Home A Com Co J W Stembridge A D Freeman Co L A Bradley T A Napier C M Hudson J T Williams Annie Hudson P H McRee Jesse Milton J A Thomas G L Newton Joe Hudson J A Brooks J A Buck T Treanor W H Blanks The Fleischmann Co Milledgeville Oil Mills Oct 31 Milledgeville Oil Mills J F Bell Waxelbaum P Co De Journette Co H Wright Butter Butter Milk Milk Milk Milk Yeast Prov Prov Lemons Prov Groceries Groceries Hams Tobacco Tobacco Oil Lard Molasses Rice Syrup Rice Flour Meat Produce Sugar Beef Meat Butter Butter Butter Butter Butter Butter Butter Butter Butter Butter Butter Butter Milk Milk Milk Milk Yeast C S Meal Soap Groceries Lemons Butter Seed 10587 2950 11839 3740 9775 3100 3150 36600 48800 1760 27583 2428 7246 34764 33oo 2800 6528 17803 3840 11790 10864 ioS79 166580 68569 30000 54340 267312 64980 4812 18831 5200 4050 312 4075 487 2275 1200 6775 719 1581 9977 3559 956o 3000 2800 34800 14988 3403 1860 27292 9900GEORGIA STATE SANITARIUM Abstract BContinued 75 DATE TO WHOM PAID WHAT FOR AMOUNT Robt Buist Co McCord Stewart Co S R Jaques T Co Swift Co Whitfield Groc Co C M Gilbert Co Schuffilin Co Whitfield Groc Co Robson Evans Oconee R Mills S R Jaques T Co Nat Pkg Co So Cotton Oil Co McCord Stewart Co Waxelbaum Pro Co Jonas Mendel M Ferst Sons Co C M Gilbert Co Penick Ford Mangels Herold Co S B Fowler Armour Co The Fleischmann Co G L Newton T A Napier F A Bradley J W Stembridge P H McRee A D Trumans Co Jesse Miller Joe Hudson J T Williams J A Thomas J A Brooks J A Buck J Brand W R Blank Nov 30 A J Carr Co Jno Conn Co J F Bell Whitfield Groc Co Nat Pkg Co Louisville Pkg Co Robt Buist Co eD Journette Co Milledgeville O Mills J C Morton C M Stewart S R Jaques T Co Whitfield Groc Co Nat Pkg Co Seed Coffee Samples Samples Groceries Molasses C Tartar Groceries Sugar Meat Flour Meat Oil Coffee Potatoes Rice Rice Molasses Syrup Syrup Vinegar Beef Yeast Butter Butter Butter Butter Butter Butter Butter Butter Butter Butter Milk Milk Milk Milk Rice Groceries Groceries Groceries Samples Samples Seed Butter Meal Corn Corn Flour Groceries Meat 6010 340 475 625 6620 7157 1225 111568 54518 59840 200003 184675 18000 83458 15643 12000 15204 6525 5600 11539 1624 221969 3150 993 3100 3268 6050 2925 13525 1900 1287 1662 675 10372 3332 10600 3100 3082 20020 1560 3113 S8i 244 280 18829 73354 90000 54000 188233 IH545 18582376 SIXTYFIFTH ANNUAL REPORT Abstract BContinued DATE TO WHOM PAID T WHAT FOR AMOUNT Dec 31 So Cotton Oil Co McCord Stewart Co S B Fowler Maxelbaum P Co Jonas Mendel Robson Evans Oconee R Mills M Ferst Sons Co C M Gilbert Co Penick Ford W A Brown T Co Mangels Herold Co H V Arnold Milledgeville O Mills J A Thomas F A Napier F A Bradley J W Stembridge A D Frumson Co Jesse Miller Joe Hudson G L Newton P H McRee J T Williams J A Brooks J A Buck T Treanor W H Blanks The Fleischmann Co Armour Co Oconee R Mills J C Coleman C F Miller Homer Wood Jas Ennis S R Jaques T Co Whitfield Groc Co Nat Pkg Co So Cotton Oil Co Mccord Stewart Co Burr Mfg Co Jonas Mandel Robson Evans M Ferst Sons Co C M Gilbert Co Penick Ford W A Brown Tob Co Mangels Herold Co Jno Farrar1 Waxelbaum P Co Whitfield Groc Co Oil Coffee Vinegar Potatoes Rice Sugar Meal Coffee Molasses Syrup Tobacco Syrup Butter Hulls Butter Butter Butter Butter Butter Butter Butter Butter Butter Butter Milk Milk Milk Milk Yeast Beef Meal Turkeys Corn Turkeys Turkeys Flour Groceries Meat Oil Coffee Vinegar Rice Sugar Coffee Molasses Syrup Tobacco Syrup Turkeys Lemons Cocoa 18413 101398 2160 8844 12000 54791 39270 15094 7530 4918 8700 H539 450 9790 1562 1594 4162 4350 5806 2187 1631 73i 1375 700 10247 3847 7265 3000 3150 242927 37400 1840 12000 H543 1957 200250 79451 179635 21405 52480 613 12000 35576 15094 3420 S36o 7300 11540 2228 1350 665GEORGIA STATE SANITARIUM Abstract BContinued 77 DATE TO WHOM PAID WHAT FOR De Journette Co C II Bonner N T Lewis Oconee R Mills Hall Lamar Armour Co A D Freeman Co J W Stembridge T A Napier F A Bradley G L Huston Joe Hudson Jesse Miller J T Williams jj A Brooks J A Buck W H Blanks T Treanor J H Crann The Fleischmann Co Butter Turkeys Turkeys Meal Soap Beef Butter Butter Butter Butter Butter Butter Butter Butter Milk Milk Milk Milk Oysters Yeast Total AMOUNT 28652 9502 2955 41140 18240 162959 5725 4206 1112 5662 275 650 812 775 7669 2371 3000 7900 55 3150 P13304715 Abstract C Shows the Expenditures on Account of Clothing from January 1 1908 to January 1 1909 DATE Jan 31 TO WHOM PAID Quinn Marshall Co Burton Smith Co Haber Bloch H Co Atkins McK B Co J K Orr Shoe Co J Rosenheim Shoe Co Jno Silvey Co Carson P Scott Co M C Kiser Co Munhard Schaul Co Gugenheimer Co Quinn Marshall Co W H Brigham Co W H Thomas Co Gans Lipman A A Bell The Dannenburg Co WHAT FOR AMOUNT Checks Swiss Hats Hats Shoes Shoes Samples Samples Shoes Vests Samples Samples Samples Coats Hats Calico Blankets I 40725 603 33oo 701 3728 5554 123 208 1263 3595 941 1327 1786 21368 3412 5029 5165 78 SIXTYFIFTH ANNUAL REPORT Abstract CContinued DATE TO WHOM PAID Feb 29 Mch 31 Apr 30 Hornett Warner Co A A Bell W H Thomas Co Carson P Scott Co Wingo Ulet C Shoe Co J K Orr Shoe Co M C Kiser Co J Rosenheim Shoe Co Atkins McK Brown Co Munhard Schaul Co C W Mills Dannenberg Co Quinn Marshall Co The Thread Agency Edelstein Baron A A Bell United C W Co Edelstein Baron Howell Wagner Co A A Bell W H Thomas Co Quinn Marshall Co Carson P S Co Wingo Ellet C S Co J K Orr Shoe Co M C Kiser Co J Rosenheim S Co Atkins McK B Co MeinhardSchaul Co The Danenberg Co J C W Mills W H Thomas Co Hornett Warner Co E E Bell W H Thomas Co Quinn Marshall Co Quinn Marshall Co J K Orr Shoe Co J Rosenheim S Co J C W Mills The Dannenberg Co Pringle Bros M Cohn Sons Co Haber Bloch H Co Meinhard Schaul Co Wolff C W L Co Guggenheimer Co Epstein Baron The Donnenberg Co E E Bell W H Thomas Co WHAT FOR Blankets Shoes Blankets Oil Cloth Shoes Shoes Shoes Shoes Hats Coats Jeans Blankets Spreads Thread Buttons Shoes Blankets Sfiirting Sheeting Blankets Coats Spreads Brushes Shoes Shoes Shoes Shoes Hats Coats Blankets Jeans Blankets Blankets Shoes Coats Domestics Domestics Shoes Shoes Jeans Domestics Domestics Samples Hats Coats Hosiery Hosiery Hosiery Hosiery Shoes Buttons AMOUNT 33477 50000 91530 3000 10750 48024 5500 11880 22500 25375 12534 44578 37786 7919 4950 1995 9000 47683 47377 47250 110829 74669 7918 10750 57402 5500 11880 15000 13125 76597 12339 50435 4350 49840 80445 34592 93io 20502 11880 12164 43218 30622 236 134 8492 794 809 1458 4512 6311 3601GEORGIA STATE SANITARIUM 79 Abstract CContinued DATE TO WHOM PAID WHAT FOR AMOUNT Quinri Marshall Co Buttons J Rosenheim S CoShoes Goodmon WoottenCalico L Mohr SonsSamples United C W CoSamples Barden Smith CoSamples Happ Bros CoISamples J K Orr Shoe CoShoes May 31 June 30 July 31 Carson P S Co Hornett Warner Co A Wolff C W L Co W H Thomas Co E E Bell The Dannenberg Co Burton Taylor Wise Co Quinn Marshall Co Burden Smith Co Edelstein Baron K Orr Shoe Co J Rosenheim S Co A A Waxelbaum Bro Guggenheimer Co Goodman Wootten E E Bass Edelstein Brown Augusta Oil Mills EE Bell Hornett Warner Co E Wolff C W L Co W H Thomas Co E E Bell The Donnenberg Co Burton Taylor Wise Co Quinn Marshall Co Burton Taylor Wise Co J K Orr Shoe Co J Rosenheim S Co E A Waxelbaum Bro E E Bell Gugenheimer Co Goodman Wootten Hornett Warner Co W H Thomas Co Dannenberg Co Quinn Marshall Co E E Bell E E Bell Burden Smith Co E Wolff C W L Co J R Freed Dougherty Ward Little Co Samples Sheeting Linters Spreads Domestics Domestics Domestics Domestics Spreads Combs Shoes Shoes Shoes Samples Shoes Shoes Sheeting Linters Calico Hosiery Hosiery Hosiery Shoes Drills Shirtings Domestics Domestics Shoes Shoes Shoes Shoes Hosiery Shoes Sheeting Coats Domestics Domestics Shoes Ginghams Lawns Hosiery Hosiery Hosiery 1017 3184 2956 214 228 627 263 39i8 544 98698 43477 28000 4I32S 66000 13500 24104 14500 7138 36900 15840 8970 2150 1260 IS625 45000 10045 7185 8076 10000 7500 38025 2853T 13500 40824 13252 19375 5940 8970 20250 2993 1260 38898 18375 53603 28416 1936 68908 7034 13473 209 5780 SIXTYFIFTH ANNUAL REPORT Abstract CContinued DATE TO WHOM PAID Aug Sep 30 Oct 31 Dannenberg Co J K Orr Shoe Co Edelstein Baron J Rosenheim Shoe Co Atkins McK B Co Epstein Bro Co Guggenheimer Co Quinn Marshall Co M C Kiser Co W H Thomas Co E E Bell E Wolff C W L Co Gans Lipman Hornett Warner Co Gugenheimer Co Dougherty W Little Co Quinn Marshall Co E E Bell J K Orr Shoe Co M C Kiser Epstein Bro Co Donneberg Co Burton Taylor Wise Co W H Thomas Co E Waxelbaum Bro Burden Smith Co Hornett Warner Co Guggenheimer Co Dougherty W Little Co Quinn arshall Co E E Bell J K Orr Shoe Co M C Kiser Co E A Waxelbaum Bro J Epstein Bro Co Dannenberg Co Burton Taylor Wise Co W H Thomas Co Middletown Hat Co E E Bell W FI Thomas Co Middletown Hat Co Donnenberg Co Burton T Wise Co Milledgeville Oil Mills J K Orr Shoe Co F Hany Shoe Co E E Bell Gugenheimer Co M C Kiser Co Joseph D G C Co WHAT FOR Hosiery Shoes Pins Shoes Hats Samples Samples Samples Samples Samples Samples Samples Hats Spreads Hosiery Hosiery Hosiery Shoes Shoes Shoes Domestics Domestics Domestics Shoes Shoes Matting Gen Power Gen Power Hosier Hosiery Dry Goods Shoes Shoes Shoes Domestics Domestics Domestics Hats Hats Dry Goods Dry Goods Hats Hosiery Domestics Linters Shoes Shoes Shoes Hosiery Shoes Samples AMOUNT 2016 3152 470 5349 1100 129 257 932 1940 1822 6434 738 3490 13875 20856 4000 3750 30875 19980 12000 46809 32426 101288 26000 14280 660 13875 20856 4000 3750 28250 20564 11000 14280 59219 27929 130134 25350 11463 1367 53977 12088 4524 31056 21500 576o 929 10503 4543 1640 6019GEORGIA STATE SANITARIUM Abstract CContinued 81 DATE TO WHOM PAID WHAT FOR AMOUNT E Wolff C W L Co Blankets 6397 43Si 36316 13292 7475 2434 1612 1607 1724 1675 33i6 11S8 26274 12125 9450 5000 24264 33600 I4558 38500 86985 67500 12575 29795 90252 1125 4164 26467 11625 10773 23455 4392 15005 27458 57600 73200 10982 29795 82919 18231 66463 27334 26467 11625 6125 24000 12500 21430 27457 42500 69224 Dry Goods Dry Goods Coats Donnenberg Co Munhard Schaul Co Carson P Scott Co Quinn Marshall Co The Waxelbaum Co Davis Edwards F R Freed I Epstein Bro CoJ W Hicks Co H Brushes Samples Samples Samples Samples Samples J W Hicks Co J K Orr Shoe Co Gans Bros Lipman Carson P Scott Co J K Orr Shoe Co Hats Nov 30 Dec 31 Twine Shoes F Hany Shoe Co Quinn Marshall Co I Epstein Bro Co E E Bell Checks Domestics Blankets Blankets Domestics Domestics Blankets A Wolff C W L Co Donnenberg Co Happ Bros Co Joseph D G Co E E Bell Hornett Warner Co J W Hicks Co Samples J W Hicks Co Gans Bros Lipman J K Orr Shoe Co Hats F Hany Shoe Co Quinn Marshall Co I Epstein Bros Co E Wolff C W L Co E E Bell 1 Dry Goods Dry Goods Blankets Blenkets Blankets Osnaburgs Blankets U Shirts Sheeting Blankets Coats Dannenberg Co Happ Bros Co Burden Smith Co Anderson L Fray Co Hornett Warner Co The Beckman Co J W Hicks Co J W Hicks Co Gans Bros Lipman J K Orr Shoe Co Hats Shoes F Hany Shoe Co Ouinn Marshall Co I Epstein Bro Co E Wolff C W L Co E E Bell Spreads Shirting Blankets Blankets 82 SIXTYFIFTH ANNUAL REPORT Abstract CContinued DATE TO WHOM PAID WHAT FOR AMOUNT Hosiery Domestics Blankets U Shirts 11475 29795 85615 18750 25750 66461 13666 Burden Smith Co Anderson L Fray Co Hornett Warner Co Sheeting Blankets Dry Goods Dry Goods Dry Goods Joseph D G Co 55982 1749 3000 E E Bell Joseph D G Co 12500 Total 4842221 Abstract D Shows the Expenditures on Account of Fuel and Transportation from January I 1908 to January I 1909 DATE Jan 31 Feb 29 Mch 31 Apr 30 TO WHOM PAID WHAT FOR R O Campbell C Co R O Campbell C Co R O Campbell C Co R O Campbell C Co Ga R R Co So Ex Co C of Ga Ry Co Big Hill C Co Big Hill C Co Big Hill C Co C C Hurt W P Overman Ga R R Co So Ex Co C of Ga Ry Co Ga R R Co Ga R R Co So Ex Co C of Ga Ry Co Ga R R Co C C Hurt So Ex Co Holmes J F Co Big Hill C Co C Ga Ry Co Ga R R Co AMOUNT Coal Coal Coal Coal Freight Freight Freight Coal Coal Coal Wood Wood Freight Freight Freight Freight Freight Freight Freight Freight Wood Freight Coal Coal Freight Freight 414834 78693 61999 29427 201 2495 11262 22300 9461 I4378 I3965 in62 929 1355 10846 6035 7072 1865 548 5272 66 so i875 1390 26093 6940 6118GEORGIA STATE SANITARIUM Abstract DContinued 83 DATE May 31 June 30 TO WHOM PAID So Ex Co J R Barnes C Co J R Barnes C Co J R Barnes C Co C C Hurt J R Barnes C Co J R Barnes C Co J R Barnes C Co J R Barnes C Co So Ex Co J R Barnes C Co J R Barnes C Co Big Hill C Co J R Barnes C Co J R Barnes C Co J R Barnes C Co Big Hill C Co J R Barnes C Co Big Hill C Co Ga R R Co C of Ga Ry PJ J R Barnes C Co T R Barnes C Co j R Barnes C Co J R Barnes C Co J R Barnes C Co J R Barnes C Co J R Barnes C Co J R Barnes C Co J R Barnes C Co I R Barnes C Co So Express Co T R Barnes C Co J R Barnes C Co J R Barnes C Co J R Barnes C Co Big Hill C Co So Ex Co T R Barnes C Co J R Barnes C Co J R Barnes C Co Ga R R Co C of Ga Ry Co J R Barnes C Co J R Barnes C Co So Ex Co C C Hurt J A Barnes J A Barnes J A Barnes J A Barnes WHAT FOR Freight Coal Coal Coal Wood Coal Coal Coal Coal Freight Coal Coal Coal Coal Coal Coal Coal Coal Coal Freight Freight Coal Coal Coal Coal Coal Coal Coal Coal Coal Coal Freight Coal Coal Coal Coal Coal Freight Coal Coal Coal Freight Freight Coal Coal Freight Wood Coal Coal Coal Coal AMOUNT 2270 9408 80817 26880 4015 56814 S7024 27252 27248 1147 27550 27376 9608 22528 80227 26692 13703 83055 7210 1083 3570 54928 54991 25823 I7LS2 27519 18591 35807 I7584 27152 18352 1860 35039 9104 35695 17968 10482 2054 18448 34192 35632 6231 1036 17440 34304 810 2280 16831 89199 18191 1774484 SIXTYFIFTH ANNUAL REPORT Abstract DContinued DATE July 31 Aug 31 Sep 30 TO WHOM PAID J R Barnes C Co R Barnes C Co So Ex Co J R Barnes C Co J R Barnes C Co Ga R R Co R Barnes C Co C of Ga Ry Co Ga R R Co J R Barnes C Co J R Barnes C Co J R Barnes C Co C C Hurt J R Barnes C Co So Ex Co J R Barnes C Co J R Barnes C Co T R Barnes C Co J R Barnes C Co J R Barnes C Co J R Barnes C Co Holmes J F Co W P Broach Agt Ga R R Co WHAT FOR IAMOUNT J Coal Coal Freight Coal Coal Freight Coal Freight Freight Coal Coal Coal Wood Coal Freight Coal Coal Coal Coal Coal Coal Coal Freight Freight C of Ga Ry CoiFreight Big Hill C Co C C Hurt W P Overman I R Barnes C Co I R Barnes C Co I R Barnes C Co W P Broach Agt J R Barnes C Co J R Barnes C Co Big Hill C Co J R Hines Big Hill C Co T R Barnes C Co Big Hill C Co W P Broach Agt J R Barnes C Co I R Barnes C Co Waterman Co J R Barnes C Co A D Nebbet Agt G H Tunnell Agt J R Barnes C Co Big Hill C Co So Ex Co J R Barnes C Co C C Hurt Coal Wood Wood Coal Coal Coal Freight Coal Coal Coal Wagon Coal Coal Coal Freight Coal Coal Horses Coal Freight Freight Coal Coal Freight Coal Wood I 88740 9312 2045 26095 33870 8091 62573 4106 582 4S2I4 13423 18127 10035 17839 1383 45664 35919 27217 45039 35967 18095 1390 1055 2693 2826 26653 21850 14550 8976 17984 26144 1332 8992 20902 12775 3500 9748 36975 10465 1551 18240 38974 60000 53174 13805 1818 37103 10150 942 35823 20803 GEORGIA STATE SANITARIUM Abstract DContinued 85 DATE Oct 3 TO WHOM PAID Nov 30 Dec 31 W P Overman J R Barnes C Co J R Barnes C Co J R Barnes C Co W P Broach Agt Big Hill C Co J R Barnes C Co J R Barnes C Co J R Barnes C Co G H Tunnell Agt J R Barnes C Co So Ex Co J R Barnes C Co C of Ga Ry Co Ga R R Co J R Barnes C Co C C Hurt W P Overman W W Moore Big Hill C Co So Ex Co W P Broach Agt Ga R R Co A D Nesbit Agt Ga R R Co So Ex Co C C Hurt W P Overman W P Broach Agt E Becker J R Barnes C Co C C Hurt W P Overman C of Ga Ry Co J R Barnes C Co J R Barnes C Co Ga R R Co W P Broach Agt WHAT FOR Wood Coal Coal Coal Freight Coal Coal Coal Coal Freight Coal Freight Coal Freight Freight Coal Wood Wood Horse Coal Freight Freight Freight Freight Freight Freight Wood Wood Freight Buggy Coal Wood Wood Freight Coal Coal Freight Freight TotaL AMOUNT 10600 37601 18224 17600 1614 H288 18529 18225 46208 93so 25617 2308 53039 10758 372 8721 22300 7i5o 12500 13405 1721 1919 16945 5220 908 1396 20700 10800 3145 7500 9552 25080 7750 10557 9040 9280 24540 3919 363798786 SIXTYFIFTH ANNUAL REPORT Abstract E Shows Amount of Salaries paid officers per month together with the aggregate amount from January I 1908 to January I 1909 DATE Jan Feb Mch Apr May June July Aug Sep Oct Nov Dec TO WHOM PAID Pay Pay Pay Pay Pay Pay Pay 311 Pay 30 Pay 31 Pay 3Pay 30 Pay Roll Roll Roll Roll Roll Roll Roll Roll Roll Roll Roll Roll WHAT FOR AMOUNT 260010 261675 261675 261675 261675 261675 261675 261675 261675 261675 272510 272510 3160105 Abstract F Shows Amount of Wages paid to employees per month tpgether with the aggregate amount from January 1 1908 to January 1 1909 DATE Jan 31 Feb 29 Mch 31 Apr 30 May 31 June 30 July 31 Aug 31 Sep 30 Oct 31 Nov 30 Dec 30 TO WHOM PAID WHAT FOR Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll AMOUNT 959450 922475 923890 918390 936190 928310 927565 908815 920105 927000 922515 970920 1 111656125GEORGIA STATE SANITARIUM 87 Abstract G Shows the Expenditures on Account of Incidental Expenses from January 1 1908 to January 1 1909 DATE TO WHOM PAID Jan 31 C L Morris Standard Oil Co C J Montgomery W F Brunner Milledgeville Oil Co J N Burke Co S S White D M Co R N Hatcher King Hardware Co Pittsburgh P G Co Sumter T M Co T C Burke Foote Davies Co Augusta Chronicle Co Uendry Mg Co Crandall Godley Co Standard Oil Co Cen Ga Tel Co Lombard J W S Co Conklin T P M Co Stevens Bros Co A J P D Willingham Anderson H Co Shuhman V M Co J A Fay Egan Co Gemmis H Co McClure T C Co Berch Cubbidge Harrison Bros Co Jno Van Burge Co Burroughs A Machine J S Schofield Sons Co F M Wolf Co Pricey W L Oil Co Camden P C Co Buck Gregg Hdw Co C S B Supply Co Western Elec Co Garlock Pkng Co Cen Foun Co Columbia Drug Co R H Wooten Anderson H Co Columbia Drug Co Burkenroad Wilcox Co King Hardware Co R W Hatcher Semmes Hdw Co S W Brown Co McClure T C Co Flournoy Groc Co WHAT FOR Lumber Oil Services Services Rent Paper D Supplies Hardware Hardware Glass Repairs P Paris Blanks Advertising Repairs Packing Oil Messages Repairs Tin Pipe Runs Samples Valves Bits Samples Samples Samples Sup Alum Repairs Machine Pipe Ammonia Paints W Soda Hardware Pipe Repairs Packing Pipe Brushes C Toys Crockery Paper E Ware E Ware Hardware Tinware Brooms Crockery Brooms AMOUNT 20531 2937 13300 2500 400 206 99 11936 3174 7316 4375 1000 1225 3oo 775 1380 3444 1075 1260 1256 2292 3058 79 1443 715 i77 50 312 14700 1700 37500 i53oi 4380 2343 5600 7801 5369 7396 3761 21713 1859 596i 24915 760 5000 14050 5850 6612 356o 11669 1025088 SIXTYFIFTH ANNUAL REPORT Abstract GContinued DATE TO WHOM PAID Feb I WHAT FOR Standard Oil CoCandles Ahrens Ott M CoRepairs Standard Oil CoOil C L Moore Lumber Electric L CoLights Milledgeville Tel CoRent Macon Tel Pub CoAdvertising C L Moore Lumber Enterprise M CoP Mill J S LundyLumber J P Durou CoL Soap R W HatcherWire Yale T M CoLocks F W Wolf CoAmmonia J Stuhy Tinware S S White D M CoD Supplies C L BarnesLime Cook L CoLime G Bernd CoLeather T C BurkeP Paris Standard Oil CoOil C S B Supply CoPipe Sumter Tel Mfg CoMaterial Jno aVn Runge CoRepairs C A Strelinger CoRepairs J S Schofields Sons CoPipe Knowles S P CoRepairs R D Wood CoRepairs J H Day CoMachine E J P WillinghamFurniture Western Elec CoWire M S D A ByckPaper Dixon Williams Repairs G D CaseBrushes L W ToomsTinware Foote Davies CoBooks P H F M Roots CoRepairs Beck Gregg Hdw CoHardware Burkenroad Wilcox CoHardware King Hardware CoHardware Carson P Scott CoOil Cloth Standard Oil CoOils S W Brown CoBrooms McClure T C CoGlassware Electric L CoLights K T Alfriend Services Mch 31 J B BairdServices W A McCurryServices King Hardware CoHardware Augusta Chronicle CoAdvertising Dunlap H CoLocks AMOUNT 9250 2237 2125 20556 7500 400 300 15959 2295 15291 I7IIS 4796 300 4380 105 830 4600 1235 779 1000 3700 5258 30158 3072 i33 1160 1660 3400 i35oo 5310 691 800 150 670 15990 2450 2200 3216 5000 6800 9360 9250 356o 4320 7500 3030 9360 6268 2550 300 1550GEORGIA STATE SANITARIUM Abstract GContinued 89 DATE Apr 30 TO WHOM PAID Co Dow Wire Works So Belting Co Savannah Press Ahrens Ott Mfg Platt Iron Works Ludlow V M Co Jno aVn Range Co C S Osborne Co CourierJ J P Co Union Recorder Conklin T P M Co R N Hatcher Brampull Deane Co Yale T Mfg Co Parker Russell Mfg Co C S B Supply Co J P Davies Co Harrison Bros Co J Stuby King Hardware Co S M Brown Co McClure T C Co Electric L Co N T Alfriend J Beach Harris G D Case S S White Drug Co Standard Oil Co Macon Tel Pub Co E L Barnes Atlanta J Co Am Lava Co Burkenroad Wilcox Co T C Burke C J P D Willingham Sumter Tel M Co Simplex V M Co Savannah W W Co Anderson H Co Herron P F Co U S Min Wool Co Foote Davies Co Ahrens Ott M Co Murrill H Co Merchants Trans Co Conklin T P M Co Pittsburgh P G Co R W Hatcher Phoenix Supply Co J Schofields Sons Co WHAT FOR C S B Supply CoPipe Wire Belting Advertising Repairs Repairs Valves Range Cutter Printing Printing Tin Plate Wire Repairs Locks Retort Pipe Soap Paint Tin Ware E Ware Brooms Glassware Lights Services Services Books D Supplies Candles Advertising Lime Advertising Repairs Samples Printing Furniture Repairs Valves Paper Samples Material Material Book Pipe Crockery Tin Tin Glass Hardware Starch Pipe AMOUNT 1400 2496 500 4335 375 2530 8935 280 9285 3450 7240 13904 790 9173 17060 4513 16875 8770 505 13805 4005 270 7500 3040 8254 500 150 6962 600 4600 420 260 128 1600 7236 500 2100 1353 692 1200 148 600 9810 U5I5 2626 7205 6937 3295 2411 700 3224go SIXTYFIFTH ANNUAL REPORT Abstract GContinued DATE TO WHOM PAID Beck G Hightower Buck Hdw McClure T Serames H W Brown Savannah W Co King Hardware Co May 31 H Co Hardware GravesHardware Co Hardware C CoGlassware Co Tinware Co Brooms Brushes Shovels WHAT FOR AMOUNT Co Tinware Tumblers Candles E Ware Lights Hardware Semmes H W Co McClue T C Co Standard Oil Co Burkenroad Wilcox Electric Light Co Hightower Graves L M JonesT Expenses J W Brown CoBrooms Hightower Graves Birch Hardware Co Burkenroad Wilcox Co Dr T M Hall R W Hatcher J L Moore Sons W H Thomas Co Crandall S Co Ahrens Ott MCo E J P D Willingham Foote Davies Co F W Wolf Co Phenix Supply Co H R Worthington Sumter Tel M Co F A Reichart Co The Bashlin Co Lester B S Co Murrill H Co Camden P S Co Platt ron Works G Bernd Co Dixon Williams H Burke Gen F Ex Co S S White D M Co Lombard J W S Co J Staley M S D A Byck J P Davey Co Savannah W Co King H Co McClure T C Co Standard Oil Co A R Strulor Co E Ware E Ware Services Hardware T Paper B Robes Packing Repairs Rugs Books Ammonia Acid Repairs Repairs Repairs Valves Files Locks W Soda Repairs Leather Spoons Cement Repairs Supplies Pipe Tinware Printing Soap Brushes Plumbers Glassware Oils P Peelers 1241 896 465 226 6662 1342 1425 2850 1455 704 8325 6396 7500 6800 20000 1400 3000 11220 6300 7500 3195 75 10000 2548 1SO 600 1600 4440 525 4080 586 255 3767 3089 1005 5600 315 665 1120 2400 300 2098 2417 535 8150 16875 1087 3900 1602 7861 7500GEORGIA STATE SANITARIUM Abstract GContinued 91 DATE TO WHOM PAID WHAT FOR Jun 30 July 31 Electric L Co Eugene Smith Massee F L Co C T Alfriend T G Lawson K T Alfriend S S White D M Co Phoenix Supply Co Merritt H CoLock Lights Labor Shingles Services Services Services D Supplies Starch Lombard J W S Co Lester B S Co Keuffil Esser Co Am L M Co G D Close R W Hatcher M S D A Byck F W Wolf Co J Van Range Co Savannah Press Standard Oil Co Enterprise M Co Chas Lentz Sons E L Barron Augusta Chronicle Stembridge L Goods Hercules Mfg Co Augusta J Co J Stoley J H Day Co J P Davies Co S W Brown Co King Hardware Co Semmes H Co Richard Johnson Richard Johnson G W Hollinshead Jr Elec Light Co Frank Harris Richard Johnson W A McCurry Harrison Bros Co T G Lawson G D Case Foote Davies Co S S White D M Co Hightower Graves Union Recorder Calvin Kidd Pittsburgh P G Co G Bernd Co Standard Oil Co Pipe Paper T Paper Repairs Brushes Wire Dusters Ammonia Repairs Advertising Candles Mowers Repairs Lime Advertising Lumber Repairs Advertising Tinware D Mixer Soap Brooms Samples Tinware Services Services Lumber Lights Services Expenses Services Alum Expenses Brushes Books Supplies Samples Printing Syrup Glass Leather A Grease AMOUNT 7Soo 15185 22505 3040 8220 1250 558 5950 2750 2758 763 95 1825 685 11989 743 4440 8500 500 4346 H33 650 4750 300 800 675 420 1537 50500 16875 1400 600 1110 15000 9246 8824 7500 5179 1277 7923 8770 770 i87S 675 255 500 2400 200 12027 800 62592 SIXTYFIFTH ANNUAL REPORT Abstract GContinued T DATE I TO WHOM PAID WHAT FOR AMOUNT T C BurkeCement King Hardware CojSamples Co Co Aug 31 Conklin T P M Co Merritt H Co Lester B S Co McClue T C Co Smith P T W Co Garlock Pkg Co E J P D Willingham Staley Ahrens Ott M Co Am Laun M Co C S B Supply Co D Appleton Co P Blakestons Sons Co Stevens Bros Co Mornings News W J Runge Co S S Bed Co Cook Lumber Co P Davies R W Hatcher Cont Clay Co L W Loomis Burkenroad Wilcox Milledgeville News Semmes H Co Columbia Drug Co Cubbidge R H Co Carson P Scott Co Phoenix Supply Co T Brantley Standard Oil Co Cubbedge R H Co King Hardware Burkenroad Wilcox Co Carson P Scott Co Columbia Drug Co BaileyLebbey Co Hightower Graves McClure T C Co Lombard J W S Co J M Napier Co Electric L Co J C Ivey R T Alfriend R H Wooten J Stoley S S White D M Co Standard Oil Co Foote Davies Co E L Barnes Tinware Tinware Reports Samples Ribbons Pking Rugs Tinware Repairs Repairs Pipe Books Books Pipe Printing Range Springs Cement Soap Hardware Soap Tinware Tinware Printing Tinware Brushes Samples Samples Starch Services Candles E Ware E Ware E Ware Brushes Brushes Repairs Hardware Crockery Pipe Brooms Lights Lumber Services Crockery Tinware D Supplies Oil Books Lime 7813 1029 483 336o 30000 94 150 622 650 1012 250 3oo 10415 700 360 750 7450 29500 11142 1775 16875 1575 35oo 18200 160 4So 3647 2574 304 146 4500 15420 8325 9925 10850 2100 2400 3600 447 4400 1188 7630 6752 7500 11880 3392 4485 355 1527 2607 700 4250GEORGIA STATE SANITARIUM 93 Abstract GContinued DATE TO WHOM PAID I WHAT FOR Sep 30 Hall Lamar C J P D Willingham Camden P S Co F W Wolf Co Buck Gregg H Co Lester B H S Co Am L M Co Lombard J W S Co Pittsburgh P G Co J L Mott I W Platt Iron W C S B Supply Co Morning News Stevens Bros Co Roberts Son King Hardware Co Standard Oil Co Cubbidge R H Co King Hardware Co Burkenroad Wilcox Co Carson P Scott Co Columbia Drug Co Hightower Graves Standard Oil Co Richard Ivey Electric Light Co Jno T Williams Inc Richard Ivey Soap Carpet Soda Ammonia Locks L Files Repairs Repairs Glass Repairs Repairs Pipe Printing Pipe Repairs Hardware Candles E Ware E Ware E Ware Oil Cloth Paper Shovels Oil Lumber Lights Machinery Lumber A J P N WillinghamFurniture F W Wolf Co Augusta Chronicle J M Alexander Atlanta J Co G Bernd Co T C Burke CourierJ J P Co Foote Davies Co Savannah Press Macon Tel Pub Co Pittsburgh P G Co Robson Evans Platt Iron Works Semes H Co M S D A Byck J L Mott Iron W Merritt H Co Milledgevillc News C S B Supply Co Ahrens Ott M Co J P Davies Co W C Curtis E Co AMOUNT Ammonia Advertising Repairs Advertising Leather Paint R Book Book Advertising Advertising Glass Soap Repairs Spoons Paper Repairs Nails Printing Pipe Repairs Soap E Supplies 4000 3750 5600 7268 480 2425 7898 75 190 1165 957 1341 2200 6433 495 1950 6638 8085 74oo 2100 2063 2700 2400 1980 9757 75oo 22500 14258 2285 5740 3oo 100 1095 720 583 1000 850 500 900 7983 2456 315 722 800 480 4009 850 33296 2322 16875 19794 SIXTYFIFTH ANNUAL REPORT Abstract GContinued DATE TO WHOM PAID Oct 31 Gen Elec Co R W Hatcher Harrison Bros Co Cubbidge R H Co Carolina P C Co K T Alfricnd Richard Ivey Standard Oil Co Fed Casualty Co Electric L Co T M Hall Stembridge L Yards Enterprise J M Co W A M Curry J Frank Harris S S White D M Co Oxner Amend Underwood T W Co E J P D Willingham Augusta Chronicle Morning News G D Case CourierJ J P Co J K Hines W J Curnker WHAT FOR E Supplies Fencing S Alum E Ware Cement Service Lumber Oil B Ins Lights Service Shingles Repairs Services Services D Supplies L Supplies Repairs Furn Printing Printing Brushes Printing Repairs Repairs R WHatcher Hardware Hardware Blueing Soap Soap Blankets Stock Ex Blankets Blankets Samples Samples Samples Samples Samples Samples Lime Paint Wire A Grease Closets Pipe Pipe Repairs Paint Varnish Tin J Staley Phoenix S Co J P Davies Co Hall Lamar N C Wooten Co C M Gibson Burden Smith Co The Beckman Co McClure T C Co Hightower Graves Cubbedge R H Co Burkenroad Wilcox Co Semmes H W Co King Hardware Co C L Barnes Pittsburgh P G Co Sumter Tel Mfg Co Standard Oil Co Ahrens Ott M Co J S Schfields Sons Co C S B Supply Co J B Davis Son Neal Blun Co Warren Bros Co Conkiing t p m Co amount 1585 9272 8970 9125 7839 2100 8109 2750 18400 7500 5000 4250 540 5086 4752 519 1455 500 2600 2500 5125 1290 4500 450 274 8451 1001 525 16875 4800 9000 10000 11462 3713 118 126 169 85 30 449 4750 7620 990 880 7605 12968 11805 4480 7528 2825 8111GEORGIA STATE SANITARIUM Abstract GContinued 95 DATE TO WHOM PATD Columbus I Works T W Burke Milledgeville Brick W J R Storey Co W L C Tyrley Jno Van Range Co WHAT FOR AMOUNT T C Basshor Co R Repairs Cement Brick Razors Repairs Repairs I Nov 30 Lombard I W S Co L W Loomis L Fames Cubbidge R H Co Semmes Hardware Co McClure T C Co King Hardware Co Bloodworth Stembridge Guggenheimer Co Burkenroad Wilcox Co Garden Smith Co Anderson Gray Tevis Co W H Thomas Co Hornett Warner Co The Waxelbaum Co Standard Oil Co W A Brown T Co A H Motley Co Penn Watson Thread Agency Standard Oil Co C H Bonner Elec L Co Milledgeville Mills Hartford Fire Ins Home Ins Co Ga Chemical Works Cook L Co A Becker Roberts T Mfg Co J S Schofield Sons Co Ahrens Ott M Co Mallery Taylor M S Co Columbus Iron W T A Burke Crandall P Co Standard Oil Co Massy F L Co Parker R M M Co R W Hatcher Foote Davies Co Camden Phil S Co D W Brown Brumpoll Deane Co epairs Pipe Tinware Ginning E Ware Tinware Glassware Crockery Buttons Combs E Ware Blankets Blankets Blankets Blankets Blankets Candles Tobacco Tobacco Tobacco Thread Oil Ball Lights Meal Ins Ins Fertilizers Lumber Repairs Repairs Pipe Valves Pipe Pipe Paints Packing Candles Shingles Retorts Hardware ooks W Soda Repairs Repairs 29 1920 1225 1467 870 S871 3540 8071 10800 5313 1980 4920 1200 9900 432 2100 4170 95320 27930 25950 68750 16000 T6650 8700 10800 13200 14181 2750 5000 7500 84286 6250 3750 44880 455 485 750 5576 2170 725 7823 9458 1455 8236 15660 11302 9328 1400 5600 150 40096 SIXTYFIFTH ANNUAL REPORT Abstract GContinued DATE TO WHOM PAH J Staley E A Murray Co G Bernd Co Snel Bros E N Ennis West Disinfrct Co Cubbidge R H Co K T Alfriend Semmes H Co King Hardware Co W IT Thomas Co Electric Light Co E W Ennis Standard Oil Co F G Pearce Electric L Co T M Hall F G Pearce Richard Johnson Richard Johnson W A McCurry T G Lawson J G Croley H D Allen T M Hall W A Gillespie King Hardware Co Merritt Hardware Co J Staley Augusta Chronicle Macon Tel Pub Co C L Barnes Jas Boyle Sons Atlanta J Co Stembridge L Yards L N Manus Co G Brend Co Savannah Press R W Hatcher Jno Van Ranze Co Standard Oil Co Lestern B H Co Yale T Mfg Co S S White D M Co Conklin T P M Co J W M Millan Cook L Co G D Case Burroughs Add M Keashby Mattison Am L M M Co WHAT FOR Tinware Repairs Leather Repairs Lumber T Paper E Ware Services Tinware Tinware Oil Sheets Lights Lumber Oil Lumber Lights Services Lumber Services Services Services Services Services Services Services Services E Ware E Ware Tinware Advertisng Advertising Lime Repairs Advertisng Lumber Sales Leather Advertising Nails Repairs Oil Paper Locks D Supplies Pans Brick Lumber Soap etc Repairs Repairs W Machine AMOUNT 685 5oo 760 600 29762 13125 2383 267S 5678 10875 25000 16087 14097 2750 3997 7500 3192 7704 15000 9233 5685 8220 2500 2500 2500 10000 20875 15085 2870 3675 1350 6750 8732 3090 850 2000 798 1505 840 4034 6880 600 2490 1621 17280 10201 21590 3245 120 5773 51000GEORGIA STATE SANITARIUM Abstract GContinued 97 DATE TO WHOM PAID I WHAT FOR M S D A Byck Ahrens Ott Mfg Co C S B Supply Co J P Davis Co Standard Oil Co Milledgeville Oil Mills W E Reynolds Saml Ward Sons Co G W Hollinshead Jr Oconee R Mills G W Hollinshead Jr Fulton Bay C Mills Paper Closets Pipe Soap Oil Ginning Show Benzine Lumber Lights Lumber Bags Total1 3055208 AMOUNT 165 4448 3036 16490 2310 425 5000 535 7000 7500 9877 2929 Abstract H Showing the Expenditures on Account of Medical Supplies from January 1 1908 to January 1 1909 DATE I TO WHOM PAID Jan 31 C E Stulls Co West Disinfectant Co Becton Dickinson Co Blumenthal Beckart Grand Rivers Dis Co Feb 28 Armour Co Culver Kidd Parke Davis Co The Santos Co McKissons Robbins Cachran Burks Co Mar 3iLederly A Lab Parke Davis Co Sharpe Dohme Lamar T R D Co Urmer Amiss Apr 30 A H Carroll Co Parke Davis Co Lamar T R D Co West Disinfectant Co Becton Dickinson Co Sharpe Dohme Seabury Johnson McKesson Robbins J WHAT FOR Wine Disinfectant Thermometers Whiskey Whiskey Glycerine Virus Drugs Sanitas Drugs Alcohol Virus Drugs Drugs Drugs Bottles Whiskey Drugs Glycerine Drugs Disinfectant Thermometers Drugs Plasters Drugs AMOUNT 3850 2600 934 12688 10703 850 514 134 2304 12901 2589 6500 6o55 6270 15064 2199 10805 7404 1650 4255 2700 6200 2925 3150 1090598 SIXTYFIFTH ANNUAL REPORT Abstract HContinued DATE May 31 June July 30 31 TO WHOM PAID WHAT FOR AMOUNT Aug 31 Sep 30 Oct 31 Nov 30 Dec 31 Armour Co W H Thomas Co Fred Disinf Co McKesson Robbins Sharpe Dohme Colburn Burks Co Parke Davis Co Sharpe Dohme Lamar T R D Co McKisson Robbins Parke Davis Co West Disinfectant Co McKesson Robbins Seabury Johnson Sharpe Dohme Lamar T R Drug Co F S Betz Co J S Haye Drug Co Armour Co Seabury Johnson Bectin Dickinson Co Lamar T R D Co McKisson Robbins Colbran Birks Co So Label Box Co W R Warner Co Fred Disinfec Co Lamar T R Drug Co Sharpe Dohme Parke Davis Co So Label Box Co Lamar T R D Co jWest Disinfectant Co Armour Co Smith Kline F Co Sharpe Dohme H K Mulford Co Lamar T K Drug Co Schoefflen Co Colburn Burks Co J S Haye Co Armour Co Horlicks M M Co Parke Davis Co Lamar T R D Co McKisson Robbins G D Case Glycerine Glasses Disinfectants Drugs Drugs Alcohol Drugs Drugs Drugs Drugs Drugs Disinfectants Drugs Plasters Drugs Drugs Drugs Drugs Glycerine Plasters Thermometers Drugs Drugs Alcohol Labels Drugs Disinfectants Drugs Drugs Drugs Labels Drugs Disinfectants Glycerine Drugs Drugs Drugs Drugs Drugs Alcohol Drugs Glycerine M Milk Drugs Drugs Drugs Drugs Total 1700 2050 i875 1325 7226 2633 246 5686 5754 16292 5694 2600 3387 8049 4630 18059 1800 110 1525 6720 5745 5325 I3596 2766 4430 550 1875 8812 19239 4940 2925 17565 5i5o 1650 18489 10285 1067 9978 1350 2691 3So 1750 3892 216 10488 16597 250 405481 GEORGIA STATE SANITARIUM 99 Abstract I Showing the Expenditures on Account of Contingencies from January I 1908 to January I 1909 DATE Jan 31 Feb 29 TO WHOM PAID Mar 31 Apr 30 May 31 June July Aug 31 John Hopkins Press C of Ga Ry Co VV H Stembridge C of Ga Ry Co Stevens Bros Co A D Nesbit Agt W A Tel Co Cen Ga Tel Co Ga R R Co V Chavous Milledgeville Tel Co C of Ga Ry Co C of Ga Ry Co W A Tel Co C of Ga Ry Co C of Ga Ry Co C of Ga Ry Co C J Stewart Cen Ga Tel Co R G Badger C of Ga Ry Co Milledgeville Tel Co W U Tel Co J L Robertson Cen Ga Tel Co G B Robertson Milledgeville Tel Co W U Tel Co Cen Ga Tel Co Postal Tel Co R H Harper C W Richter W U Tel Co C W Richter Milledgeville Tel Co J J Warren W U Tel Co 31C of Ga Ry Co C of Ga Ry Co Cen Ga Tel Co C of Ga Ry Co Milledgeville Tel Co Failwoods So Med W U Tel Co C of Ga Ry Co J R Roberts Co C of Ga Tel Co 30 WHAT FOR Journal Dis Patient Fee Disc Patient Esc Patient Dis Patient Messages Messages Dis Patient Esc Patient Rent Dis Patient Dis Patient Messages Dis Patient Dis Patient Dis Patient Esc Patient Messages Esc Patient Dis Patient Rent Messages Esc Patient Messages Esc Patient Rent Messages Messages Messages Esc Patient Tel Rent Messages Messages Rent Esc Patient Messages Dis Patient Dis Patient Messages Dis Patient Rent Journal Messages Dis Patient Hack hire Messages AMOUNT 1000 269 5oo 538 200 254 58i 295 269 370 400 470 H43 950 2221 269 269 250 45o 3oo 630 400 498 425 475 850 400 825 255 100 3So 400 746 250 400 400 76s 892 271 165 972 400 133 778 1118 1600 235100 SIXTYFIFTH ANNUAL REPORT Abstract IContinued DATE TO WHOM PAID I WHAT FOR AMOUNT D Meyers Sec of State IMilledgeville Tel Co W U Tel Co C L Lawson Cen Ga Tel Co Sep 30 C B Register Ga R R Co C of Ga Ry Co J B Perry Agt C of Ga Ry Co C of Ga Ry Co C of Ga Ry Co C of Ga Ry Co Milledgeville Tel Co C of Ga Ry Co C of Ga Ry Co Ga R R Co C of Ga Ry Co Oct 31 C of Ga Ry Co Milledgeville Tel Co Cen Ga Tel Co C of Ga Ry Co W U Tel Co Nov 30 Jas Telfair Milledgeville Tel Co Cen Ga Tel Co G F Whilden W E Jackson W U Tel Co C of Ga Ry Co Dec 31 Milledgeville Tel Co Cen of Ga Tel Co G E Rogers C of Ga Ry Co C of Ga Ry Co John Hopkins Press Union Recorder Ga R R Co C of Ga Ry Co W U Tel Co C of Ga Ry Co C of Ga Ry Co C of Ga Ry Co C of Ga Ry Co Esc Patient Fee Rent Messages Esc Patient Messages Esc Patient Patient Patient Dis Dis Esc Patient Dis Dis Dis Dis Patient Patient Patient Patient Messages Dis Patient Dis Patient Dis Patient iDis Patient jDis Patient JRent Messages iDis Patient Messages Esc Patient Rent Messages Esc Patient Esc Patient Messages Dis Patient Rent Messages Esc Patient Dis Patient Dis Patient Journal Printing Dis Patient Dis Patient Dis Patient Dis Patient Messages Dis Patient Dis Patient I Total I I 295 200 400 360 2041 i5S 1500 200 271 560 335 271 809 1321 636 593 1356 126 455 637 400 240 271 527 200 800 i9S 200 350 56i 1857 400 340 1117 271 223 500 1350 975 7i 209 271 392 457 457 So86i GEORGIA STATE SANITARIUM IOi Abstract J Shows the Expenditures on Account of Stationery and Postage from January i 1908 to January 1 1909 DATE Jan 31 jj J TO WHOM PAID Feb 29 Mar 31 Apr 31 May 31 June 30 July 31 Aug 31 Sep 30 Oct 31 Nov 30 Dec 31 J L Sibley E Sibley E Sibley L Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley L Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley E Sibley F P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M WHAT FOR Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postagev Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage AMOUNT Total 2500 5248 2500 2500 3000 S248 1562 3562 3562 3500 6748 2562 2062 3500 5248 2062 3562 35oo 2784 1562 5748 2562 2562 2562 35oo 5748 2562 2562 3800 2562 6748 1562 4000 5310 2562 4300 3562 1290102 SIXTYFIFTH ANNUAL REPORT Abstract K Shows the Expenditures of Special Appropriation for Erecting and Constructing a System of Water Works from January I 1908 to January I 1909 Dr Date Jan 1Balance on Hand608874 Cr DATE TO WHOM PAID WHAT FOR AMOUNT Walton Wayner J S Schofields Sons Co J B Conn Sons Walton Wayner Genl Elec Co Walton Wayner Dec 3iCash on hand Feb Aug Oct Nov 31 30 Contract Pipe Repairs Contract Material Contract I 100000 772 1028 14292 12282 59285 421215 608874 Abstract L Shows Requisitions Drawn on State Treasurer for Support and Maintenance from January I 1908 to January I 1909 Date Amount Jan 16Requisition 3250000 Feb 8Requisition 3250000 Mar 7Requisition 3250000 Apr 7Requisition 3250000 May 7Requisition 3250000 June 6Requisition 3250000 June 6Requisition 3250000 July 7Requisition 3250000 Aug 7Requisitionr 3250000 Sept 5Requisition 3250000 Sept 16Requisition 3250000 Oct 23Requisition 3250000 Nov 12Requisition 3250000 Nov 28Requisition 3250000 Dec 16Requisition 3250000 40500000GEORGIA STATE SANITARIUM Abstract M 103 Shows Average Number of Patients per Capita per Diem and per Annum from 1883 to 1909 YEAR NO OF PATIENTS PER DIEM PER ANNUM 1883 1005 333 12146 1884 1179 3425 12690 r88s 1923 3418 12476 1886 1237 3350 12319 1887 1266 3412 12740 1888 1340 3483 12740 1889 1438 3437 12681 1890 1537 3143 473 1891 1616 3208 11700 1892 1618 3233 11833 1893 1623 3195 11662 1894 1709 3221 11860 189S 1783 32 11680 1896 1912 3221 11833 1897 2085 33H 12085 1898 2247 3223 11850 11899 2383 3220 11700 1900 249S 2943 10899 1901 2573 3029 no 56 1902 2625 3087 11268 1903 2696 3095 11207 1904 2770 3012 10994 11905 2880 3328 12179 1906 2938 3096 11300 1907 2978 3224 11768 1908 3083 34 12410 1909 3130 347 12700 Abstract N Shows Cost of Maintaining One Patient per Year Month Week and Day For one year12700 For one month 1041 For one week 243 For one day 347104 SIXTYFIFTH ANNUAL REPORT JUpmrt of Assistant tetoaro Near Milledgeville Ga Jan ist 1909 Dr L M Jones Superintendent Etc Dear SirI herewith hand you my report as Assistant Steward for the year 1908 of the dairies garden farm park and transportation also statement of stock wagons etc 011 hand January ist 1909 We have lost since the last report two mules and five milch cows The stock are all in very grod condition Very respectfully GEO W HOLLINSHEAD Assistant Steward i9o8 OLD DAIRY Cr By Sweet Milk gals 28463 20c569267 Beef lbs 8472 570 48290 Hides lbs 1001 13 06 6008 623565 OLD DAIRY Dr To Waegs and Board of Hands123128 Bran tbs 252675 332423 C S Hulls tbs 99088 29712 Cow Feed lbs 13500 H475 Cotton Rope lbs 2714 520 Lucerne lbs 60 1220 Bur Clover tbs 60 1080 C S Meal tons 22 56720 Salt sacks No 19 9o8 Lanterns No 1 50 Lantern Globes No 8 48 Lantern Burner No 1 I0 Pitchforks No 4 340 Towels No 6 48 Cheese Cloth yards 60 300 Wheat Seed bu 5 875 Barley Seed bu 6 900 559757GEORGIA STATE SANITARIUM 105 OLD DAIRY By Balance in favor Old Dairy 1908 NEW DAIRY Cr 63808 Cr By Sweet Milk gals 26675 20cS33S8o Beef lbs 4525 570 25792 Hides lbs 1241 16 06 7447 Sale of Bull Calves No 3 Too 30000 NEW DAIRY 567119 Cr To Wages and Board of Hands1233 Bran lbs 2557753365 C S Hulls lbs 99087 297 Cow Feed lbs 13500 114 67 29 10 75 81 20 Cotton Rope lbs 14J4 Lucerne lbs 60 Bur Clover lbs 60 Stock Powders lbs 12 Well Rope lbs 9 C S Meal tons 23 5446o Salt sacks No 26 Lantern Globes No 3 Lantern Wicks No 6 Lanterns No 2 Shovels No 1 Axe and Helve No i Pitchforks No 2 Milk Cans No 3 Well Buckets No 2 Feed Buckets No 6 Towels No 6 Cheese Cloth yds 42 Wheat Seed bu 5 Barley Feed bu 6 240 18 03 96 75 68 70 ioo 50 10 48 MO 75 100 NEW DAIRY By Balance in Favor New Dairy 562849 Dr 4270 1908 GARDEN Cr By Cabbage heads 5680 5c 28400 Collards heads 11106 5c 55530 Beets bu 364 50c 18200 Butter Beans bu 148 100 14800 Snap Beans bu 57714 75c 43313 Cucumbers bu 131 100 13100io6 SIXTYFIFTH ANNUAL REPORT By Figs bu 32 10 3200 Apples bu 11 150 l650 Kale bu 567 20c 340 Lettuce bu 48 20c 970 Onions bu 577 90c 51930 Okra bu 57 ioo 5700 Pears bu S2 100 850 Pepper bu 9 50c 4So Peas English bu 126 ioo 12650 Peas Mixed bu 54 150 8175 White bu 35 200 7000 Potatoes Sweet bu 2794 60c 167670 Potaoes Irish bu 278 100 2780 Rape bu 600 20c 12000 Radish bu 129 50c 6450 Scuppernons bu 3 100 300 Salsify bu 9 100 900 Squash bu 516 50c 25825 Turnips Rough bu 4468 30c 134040 Turnip Greens bu 2218 20c 44360 Tomatoes bu 533 50c 26650 Parsley bu 7J4 100 750 Peaches crates 104 75c 7800 Sheaf Oats lbs 6265 75c 4698 Hay Mixed lbs 196750 50c 98375 Corn Fodder lbs 68175 50c 34087 Corn Green do 4015J4 10c 40152 Canteloupes No 26267 3c 78801 987916 1908 GARDEN Dr To Wages and Board Mr Simpson 51000 Wages and Board Mr Hobby 45000 Wages and Board Mr Bateman 45000 Wages and Board Mr Leonard 45000 Wages and Board of Hands 171410 Farm Implements 8847 Garden Seed 16078 Onion Sets 5445 Seed Irish Potatoes 9350 Potao Slips 4825 Fertilizers 61884 Paris Green 365 Feed Wear and Tear Mules 72000 536204 GEORGIA STATE SANITARIUM 107 GARDEN Cr By Balance in Favor Garden451712 1908 COLONY Cr By Peaches crates No 2258 75c169387 Canteloupes No 738 3c 2214 Watermelons No 23058 5c 115290 Cabbage Heads No 95 5c 475 Collard Heads No 3620 5c 18100 Chickens No 73 30c 2190 Sweet iMlk gals 3552 20c 60110 Syrup gals 1236 30c 37080 Green Corn doz 323 10c 3235 Eggs doz 454 15c 6810 Corn bu 7395 90c 665550 Sweet Potaoes bu 5314 60c 318840 Irish Potatoes bu 52 100 5200 Mixed Peas bu 519 i5ol 77952 White Peas bu 18014 200 36050 Onions bu 3T 90c 35 Rough Turnips bu 80 30c 2400 Turnip Greens bu 461 20c 9220 Beets bu 50c 12 Okra bu 61 100 6125 Squash bu 204 60c 1245 Tomatoes bu 16 50c 800 Snap Beans bu 40 75c 3000 Rape bu 75 20c 1500 Kale bu 138 20c 2760 Shelled Oats bu 2694 75c 202050 Cotton Seed bu 1364 25c 34100 Radish bu 3 50c 150 Rye bu 98 200 19600 Scuppernongs bu 10 100 1000 Butter Beans bu 24 10 275 Cucumbers bu 7 100 700 Beef lbs 9498 570 54I38 Hides bu 1332 6c 7992 Grapes lbs 2004 5c 10020 Pork tbs 10987 8c 87896 Lard lbs 190 10c 1900 Hay Peavine tbs 129500 75c 97125 Hay Mixed tbs 23300 50c 11650 Fodder tbs 60666 S 75c 45499 Oat Straw tbs 106875 60c 64125 Turkeys tbs 292 15c 4380 21952 I85933 2374393 Lint Cotton tbsio8 SIXTYFIFTH ANNUAL REPORT 1908 COLONY Dr To Waes and Board Mr Massey 51600 Wages and Board Mr Durden 36000 Wages and Board of Cook 26800 Wages and Board of Hands 254600 Farm Implements 25329 Fertilezrs 229994 Seed Irish Potatoes 1650 Ginning Bagging and Ties 8704 Speying Pigs 5Jo Seed Wheat l750 Grindstone Fixtures 5 2 Blank Books 6o 1 Time Book 05 1 Quart Liniment i00 3 lbs Venetian Red IS 7 lbs Well Rope 112 2 halfbushel measures 7 1 Pair Gloves 5 Feed Wear and Tear Mules and Horse 153000 1908 COLONY Cr By Balance in Favor Colony1583994 1908 PORK Cr By Pork lbs 19395 8c155160 1908 PORK Dr To Spaying Pigs 510 1908 PORK Cr By Balance in Favor Pork154650 TRANSPORTATION To Corn bu 3096 80c247680 Bran fbs 21223 131 27804 Hay lbs 197050 50c 98525 Sheaf Oats lbs 6265 75c 4698 078707 GEORGIA STATE SANITARIUM 109 NUMBER OF HEAD OF STOCK FED AT STABLES FOR THE YEAR 1908 Number head 35 showing cost of feed for one head of stock for one year one month one week and one day For one year10820 For one month o 02 For one week 228 For one day 0 Cr By Total Credit Dairies Gardens Farm and Pork4708153 Dr To Total Debit Dairies Garden Farm and Pork2449719 By Total Balance in favor Dairys Garden Farm and Pork 2258434 INVENTORY OF STOCK WAGONS ETC ON HAND JAN UARY 1 1909 Mules 40 Horses 5 Carriages and Harness 3 Buggies and Harness 1 Twohorse Wagons and Harness 9 Twohorse Wagons old 2 OneHorse Wagons and Harness 1 Dray Wagons 1 Dump Carts and Harness 6 Hearse Wagon 1 Ox Carts 6 Ox Wagons 2 Plow Stocks and Gear24 Dixie Plow Stocks16 Twohorse Pdows 7 Road Plow 1 Road Machine 1 Pea Huller 1 Mowers 3 Horse Rakes 2 Roller 1 Tooth Harrows 2 Wheelbarrows 6 Lanterns 6 Acme Harrows 2 Tooth Harrows 2 Small Harrows1 8 Lawn Mowers 2 Pitchforks 12 Rakes 8 Spades 3 Shovels 10 Weeding Hoes 40 Picks 6 Mattocks 6 Stretchers pairs 3 Hand Saws 2 Squares 2 Hammers 2 Brace and Bits 2 Grass Blades 6 Grain Cradles 9 Double Plow Stocks 7 Cotton Planters 4 Stump Pullers 1 Syrup Mill and Pan 1 Grist Mill 1 Feed Grinder 1SIXTYFIFTH ANNUAL REPORT Separators I Reapers and Binders 2 Seed Drill I Cultivators 2 Shredder i Hay Press I Oil Tank i Gasoline Engine I Saddles and Bridles 2 Axes 7 Corn Sheller I Grind Stone 1 Milch Cows152 Calves 55 Heifers 21 Steers 6 Work Oxen 16 Bulls 6 Hogs and Pigs234 Goats4Q 9 c FRONT VIJvW T O POWELL BUILDINGSixtySixth Annual Report OF THE BOARD OF TRUSTEES OF THE Georgia State Sanitarium FOR THE YEAR ENDING DECEMBER 31st 1909 Savannah Ga Savannah Morning News 191U jamb of ruat0 Georgia State Sanitarium President JOHN T BRANTLEY Blackshear Ga VicePresident HENRY BANKS LaGrange Ga Secretary RICHARD JOHNSON Gray Ga THOMAS R WRIGHT M D Augusta Ga GEORGE S LOWNDES Atlanta Ga H H DEAN Gainesville Ga P H GAMBRELL Macon Ga J C JARNAGIN Warrenton Ga N PETERSON M D Tifton Ga H M SMITH Rome Gaftommtttera of Inarb nt ulruatwa Georgia State Sanitarium Executive Committee Henry Banks Chairman Richard Johnson Geo S Lowndes P H Gambrell D J C Jarnagin Finance Committee Geo S Lowndes Chairman Dr J C Jarnagin P H Gambrell Henry Banks Richard Johnson Committee on Medical Service Dr T R Wright Chairman Dr N Peterson H H Dean Committee on Buildings and Grounds H M Smith Chairman H H Dean Geo S Lowndes Committee on Outside Business Dr J C Jarnagin Chairman H M Smith Dr N PetersonElertitu Stctta of Sanitarium L M Jones M D Superintendent and Resident Physician J M Whitaker M D First Assistant Physician E M Green M D Clinical Director J W Mobley M D Assistant Physician N P Walker M D Assistant Physician R C Swint M D Assistant Physician Y A Little M D Assistant Physician L P Longino M D Assistant Physician Y H Yarbrough M D Assistant Physician W J Cranston M D from Nov 1 1909 Assistant Physician D G Willets M DPathologist J C Richard D D SDentist D S Carrington Pharmacist L J Lamar Steward G W Hollinshead Farm steward W H Hunter Storekeeper H S Jnes Secretary W A Gillespie Assistant Steward T H DeSaussure Engineer Mrs J M Darnell Matron L H Andrew Treasurer Rev Ford McRee chaplain txtijBtxtlr Annual lennrt f laarfc of Qmstwa nf ttie Borgia UU attitariimt Milledgeville Ga January 1st 1910 To His Excellency Joseph M Brown Governor Sir The Board of Trustees of the Georgia State Sanitarium has the honor to submit herewith for your consideration its report of the conduct and management of this institu tion for the year ending December 31st 1909 being the sixtysixth year of its existence Inasmuch as this Board did not assume charge of the Sanitarium until December 1909 due credit must be given the retiring Board for the larger part of the years work which includes several noteworthy improvements and inno vations mention of which is made in another part of this report In view of the past criticisms leveled at the Sanitarium the Board deems the time opportune to place before your Excellency a full statement of the needs which must be supplied to it if it is to fulfill its highest mission Your careful attention is invited to this feature of the report Attached to and forming part of this report will be found the annual reports of Superintendent Jones and his subordinate officers which give in detail the movement of the Sanitarium population and the expenditure of moneys for its support Patients in Sanitarium The Superintendents report shows 973 patients re ceived during the year and that the deaths discharges and elopements were 879 making a net gain of 94 patients The total number now in the Sanitarium is 3206 The daily average in the Sanitarium for the year was 3159 while theSIXTYSIXTH ANNUAL REPORT total number receiving treatment was 4085 These figures showing a population equal to many of the larger towns of the State indicate the magnitude of the institution Finances Steward Lamars report shows the total expenditures for the year to have been 42986550 as compared with a total of 40018874 in 1908 This sum was composed of the appropriation for the year of 42500000 a balance for warded from last year of 481126 and an overdraft of 5424 In addition to this overdraft there were on hand at the close of the year unpaid bills for supplies etc amounting to 450000 which if paid would make the overdraft to be 455424 Prorated among the patients the annual cost of each was 13608 and the daily cost 3728 cents as against costs of 12700 and 347 cents in 1908 A careful analysis of the expense accounts shows this increased cost to lie mainly in the Subsistence Wages and Incidentals covering work of Engineers Department accounts and explained by increased cost of foodstuffs of increased wages to some part of the attendants and the repairs incident to the up keep of so extensive a property The Farm Stewards report shows substantial additions made to the food supply of the Sanitarium and consequent saving in the cost of such to the State Careful and economical management are in evidence everywhere and there appears not one unwise expenditure of the States funds The Board is embarrassed in the beginning of its ad ministration by lack of sufficient funds with which to meet the ordinary expenses of the Sanitarium Beginning the year with a practical overdraft of 455424 and faced by the continued high cost of subsistence items it is very evi dent the appropriations for 1910 and 1911 must be supple mented The Board estimates that 2500000 for 1910 and 3500000 for 1911 will be absolutely necessary for ordinary expenses If in addition the extensive repairs necessary to many of the buildings in order to place them in thorough sanitary condition is to be begun by this Board theseGEORGIA STATE SANITARIUM 9 amounts should be increased to not less than 7500000 for each of these years The Board can care for all such items and can at the same time give to the patients a larger dietary furnish them with ample remedial occupa tions and amusements and add to the medical staff such additional physicians as are required etc if the daily allow ance for the support of each patient be advanced to 50 cents An Important Innovation The office of Clinical Director was created by the retir ing Board and filled by the promotion of Dr E M Green from the medical staff Two objects were thus sought one to increase the medical efficiency of the Sanitarium the other to grant the Superintendent needed assistance in this important branch of the work and at the same time give him more time for the administrative duties of his office The care of more than 3200 patients the supervision of the employes needed for such care and the general direction of all the Sanitarium affairs is not a light task In the new book of rules adopted by the present Board the Clinical Director becomes the chief medical officer next to the Superintendent of the Sanitarium and is charged with the reception classification and treatment of the patients He is required to devote himself to the maintenance of the highest state of efficiency of the medical department and to give due study to the causation treatment and cure of insanity Clinics are held daily in his office Histories and observations in each case are compiled under his direction From this important innovation the Board confidently ex pects good results to flow The first report of thisofficer covering two months work only accompanying the Super intendents report gives some idea as to the nature of his work New Business Records The business records of the Sanitarium are being thor oughly revised and modernized by the Board through the services of an expert accountant employed for this purpose No fault has heretofore been found with their accuracy but complaint has been made they were not intelligible to theSIXTYSIXTH ANNUAL REPORT business men who have occasion to examine them in official capacity When the revision is completed it is hoped this criticism will be overcome To add to the accuracy of its disbursement accounts it has been found necessary to add one or more accounts to those now prescribed by law The advice of the Attorney General has been had in the matter and no changes have been made which do not come within his ruling Wards for Tubercular Patients Faced by the urgent necessity for making suitable pro vision for the tubercular patients or else of denying such patients admission in the future the Board immediately authorized the erection of suitable frame structures to be used as tubercular wards conveniently arranged and built as cheaply as consistent with their purpose This work is under way and these patients will be transferred to them immediately on their completion Approximately 500000 of the 1910 appropriation will be expended in this way The New Dairy Barn The unsanitary condition of the two old dairy barns and the need of a third one made it appear wise to the retiring Board to consolidate all the milch cows under one roof by the erection of a modern sanitary barn of ample size supplied with silos and other equipment This work has been done and the cows are now comfortably housed amid clean surroundings A competent dairyman was em ployed and placed in charge of the dairy Under his direc tion and by the addition of a few cows to the number the years supply of milk has been increased by 22000 gallons The vital importance to the sick of a good supply of whole some milk makes this gain hard to overvalue The plans for the barn were prepared by Engineer DeSaussure and the work done under his direction The completed work reflects credit on his skill Electric Lights The Board finds the buildings and grounds of the Sani tarium fully wired for electric lights this work having beenTHB NEW DAIRY BARN AND SIIvOSGEORGIA STATE SANITARIUM 13 accomplished by the retiring Board under the plans and supervision of Engineer DeSaussure The work has been thoroughly and economically done All of the wires within the buildings are concealed in iron conduits thus mini mizing the fire risk and at the same time protecting them from the patients The current for the lights is obtained from a local corporation at reasonable cost Several of the buildings not heretofore lighted are now supplied greatly to the joy of the inmates The unexpended balance remaining in the waterworks and electric light fund was used for this purpose supplemented by so much of the general funds as was required As soon as possible the State should supply the Sanitarium with an electric plant of its own Training School for Nurses The new Book of Rules adopted by the Board makes provision for a training school for nurses This school will begin work this fall Certain studies are made obligatory upon all the nurses but only those with an aptitude for the work will be encouraged to enter the school Diplomas will be awarded those who complete the prescribed course of study Graduates remaining in the service will be granted an increase in pay It is hoped in this way to dignify the employment and by rendering it more attractive draw a larger number of applicants from whom selections can be made Fire Protection The protection of the inmates and property from fire has had the attention of the Board The firefighting equip ment appears adequate for all ordinary needs but can be strengthened by the addition of a firstclass chemical engine The new waterworks furnishes an ample supply of water under good pressure and as long as no break occurs in the water main leading from the pumping station to the Sanitarium answers every need If however such a break should occur the present small storage capacity on the grounds would be utterly inadequate to fight a serious fire The Board therefore earnestly urges as a matter of the utmost importance that a reservoir of not less than14 SIXTYSIXTH ANNUAL REPORT 250000 gallons capacity be at once supplied to the Sani tarium for firefighting purposes The estimated cost of such a reservoir built underground and of concrete is 1500000 Engineer DeSaussure is by virtue of his office the Chief of the Fire Department Enlargements Needed to Present Equipment The main laundry is insufficient for the needs of the Sanitarium Much of its machinery is old and needs replac ing More room is needed and other machinery should be added Upwards of 35000 pieces of clothing are now pass ing through it weekly The estimated cost by Engineer DeSaussure of this work including the machinery is 800000 The kitchen and boilers of the Negro Building require the immediate attention of the Board The kitchen now provides for upwards of 1000 persons and is entirely too small for the demand upon it More room and more cook ing vessels are urgently needed The boilers supplying heat to the kitchen and to the building have been condemned and must be replaced the coming summer This work is imperative and cannot safely be delayed The estimate by Engineer DeSaussure of the cost of this work is 1400000 The storeroom has grown too small for the demands upon it and needs enlargement Room should be provided in it for the use of the Engineers Department Repair materials should be stored in it and issued in the same manner as general supplies The estimated cost of this enlargement is 280000 Track scales for weighing car load shipments such as coal etc are not owned by the Sanitarium and no facilities are possessed for checking the weights of such shipments Negotiations with the railroad companies for supplying this need have been fruitless The estimated cost of this addi tion is 150000 The workshop has not been enlarged in years and its size and equipment is out of all proportion to the present size of the Sanitarium and the heavy demands on it More room and additional machinery are both required and shouldTHE NEW WATERWORKS ON THE OCONEE RIVER INTERIOR NEW WATER WORKS GEORGIA STATE SANITARIUM IT be at once supplied The estimated cost of this enlarge ment is 250000 One wing of the Twin Buildings remains unfinished Floors etc are needed for its completion in addition to the furniture etc This work should now be done and the wards therein three in number made ready for occu pancy The estimated cost of this work is 800000 The Function of the Sanitarium To give each insane person committed to its keeping every chance of recovery that scientific treatment and hu mane care amid pleasant gentle and homelike associations can afford to them is the great function of the Sanitarium Its Book of Rules emphasizes this fact and lays upon every officer and employee the duty of gaining the confidence of the patients by means of courteous treatment and the exer cise of patience gentleness kindness and tact as an essen tial factor in their treatment Its officers and with few exceptions its every attendant and nurse have faithfully tried to meet this duty Every means at the Sanitariums disposal has been brought into play for their restoration to health Its greater efficiency is in the hands of the General Assembly Its present equipment and support are insuf ficient for its work Certain modifications and amendments to the laws governing it are essential Believing that out of the intemperate abuse heaped on the Sanitarium in the past year arising from the disproven charges of a former patient who has since been recommitted to its care good must in the end accrue the Board now lays before your Excellency a careful statement of its needs if its greater efficiency and usefulness are genuinely sought The first of these needs is a more liberal approprfatforr which should be based on not less than 50 cents per day for each patient An appropriation on this basis will enable the employment of more physicians and nurses as needed will grant a more diversified dietary to the patients will provide for the material and equipment needed for the occu pational treatment of the patients now recognized as a valuable factor in the treatment of insanity will make possible ample amusements and recreations for the patientsi8 SIXTYSIXTH ANNUAL REPORT In general will make possible contributions to their health happiness and comfort now necessarily denied them and will at the same time provide for the extensive repairs needed to place the present buildings in good sanitary con dition The next of these needs is to relieve the Sanitarium from the further commitment of a large number of patients who now not only drain its resources but clog its progress and impede its work for the insane The further commit ment of senile harmless imbeciles should be at once stopped This class are hopeless of cure harmless to society and are just are well cared for at home They are proper subjects for the custodial care of the Counties from whence they come should aid be needed by them In addition the Sanitarium should be relieved from the care of epileptics especially of those not insane and of the feebleminded The presence of both classes are hindrances to the treat ment of the insane The last of these needs relates to the work of the Medi cal Department around which the whole institution centers This department is greatly hampered in its work by the lack of proper equipment to supply which will cost much money but from which if supplied good results may be expected to follow Briefly stated these wants are as follows 1 A General Hospital Building with proper equip ment for the care of the sick patients In it should be centered all the sick of the Sanitarium diet kitchens and operating rooms It should be remote from the other build ings that proper air and quiet may be given the inmates On the five hospital wards of the Sanitarium are now 127 beds all occupied Many of the sick must remain on the wards Caring for the sick entails a great deal of extra work on the ward attendants who have not the training needed for the care of the sick even had they the time By concentrating the sick in one building adapted to their needs better attention can be given them The nurses in training will thus be given better oppor tunity to equip themselves for the care of the sick This will be a valuable adjunct to the work of the new Training SchoolGEORGIA STATE SANITARIUM 19 2 Building for Acute CasesRecent and acute cases of insanity furnish the greater proportion of recoveries Many of such cases being curable they should not be forced to associate on the wards with the chronic epileptic filthy and demented Such association is frequently repulsive and positively harmful It gives rise to anxiety and despair which lessens the chance of recovery The reception wards now in use are not adequate for this purpose All recent cases should be confined in bed but this is not now possible The present buildings are unsuited nor can satisfactory changes be made in them The Acute Building should be detached and separated from the others in order to secure the quiet and rest so sorely needed by these stricken ones This building should be equipped with a complete hydrotherapeutic outfit The most skilled physicians in the service should be in charge These buildings will enable the patients to be supplied with the extra food so often needed by them without excit ing the jealousy or ill will of the other patients The wards can be made more attractive and so fortify the efforts of the officers and attendants to lead the minds of the patients into healthier channels The erection of this and the General Hospital Building will releive the congested condition of the Sanitarium and so add to the comfort of the other inmates 3 Building for ChildrenIf the State does not relieve the Sanitarium of the care of the feebleminded it will become necessary to provide a special building for their accommodation The ward in which the boys are now confined is overcrowded So too is the ward in which the girls are kept Neither of such wards have proper bathing or toilet conveniences A building for these young people should be equipped for their needs As they are now situ ated they have nothing to interest or amuse them and bad habits are soon formed It should be surrounded by ample yard space so that large play grounds may be had School rooms should be supplied and kindergarten teachers em ployed for their instruction The Board earnestly hopes however suitable provision will be made for these unfortu nates elsewhereSIXTYSIXTH ANNUAL REPORT 4 Colony for EpilepticsIf the policy of the State is to remain unchanged and the Sanitarium still compelled to receive this class then it is due them that sufficient funds be supplied the Sanitarium for the purchase of enough farm land and for the erection of the simple buildings needed so that they may be segregated and removed entirely from the Sanitarium Funds will be required too for the main tenance of such colony 5 Negro BuildingThe crowded condition of the present Negro Building makes it imperative on the General Assembly to provide more room for them Accommoda tions are now needed for upwards of 300 patients In the erection of such a building provision should be made for an amusement hall or chapel for the convalescent patients of this race No such provision has ever been made for them and they have been deprived not only of the pleasure such a feature would give them but of the weekly religious services The cost will not be excessive and such a hall would add much to the happiness of these poor unfortu nates 6 Nurses Hall for Female NursesThe duties of the female nurses are heavy They go on duty at sunrise and remain on until relieved at night They are locked in the wards on which their rooms are at night and resume duty again at daylight The work at best is not attractive and this necessity makes it less so The securing of competent nurses constantly grows more difficult to the Superintend ent The Board believes the best ends of the Sanitarium will be served by the erection of a nurses hall to be occu pied by them when off duty It should be equipped with ample bed rooms bath rooms etc and should be supplied with a good library and comfortable sitting rooms Some consideration should be shown them by the State Their wages are small and such a hall or home appears justly due them The States Duty to the Epileptics The humane care of its defective and afflicted citizens is the fundamental duty of every civilized government The State of Georgia has recognized this duty in the provision GEORGIA STATE SANITARIUM 21 made for her insane her blind her deaf and dumb her disabled soldiers and her consumptives She has not recog nized her duty so far as her epileptics are concerned save only that she allows their commitment to her insane hos pital With equal justice might she direct the commitment to it of the deaf and dumb It is not less well adapted to the proper care of the one than the other Their com mitment to it does them a monstrous injustice and to the insane with whom they must to some extent associate a positive injury They have as much moral right to have their peculiar needs humanely cared for as have the insane The epileptics are perhaps the most sorely afflicted and pitiable of all the afflicted They suffer from one of the most horrible of diseases whose outward manifestations are alike repulsive and frightful to the ordinary observer It causes them to be shunned by the well closes to them almost every avenue of employment makes them unwel come guests at every social gathering bars to them the doors of both school and church and renders them prac tically social outcasts The disease makes them irritable suspicious morose and subject to violent passions Un cared for unchecked and unhindered grave crimes against society are frequently committed by them and from their marriage the defective classes are the State are largely re cruited The interests of both State and society are con served by their proper and humane care In the belief an awakened public interest in these unfortunates makes their pitiful cases hopeful the Board submits herewith such in formation as it has concerning their proper care The hope of this class lies in their scientific segrega tion colony life and plentiful employment in the open air and sunshine Plain farm buildings accommodating not more than twenty or twentyfive patients each so that the home idea and life may be preserved best answer their needs Ample land for farm gardens orchards etc will be needed together with such administration buildings as are required A skilled physician should be in charge and should have such assistance and attendants as the number of patients make necessary The labor of the inmates ju diciously supervised should be made to contribute not only22 SIXTYSIXTH ANNUAL REPORT to their cure but to their support as well Most patients of this class make good colonists and when so colonized are almost invariably improved and made comparatively happy Being similarly afflicted they are bound by ties of sympathy which tends to soothe their irritableness They are helpful to each other in the terrible seizures to which they are subject The insane and mildly demented epilep tics are benefited physically by this life though their mental conditon may not be improved For a large number of epileptics however whose mental condition remains sound or whose cases are of recent origin the authorities are agreed there is hope under the conditions set out herein for complete relief It is for this class especially the Board pleads A State Hospital for epileptics and the transfer to it of the patients of this class now in the Sanitarium would afford it much needed relief and assistance in its own peculiar work Conservative estimates place the number of epileptics in the State at 1 in every 500 of population Approximately 370 patients sane and insane of this class are in the Sanitarium State Care of the FeebleMinded That it is the duty of the State to care for its feeble minded admits of no doubt This class includes the idiots and other mentally defective persons who are not insane Such care is demanded not only by humane reasons but equally so by the best interests of State and society Their further commitment to the hospital for the insane should be tolerated no longer In no sense does the Sanitarium meet their peculiar needs and the gross injustice to them and to the Sanitarium in such commitments is apparent without argument That they need the protecting arm of the State about them admits of as little doubt as does the nature of such care The females of this type unprotected are the easy prey of dissolute men and few are the com munities which does not include one or more immoral females of this type who are sowing trouble for both State and society in the years to come Many of them are capable of some mental improvement if taken in hand early enough Surely if the State owes a duty to the blind and to the deafGEORGIA STATE SANITARIUM 23 and dumb she owes an equal duty to these defectives But she must recognize the fact that not only is a school adapted to their peculiar needs demanded but a home as well for most of them must necessarily become inmates for life The authorities consulted condemn severely the association of this class with the insane From such authorities the Board has gained the information as to the proper and humane care of this class which follows They should be segregated and colonized Ample land for farm gardens orchards etc will be required Inex pensive frame cottages with large dormitory rooms to ac commodate from fifty to seventyfive persons together with such kitchensdining halls school buildings manual training building quarters for the officers etc will answer its needs A physician of some experience in the care of this class should be secured as superintendent He should be supplied with such assistants attendants teachers helpers etc as the number of inmates may require Teachers of kindergarten training will be required for the school room and instructors of some skill for the work room The inmates can be taught to contribute to some extent to their own support The girls should be given domestic training taught to sew etc while the boys are taught useful trades Under such humane care and amid such favorable surroundings may of this class are capable of marked improvement and their existence made vastly happier The withdrawal of this class from the Sanitarium will be a welcome relief to it The Board again renews its earnest recommendation for the establishment of a State School and Home for the Feeble minded to which this class shall in the future be com mitted Careful estimates places the number of this class in the State at 1 in 500 of population Amendments to the Law Recommended Looking to the best interests of State and Sanitarium that in protecting the one the other may be advanced and so the better do that for which it was created the Board respectfully recommends the following amendments to the law governing it 1 Amended so as to prohibit the commitment to it24 SIXTYSIXTH ANNUAL REPORT of senile and harmless imbeciles sane epileptics and feeble minded children Provided that other provisions be first made for them 2 Amended so that the three nearest adult relatives may waive the required tendays notice of a trial for lunacy 3 Amended so as to permit the Board of Trustees to employ an attorney at law as its legal advisor as occa sion requires 4 Amended so that nine members shall constitute the membership of the Board that at the first appointment three shall be appointed for two years three for four years and three for six years and hereafter three shall be ap pointed every two years for a term of six years The Sani tarium has grown too large and its interests too vast to intrust its management into the hands of inexperienced men every two years This will not affect the present Board 5 Amended so that any person who brings a patient to the Sanitarium and who shall without the consent of the Superintendent leave or abandon such patient on the Sanitarium grounds shall be arrested and tried for the same in the courts of Baldwin County having jurisdiction in criminal cases and upon conviction shall be punished as for a misdemeanor 6 Amended so that in trials for lunacy or other causes authorizing a commitment to the Sanitarium the Ordinary of the County shall preside over the Court administer oaths and examine witnesses He shall appoint a guardian ad litem for the person to be tried and in every case shall cause the evidence to be taken down in writing and a certified copy thereof in case of commital shall be sent with the patient and that the Superintendent be authorized to refuse such patient unless a copy of the evidence be thus sent 7 Amended so as to require an annual visit from the Ordinary of each County in the State having patients in the Sanitarium to the Sanitarium to inquire into the care and condition of the patients from his County the expense of such visit to be borne by the CountyGEORGIA STATE SANITARIUM 25 8 Amended so as to change the name of the Sani tarium from the Georgia State Sanitarium to the Georgia State Hospital for the Insane Special Appropriations Asked For the reasons set out in the foregoing parts of this report the Board respectfully requests appropriations in the following sums for the purposes stated To supplement the general appropriation for the year 1910 the sum of 2500000 to be increased to 7500000 if the Board is to be permitted to undertake the extensive repair work now needed to place many of the wards in thorough sanitary condition To supplement the general appropriation for the year 1911 the sum of 3500000 For the construction of a water reservoir the sum of 1500000 For the enlargement of a kitchen attached to the Negro Building and the replacement of its boilers the sum of 1400000 For the enlargement of the laundry the sum of 800000 For the enlargement of the store room the sum of 280000 For the construction and installation of track scales the sum of 150000 For the completion and furnishing of the unfinished wing of the Twin Buildings 800000 For the erection and equipment of an addition to the Negro Building furniture heat etc the sum of 10000000 For the erection and equipment of a General Hospital Building the sum of 6000000 For the erection and equipment of a building for the acute insane the sum of 10000000 For the erection equipment etc of a Nurses Hall the sum of 3000000 In default of other provision for the feebleminded and for the erection of a childrens building equipment etc the sum of 3500000 In default of other provision for them and for the erection and equipment of the necessary buildings live 26 SIXTYSIXTH ANNUAL REPORT stock furniture farming and gardening implements etc necessary to the formation of an epileptic colony the sum of 3000000 In Conclusion The Board thanks your Excellency for the courteous consideration shown it in the discharge of its duties and commends to your earnest consideration the wants of this great charity as herein set out Its work touches every part of Georgia and interest in it is State wide Every citizen it can restore to reason is a valuable asset regained by the State and its needs to this end should be liberally supplied The retiring Board sent out a committee from its number to visit many similar institutions in the United States for the purpose of helpful comparison The interest ing report of this committee is published as an appendix to this report The commendations of the Board are clue to Superin tendent Jones for the faithful and efficient discharge of the responsible duties of his office His wise management of the Sanitarium has the loyal support of his staff of medical and business assistants and his faithfulness is matched by their fidelity Amid all the trying experiences of the past year harassed by nnderserved criticisms from without and embarrassed by lack of funds within they have not failed to meet every duty imposed upon them They well merit the entire confidence and sympathy of our citizens Respectfully submitted John T Brantley President Henry Banks VicePresident Richard Johnson Secretary Thomas R Wright M D George S Lowndes H H Dean P H Gambrell J C Jarnagin N Petersen M D H M Smith Board of TrusteesGEORGIA STATE SANITARIUM 27 For the Year Beginning January 1st 1909 and Ending December 31st 1909 Georgia State Sanitarium January 1st 1910 To the Honorable Board of Trustees Georgia State Sanitarium Gentlemen I respectfully submit for your official consideration the sixtysixth annual report of this institution for the year ending December 31st 1909 On January 1st 1909 there were white patients on hand 2153 and colored 959 There have been received since 586 whites and 387 colored making a total reception of 973 There have been discharged removed eloped and died 879 leaving in the institution January 1st 1910 3206 of whom there were 94 whites and 33 colored on furlough not discharged The average number of patients under treatment dur ing the year was 3159 while the total number receiving treatment was 4085 It will be seen that the average number receiving treat ment was 29 more than last year The actual number of patients on hand January 1st 1910 over the actual number on hand January 1st 1909 is 72 Our per capita per diem has been 3728 cents which includes every expense connected with the management of the institutionsalaries wages maintenance medicines repairs etc This shows a very economical expenditure of moneyindeed it is much less than ought to be spent to keep this institution abreast of the times and add to the comfort of our helpless and dependent inmates I heartily indorse the recommendation made by the Board when the Legislative Committee visited us in November last that the Sanitarium be given 50 cents per capita per diemM 28 SIXTYSIXTH ANNUAL REPORT With the small amount of money that we have had and the increased cost of living we cannot furnish as great a variety of food as we desire to give our patients They are furnished a wholesome and substantial diet but we are not able to vary it enough and give them desserts We have a large class of old feeble people who are not able to eat a heavy diet We have never been able to furnish all the milk we could use to advantage but I am glad to say that within the last year we have increased the supply to about 22COO gallons more than we had been getting previously This is due to the improvement in our herd of cows and the better care they have had since the new barn and silos have been built The cows have never been in as good con dition nor have they ever yielded as great a quantity of good wholesome clean milk Since our last report the cow barn with 150 stalls has been completed It was made perfectly sanitary as I de scribed before by building cement floors with trough in front of the platform on which the cow stands for the food and one in the rear to catch the droppings These troughs have a slight fall from the ends toward the center where they are connected with an outlet so they can be washed as often as necessary to keep them clean There is a swinging stanchion for each cow and the stalls are sep arated by a small iron pipe in the shape of an elbow With a nice bed of straw to rest on the cows can be kept warm and comfortable the coldest weather it not being necessary to turn them out to get water as they can be watered in the barn Three silos of about 200 tons each have been built Two of them were filled last summer and the third one was more than half filled making more than 500 tons of corn silage The silage has kept beautifully and is eaten ravenously by the cows I am very much pleased with this experiment The droppings from the cows are now being carefully sheltered and will be worth a great deal applied to these old wornout soils on which we have to garden The dairyman Mr H P Russell has weighed the milk of each cow and kept a daily record so as to know what they are doing This is the only way to find outGROUP OF COWS INTERIOR NEW DAIRY BARN MH GEORGIA STATE SANITARIUM 31 which cows are not worth feeding Those that are not pay ing are being gradually weeded out By this method in course of time we hope to have as fine a herd as can be found anywhere I am anxious to have some registered stock and with this end in view bought two fine Jersey heifers from a very reliable dealer in South Carolina and one registered cow in this County which cow has dropped a very fine heifer calf entitled to registration You will see from the Assistant Stewards report the cost and expense of running the dairy which being taken from the value of the milk at its market value 30 cents per gallon shows a net profit of about 858400 The cost of feed is all of onethird more than it has been heretofore and we cannot buy milk for less than from 30 to 40 cents per gallon Hence I think it right to give the dairy credit for the market price of milk In connection with the dairy we should not fail to give our dairyman Mr H P Russell due credit for his very efficient and faithful service Finances From the Stewards report you will observe that we have a small deficit of 5424 It was hard work to keep it down to this small amount and it was only done by hold ing back some of the shipments of coal that we usually have made before the beginning of a new year This is rather discouraging when at the beginning of last year we had a surplus of 481126 and the appropriation is a little less for this year than it was last Besides we begin this year with about 90 more patients to take care of than we started with last year Then too the cost of living has greatly increased It will simply be impossible for the institution to be taken care of on the present appropriation We have been compelled to employ three more physicians owing to the increased number of patients within the last three or four years and as we are now keeping a more complete record of all new patients have to employ more clerical force adding at least 400000 to our ordinary expenses Then we have been compelled to increase the wages of our colored attendants Their wages have been the same for many years and they cannot live on such wages They are 32 SIXTYSIXTH ANNUAL REPORT not now getting what they ought to have but are remaining at their work hoping that the State will be more liberal toward this institution and that we shall be able to give them something like what their work is worth The demands for improvements in many of the depart ments are very urgent At least six or eight thousand dol lars ought to be spent in improving the laundry Some of the washing machines that have been in use for twentyfive years are still being used They are too small and are con stantly breaking down and should be replaced by larger ones There are nearly three times as many patients to wash for as there were when these machines were put in Think of having to launder about 35000 pieces every week and you may get some idea of the great amount of work to be done There should be a separate machine a sterilizer for all of the soiled clothes to go through before they are put into a regular washing machinethe soiled clothes never being allowed to go into the laundry proper until they have been sterilized The boilers at the Negro Building need replacing and the kitchen enlarged Our engineer estimates that it will take about 14000 to do this work It is very urgent or rather imperative at least so far as the boilers are con cerned as the insurance will be refused after this summer if new boilers are not put in The wood and machine shops need to be enlarged for they are all out of proportion considering the amount of work that needs to be done in them This will cost between two and three thousand dollars The store room needs to be enlarged which will cost at least 260000 or 280000 I mention these things that are absolute necessities to show you how badly we need more money The amount appropriated for this year will not be sufficient to support the institution and allow this much needed work to be done We were so far behind with repair work that we had to employ two additional car penters and one plasterer While speaking of repair work it is well to say that the T O Powell Building being the oldest building needs quite a good deal of work done on the interior to put it in good condition The wards andINTERIOR KITCHEN T O POWELL BUILDING ONE OF THE FOUR NEW TUBERCULAR WARDS GEORGIA STATE SANITARIUM 35 rooms are plastered overhead and the floors are so badly worn that whenever scouring is done the water goes through and wets the plastering and causes it to fall It is a waste of time and money to patch the many places where the plastering has fallen off for it soon falls again I would recommend that the plastering overhead to those old wards be removed and wooden ceiling be put in its place and that all of the old flooring be removed and new boards be put down I would further recommend that all new floors be stained and waxed This dressing would have to be re newed occasionally but it would obviate the necessity for scouring and the dry rubbing so much with shuck mops causing so much dust which is a great nuisance besides being such a prolific source of disseminating the deadly germ All dust or dirt could be removed by using moist cloths This too would save the cost of so many brooms We wish to repeat the recommendation that was made in our last report that every bath room and water closet should have cemented floors It would be economy in the end and so much more sanitary There are in the institu tion quite a number of old rusty iron bath tubs that should be replaced with new sanitary tubs or shower baths There is one wing consisting of three wards in one of the Twin Buildings that should be finished One of these wards is very much needed to increase our room for the sick Every ward in the two buildings is now occupied and we have not enough room in the one hospital ward to accommodate the sick A regular hospital building for all the sick separate from the other buildings where they would not be subject to the noise incident to all buildings for the insane is what I would recommend We have separate wards in the buildings very well equipped doors and windows screened good operating rooms etc for the sick but at times there is enough noise on adjoining wards or wards near by to disturb the sick and this cannot be avoided The buildings are so large and so many patients in them it is impossible to classify them so as not to have some noisy ones in hearing The Negro Buildings for both male and female are very much overcrowded We have about 200 more than 36 SIXTYSIXTH ANNUAL REPORT the normal capacity of the buildings The day rooms have to be used for sleeping quarters at night and this is detri mental to the health of the patients More room should be provided We are again asking for an appropriation for tubercular wards This has been the cry for a good many years but the appeal goes unheeded We can hardly get a living out of the regular appropriations and have no money to build these extra wards I believe the Board would be justifiable in refusing to receive patients afflicted with tuberculosis They are frequently brought to the institution in the last stages and having no separate wards to put them in they are placed among the other healthy people who are likely to contract the disease You would not receive a case of smallpox and I would much rather have smallpox than to have consumption Even some of the County authorities are refusing to receive crim inals in their jails if they have tuberculosis When will our State awake to a sense of its duty and provide proper care and protection for its unfortunate and helpless citizens In connection with the subject of contagious diseases would call your attention to the fact that we are without rooms in the way of pest houses in case we should have an epidemic of any contagious disease There is a one room house in the rear of the Green Building now being used for the storage of old broken furniture new bedsteads etc that might be used for patients from the Green Building but it is not equipped with any conveniencessimply a great big room weatherboarded and not even ceiled It was used once several years ago when male patients occu pied the Green Building for isolating some cases of small pox but it is inaccessible to any other building There is a fourroom building in the rear of the Negro Building and one of about the same number of rooms near the Twin Buildings that might be used for this purpose if it became necessary but they are occupied by our employes They could be made available only by keeping them vacant Another important advance would be made in the way of treatment if we could have installed hydrotherapeutic outfits A great many hospitals for the insane are usingGEORGIA STATE SANITARIUM 37 these outfits for treating their inmates and in many cases it far surpasses any other treatment that can be given No hospital for the insane is properly equipped for the best work without this important adjunct The acute insane is the class that needs this kind of treatment more than ny other Hence some institutions have a separate building for the reception of all acute excitable cases where they can get the benefit of hydrotherapy I doubt if we could add this remedial measure to much advantage unless we had a new building constructed for the purpose We have reception wards for all of the new cases but frequently a violent noisy patient comes in and disturbs the whole ward If we wereable to give such a one a continuous bath it would be more soothing and quieting than anything that could be done It seems that our wants are never satisfied but we have been taught to ask for what we wanted and if we did not get it it would not be our fault In our last years report we called attention to the necessity of having an additional reservoir for the storage of water The capacity of the only reservoir that we have is so small as to bring about a serious situation in case of fire or accident to the pumping station or line of pipes Our engineer estimates that such a reservoir as we need would cost about 1500000 During the year most of the old water closets were removed in the Negro Building and new ones installed When the work in this building has been finished the plumbing in the whole institution will be in good condition The buildings and grounds have been wired for electric lights and we have been using electricity for a month or more for lighting purposes This is contracted for from the Oconee River Mills Company at a very reasonable price Still our lights will cost a good deal more than they ever have cost on account of having lights in the Negro Build ings hospital and two detached buildings in the dairy barn and stables besides the grounds about the premises these buildings and grounds never having been lighted before The wiring seems to be a firstclasss piece of work and I think has been done in as safe a manner as possible the 38 SIXTYSIXTH ANNUAL REPORT wires being carried through iron conduits so as not to come in contact with any of the wood work This is a great improvement over the old gas lights that have been used heretofore and I trust ere the present con tract with the Oconee River Mills Company expires the Sanitarium will have a plant of its own A canning factory was put up at the Colony last spring but we were disappointed in our fruit crop and did not can any We planted three or four acres in tomatoes but the crop was very poor on account of excessive rains and the worms causing the tomatoes to spoil before ripening Something over 3000 threepound cans were put up and they kept very nicely We tried some corn and okra but made a failure as it spoiled Trust we will be more successsful the following season The crops at the Colony were as good as could be expected owing to the seasons Rains were rather exces sive during the spring and up until August when they ceased rather abruptly causing a shortage in the cane potato pea and cotton crops The corn crop was very good yielding something more than 8000 bushels The oat crop was not as good as it would have been had it not been so badly killed during a very hard freeze the latter part of January the only severe weather during the winter While the potato crop was not as large as we usually make there will be plenty to last us until spring owing to the fact that they have kept better than for years I attribute this to the complete change of seed The usual number of col ored male patients about 80 or 90 work on the farm We had an epidemic among the cattle at the Colony last spring The State Agricultural Department sent a vet erinary surgeon to examine them and he pronounced the disease anthrax It seems to be highly contagious and deadly The sick were isolated promptly and less than a dozen died We have about fifty or sixty white male patients who work in the garden The work is not compulsory and they are always under the observation of attendants whose duty it is to see they are properly cared for Some of the white males assist regularly in the dining rooms and ward workGEORGIA STATE SANITARIUM 39 Some of the colored males work regularly in the kitchens while others help about the dairy grading and various other things The colored females work in both the white and colored laundry help clean the wards and do sewing while the white females help with the ward work and do a good deal of sewing There is no denying the fact that proper employment is among the best remedial agents we have for the mentally and nervously afflictedthough not applicable to all cases nor is it curative in all cases A certain class of cases need absolute rest It is better to put them in bed and keep them there for weeks and even months There is a large number among the mentally afflicted who will never recover under any teatment That is why I say that occupation is not always curativethough it does aid in keeping one in better physical condition I am frank to admit that I do not think as many of our patients are employed as ought to be for their own good not to say anything about the benefit it would bring to the Sanitarium There are several rea sons for this One is that we have no industrial shops where they could be employed another is a great many who would be benefited by proper employment are inclined to elope if they have the least opportunityconsequently they cannot besent out from the buildings without a suffi cient number of attendants to keep in close touch with them A good many more extra men would have to be employed than we are able to employ if this was done A third reason is a great many are not willing to engage in any kind of manual labor or any other kind of labor as to that without they are paid for it And then frequently relatives object to their doing anything They do not even want them to aid in keeping their rooms in order They say The State pays for their care and we do not want them to work We are not able to buy vegetables and try to raise all we can though our garden lands are very poorly adapted to the purpose Next to occupation we are inclined to the opinion that amusements and entertainments are the most important factors as curative agents in a large number of patients40 SIXTYSIXTH ANNUAL REPORT Of course this applies to patients who are without organic lesions Many cases need the best medical skill that can be provided I am sorry to say that we have not had the means to provide such amusements and entertainments as we feel would be beneficial to a large class of our patients The weekly dances form the most prominent feature of our en tertainments During spring and summer they have base ball On the wards some engage in playing cards checkers etc I am not certain as to how practical it would be but in my last report I suggested that when our buildings were electrically lighted the installation of a moving picture out fit would probably afford more entertainment than any one thing that could be provided We now have the electricity and I would recommend that we provide this form of enter tainment If we could have music on the lawns occasion ally it would be a source of great enjoyment to the inmates 1 faded to mention above that we have three pianos on some of our quiet wards for the females and they enjoy them Billiard and pool rooms would afford many a pleas ant hour for quite a number of our quiet male patients But all of these things call for money more money Will the State of Georgia appropriate it or shall we have to con tinue to drag along in the same old monotonous life until we die Religious Services Rev Ford McRee performed the duties of Chaplain from November 1st 1908 to November 1st 1909 He preached in the chapel every Sunday afternoon and buried the deadi e those who were buried here a good many being sent home for burial A good congregation is usually out to attend the Sunday afternoon services and partici pate in the singing enjoying the services Library ur Library is enjoyed by a good number of the in mates It s placed in the Male Convalescent Building but patients from any of the other buildings are allowed to visit it and get such books and magazines as they like to read The report of the Librarian will show the number of GEORGIA STATE SANITARIUM 41 contributions for the year A good number of daily and weekly newspapers come regularly without charge and we wish publicly to thank every one who has contributed books magazines or periodicals An Xray machine has been purchased and we trust it will prove of great value in examining fractures disloca tions and in searching for foreign bodies Law Requiring Ten Days Notice Before a Patient Can Be Committed In our last report we urged that this law be amended so that in certain urgent cases relatives may be permitted to waive this notice In no case can this be done under the law as it now stands and it works a great hardship in many cases as the often have to go to jail and wait ten days before they can be legally committed Attendants Since the high price of cotton and the greatly increased cost of living we have not been so fortunate in retaining our attendants I speak more particularly of the white male department A good many of them have families to sup port and it is hard for them to live on the small wages they get here We are taught not to muzzle the ox that treadeth out the corn and I believe that every working man it matters not in what field he labors is entitled to a decent living Let us trust that the day is not far distant when our appropriations shall be sufficient to allow us to pay these worthy servants of the State something like the value of their services No one on the outside can know the hardships they undergo the trying ordeals through which they pass many times their lives being endangered by coming in contact with delirious homicidal patients and criminal lunatics Within the last few months a good deal has been published in the newspapers about the brutality and un worthiness of our attendants but the source from which these libels emanated if traced could be shown to come from diseased imaginations or from those who wished to slander We do not claim perfection for all of our employes 42 SIXTYSIXTH ANNUAL REPORT admit that some have been bad and had to be discharged for mistreatment of patients but taking them as a whole I believe they are as good as any similar number doing similar work in any institution in this country In speaking of the employes of this institution I feel that I should not fail to mention the death of our faithful Supervisor Mr William Jackson I do not know the time when he first connected himself with the Sanitarium but I feel confident that he gave fifty or more years of his life to its service I had known him twentysix of these years much of the time being thrown in daily contact with him while he was Supervisor in my service and I can truthfully say that he was always loyal conscientious and faithful to every trust A good man has gone Medical Staff At the October election all of the Medical Staff were reelected except Dr E M Green who was elected to the new position of Clinical Director and Dr D G Willets our Pathologist who resigned to accept a more lucrative position with the United States Government Dr W J Cranston who had been serving as interne since last January was elected to a position on the staff We regret very much the loss of Dr Willets While doing all of the laboratory work he had charge of three small wards and his service was very efficient and faithful in both departments He did a large work that had never been done before in this institution examining the faeces for intestinal parasites and his findings were astonishing As yet we have not been able to find a man to fill his place and apprehend that it will be a difficult matter to do so The election of Dr Green as Clinical Director was a step in the line of progress Only a few institutions of this character have Clinical Directors but there are very few that are as large as this While clinics were held weekly before they are now held daily and we are enabled to keep more elaborate notes and better records of the new cases and of the sick In this connection will add that the Board authorized me to employ three more physicians as internes which will give us a better working force Dr J I Garrard and DrGEORGIA STATE SANITARIUM 43 Bernard Cline are now with us and we hope to add the third man by the early spring Every new case that is received is given a thorough physical examination by the physician in charge of the reception ward and then the whole Staff pass upon the mental condition discussing all of its phases and make the diagnosis Training School For the present we have suspended the Training School on account of inaugurating the extra clinical work but hope to reorganize next fall on a new basis I have recom mended and I believe the Board agrees with me that it is to the interest of the institution to have a regular curricu lum and give certificates of graduation This will stimu late both the nurses and the physicians who lecture and no doubt will make better service than we have ever had Health In the Clinical Directors report you will find state of health classifications etc etc For further details would respectfully refer you to re ports by other officers at the head of the different depart ments The officers have been faithful and efficient and have given me cordial cooperation in the management of the institution The employees with very few exceptions have given good and faithful service and are worthy of confi dence Without your sympathy and support our burdens and trials during the last year would have been more than we could have borne I sincerely thank you for your cordial support and kind ness and trust that I may always have your confidence Very respectfully submitted L M JONES Superintendent Etc44 SIXTYSIXTH ANNUAL REPORT Steport of GUmiral Strwtnr We are endeavoring to follow as nearly as possible the plan of work adopted by the Manhattan State Hospital of New York In this attempt we are handicapped in many respects not the least of which is that we have only ten physicians to care for 3200 patients now in the institution as well as to attend to the immense amount of work represented by the admission of about 1000 new patients each year That the work can be satisfactorily done by the small number of physicians is impossible but we hope to demonstrate the need of a larger force and to improve the service in many particulars We have tried to concentrate our efforts on the recep tion service as from the recent cases we expect the greatest proportion of recoveries These wards are in charge of six of the physicians though they form only a portion of the work assigned to each On the reception wards a uniform system of examination is carried out The new patient un dergoes a thorough physical examination and his mental status is investigated according to the outline prepared by Dr Meyer and Dr Kirby of the Manhattan Hospital Ad ditional notes are taken as often as seems advisable and after two months the patient is presented at the staff meet ing when a summary of the case is read and it is assigned if possible to a definite classification group The number of admissions is so large that we are unable to have each patient presented for both a provisional and a final diagno sis nor can the time be spared from other duties to go as deeply into every case as we should like to do The staff meetings are held daily and are a great factor in stimulating interest in mental diseases as well as in the ordinary medical duties of the ward At these meetings the physicians have an opportunity of seeing every patient admitted to the institution and of becoming familiar with the different forms of mental disease A free discussion is encouraged and each physician is called upon to express his opinion of the case presented and to give his reasonsGEORGIA STATE SANITARIUM 45 for this opinion with the differential points to be consid ered In this way the personal factor in diagnosis is avoided and points which might be overlooked by one are brought out by another We hope by these careful examinations and free discussisons to reach a more nearly correct group ing of our patients than we otherwise could do In the male departments both for white and colored we have separated the classes of patients according to their conditon as quiet feeble epileptic or disturbed The re moval of the epileptic and the disturbed renders the situa tion of the other patients more pleasant and the resulting absence of noise and confusion should prove a factor in hastening the recovery of many During the year no especial record has been kept of the diseases occurring among the patients We have had cases of typhoid fever in every department of the institu tion male and female white and colored but in only a few instances did the disease develop in patients Most of the cases occurred among the attendants many of whom have families and friends in the neighborhood with whom they spend a portion of their time and doubtless the infection was received while on these visits The number of cases of typhoid fever was however smaller than for several years past Quite a large number of cases of tuberculosis have been reported this disease with one exception being responsible for the greatest number of deaths Comparatively few cases are found among the white patients The negroes suffering from tuberculosis are cired for in pavilions erected in yards adjacent to the buildings Since they have been removed from the halls fewer cases have developed many of those having the disease have greatly improved while some seem to have made complete recoveries The number of cases of pellagra in 1909 was greatly in advance of that of any previous year and to this disease we attribute more than 16 per cent of our deaths As with tuberculosis pellagra is much more common in the negro department especially in the wards for females Many of these patients apparently recover only to have subsequent attacks Permanent recovery is quite rare J 46 SIXTYSIXTH ANNUAL REPORT Many of the cases reported appeared among those who were already inmates of the institution but quite a large proportion of them were admitted with the lesions in the active stage It will be seen from the table giving the forms of in sanity of those admitted during the year that six patients were reported as not insane Two of these were white men who had come in conflict with the law and were sent to the institution probably with the object of evading pun ishment for their actions Both were discharged into the custody of officers of their respective Counties One was a young woman whose moral irregularities caused her rela tives to have her committed but in whom we could find no evidence of insanity Of the three negro men reported as not insane one was a criminal and was returned to the officers of his County The other two probably were insane at the time of their trial for lunacy but had recovered befsre they were brought to the Sanitarium In a subsequent table we find that the cause of death in one instance is given as asphyxia This patient was a negro male While eating his dinner a piece of beef became impacted in his larynx and death ensued before a physician could reach him We report the occurrence of three suicides All of them were white males two of whom were in the Conva lescent Building The first patient had been in the institu tion for nearly two years and suffered from manicdepres sive psychosis of the depressed type Before admission he had threatened suicide but had made no attempt and had apparently improved a great deal since he came to the Sanitarium He ended his life by means of a sheet with which he hung himself The second case was a young man suffering from infective exhaustive psychosis who had attempted suicide before admissison and who had been in the institution only twentynine days He too had appar ently improved both mentally and physically and had been transferred to the Convalescent Building only the day be fore his death He ended his life While in his room the night after the former suicide using his belt for the pur pose The third patient was a young man 29 years of ageGEORGIA STATE SANITARIUM 47 a case of manicdepressive psychosis of the depressed type who had been in the institution only fourteen days He had spoken of suicide before admission but had made no attempt to injure himself The morning of his death he went to the attendants room shortly before breakfast for his usual medicine and returned to his room When he failed to come to the table with the other patients an attendant went to his room where he found that he had hung himself having stood on a chair and tied a towel about his throat the other end being fastened to the tran som of his door No record has been kept of the minor surgical work during the year The table included in this report shows the number of operations of which there is a record From this table it will be seen that four patients died following operation One of these was a young woman who had swallowed a number of pins needles glass and other articles in consequence of which a severe gastritis devel oped The operation was done for the purpose of removing the foreign bodies She died within twentyfour hours from surgical shock The second patient was a negro man suffering from acute intestinal obstruction On opening the extremely distended abdomen a volvulus was found but portions of the intestines were gangrenous and his death followed in a short time The third case was one of suppurative appen dicitis in a young woman who suffered from dementia praecox and who was not known to be ill until a short time before the operation was done A very large abscess was opened and drained but death occurred the following day The fourth case was one of strangulated inguinal hernia in a man 63 years of age The intestine included in the sac was almost gangrenous though the patient was operated upon about four hours after the condition was discovered He did not regain consciousness and died in about two hours In rather a large number of instances the cause of death was not assigned A number of these were cases of sudden death and as no autopsy was allowed the cause could not be given With the exception of several fractures reported SIXTYSIXTH ANNUAL REPORT in a later table no serious accidents other than those already mentioned have occurred In reviewing the table giving the causes of insanity in the patients received it should be understood that the causes included are those assigned by the relatives or the phy sicians who fill out the history blanks sent with the patient and really have little value We hope to have a more reli able table of causes in the future From our table showing the forms of insanity in those received we see that about 53 per cent of our admissions are assigned to groups from which little can be hoped in the way of recovery The custom of discharging patients at the expiration of furlough is responsible for the small number of recoveries we record The greater number of our patients are discharged as improved This is due to the fact that it has been the policy of the institution to allow relatives of convalescent patients to take them home on furlough when it seemed safe to do so If such patients do not return within ninety days they are discharged Un doubtedly very many of those sent home in this way recover before the expiration of the furlough but we are not noti fied of their condition and can only record them as im proved Occasionally harmless though unimproved pa tients are allowed to go home with relatives and unless returned are discharged at the end of ninety days as unim proved In exceptional instances relatives are allowed to remove patients for the purpose of placing them in other institutions or that they may die at home when it appears that death is a matter of a short time In such cases the patient is discharged as removed One patient was dis charged by order of Court the Judge before whom the case was tried deciding that the commitment was defective GEORGIA STATE SANITARIUM TABLE I 49 White Colored o Forms of Mental Diseases of Patients Admitted During 1909 n a 3 o 3 n a n 3 O 3 3 Psychoses with brain tumor 1 1 32 14 23 23 10 10 3 6 2 47 3 3 56 10 35 5 15 40 8 2 25 3 2 1 4 27 1 7 5 38 10 43 8 12 U 35 4 1 1 2 2 27 15 3 3 7 l5 2 70 25 2 16 2 3 25 3 2 i 12 1 1 40 1 73 7 l2 15 3 Traumatic psychoses 3 Senile psychoses 100 35 Psychoses with other brain or nervous disease Alcoholic psychoses 30 97 Drug and other toxic psychoses 15 Infectiveexhaustive and autotoxic psychoses Allied to infective exhaustive psychoses Involutional melancholia 56 4 14 Depressions undifferentiated 8 Dementia praecox 140 Allied to dementia praecox S Paranoic conditions 16 Manicdepressive psychoses 7 Allied to manicdepressive psychoses Epileptic psychoses 18 70 Hysterical psychasthenic and neurasthenic 5 Other constitutional disorders and inferiorities Imbecility and idiocy with insanity 28 103 Unclassified Q Not insane 6 349 237 194 1931973 50 SIXTYSIXTH ANNUAL REPORT TABLE II Causes of Insanity in Patients Admitted During the Year 1909 White Colored H o ft s 5 BJ a 3 o a a 3 n a Kidney disease 4 5 6 1 1 23 1 2 2 4 1 1 7 Epilepsy Bad health Financial loss Financial worry Senility Scarlet fever Imbecility Alcoholic excess Alcoholic excess and syphilis Alcohol and drugs Morphine Morphine and cocaine Excessive use of Coca Cola Aneurysm of brain Masturbation Sexual excess Sexual pervertion Syphilis Heredity Typhoid fever Meningitis Meningitis and diphtheria Catarrh of head Diabetes Spinal disease Malaria Pellagra Paralysis Neuralgia Cerebral softening Nervous trouble Acute illness Sunstroke Lightning stroke Fall Injury to head Injury to back Nervous prostration Overstudy Absence from children Grief Grief over death of relatives Domestic trouble Religous excitement Overwork Gunshot wound Operation Congenital Insomnia Thyroid enlargement Worry 4 10 2 1 1 1 2 1 1 8 2 2 6 11 2 2 4 17 1 3 4 1 1 3 1 4 6 2 1 3 1 23 11 12 11 28 SO 5 5 38 1 4 30 1 4 1 1 9 3 1 16 30 20 3 1 1 1 3 2 8 11 4 3 6 19 2 3 4 24 1 8 4 1 11 10 11 24 6 3 6 31 1 1 1GEORGIA STATE SANITARIUM TABLE II continued 51 Causes of Insanity in Patients Admitted During the Year 1909 White Colored s 0 0 3 n 3 s a 3 Childbirth Fright Trouble Stomach disease Grief over death of neighbor Menopause Acute indigestion Strain of nursing relatives Grief and overwork Jealousy Fear of cancer Christian Science Sickness and neglect Anemia Female disease Disturbed menstruation Hysteria Overheat Burn Traumatism Inherited syphilis Disappointment Murder of woman Excessive use of cigarettes Chancroid Miscarriage Brain tumor Unknown 143 75 77 349237 194 193 973 14 3 1 1 1 9 3 3 1 4 1 1 1 1 10 3 3 1 1 1 1 1 1 1 1 2 II 1 1221417 TABLE III Ages of Patients Admitted During the Year 1909 White Colored 0 K s g 3 n TO B n n 3 3 a Under 15 years IS to 20 years 20 to 25 years 25 to 30 years 30 to 35 years 35 to 40 years 40 to 45 years 45 to 50 years 50 to 60 years 60 to 70 years 70 to 80 years Over 80 years Unknown 8 10 5 3 25 13 18 8 43 17 26 33 43 26 25 30 31 31 12 29 43 28 20 23 24 26 15 6 21 18 11 18 55 28 15 13 37 21 23 16 12 9 12 7 3 2 4 0 5 8 8 7 349 237 194 193 26 64 119 124 103 113 71 68 111 97 40 9 28 j 52 SIXTYSIXTH ANNUAL REPORT TABLE IV White Colored Civil Condition of Patients Admitted During the Year 1909 n a 160 156 23 4 0 3 n a 123 81 29 1 3 3 0 3 re 3 O 71 86 33 4 94 448 44J367 431128 5 3 6 12 22 349 237 194 193973 TABLE V Occupation of Those Admitted During the Year 1909 White Colored 5f S S O a 3 3 3 3 3 n B 139 S Farmer Lawyer Housewife House servant Blacksmith Merchant 9 Laborer Nurse Electrician Cotton mill hand Housekeeper Painter Cook MinisterI 3 Student Piano tuner Chair maker Drummer Bookkeeper M anufacturer Brick mason Night watchman Salesman Farmers wife Railroad section handI 3 1 Carpenter Candy maker 2 Drayman 1 MachinistI 3 Farm laborer Hack driver Horseman Wagoner Wood dealer 54 22 218 5 114 14 3 10 115 3 2 14 81 7 21 4 8 1 1 6 3 1 3 2 3 4 3 11 2 3 3 10 1 1 1 1GEORGIA STATE SANITARIUM TABLE V continued Occupation of Those Admitted During the Year 1909 Miller Laundress Clerk Saloon keeper Wheelwright Turpentine distiller Telephone operator Jeweler Saw mill hand Physician Printer Fireman Convict guard School teacher Music teacher Actor Telegrapher Barber Porter Dressmaker Miner Stenographer Shoemaker Wood cutter Boilermaker Cooper Sign painter Farmers daughter Tramp Locomotive engineer Waiter Hotel proprietor Hotel clerk Turpentine hand Locksmith Butcher Dyer Carriage trimmer Mechanic Peddler Harness maker Plumber Collar maker Photographer None Unknown 11 11 349123 7 53 White Colored K g 3 0 n O a d P a 3 0 3 11 11 1 1 1 1 1 2 4 1 3 1 7 1 1 1 1 2 3 2 4 3 1SS 45 1194 19397354 SIXTYSIXTH ANNUAL REPORT TABLE VI Duration of Insanity Before Admission White Less than 1 month 1 to 3 months 3 to 6 months 6 to 9 months 9 to 12 months 12 to 18 months lA to 2 years 2 to 3 years 3 to 4 years 4 to 5 years 5 to 6 years 6 to 8 years 8 to 10 years 10 to 14 years 14 to 20 years 20 to 30 years Several years tT I349I237H194 27 58 45 23 9 23 6 23 17 9 9 Colored o 3 14 31 27 22 9 22 6 13 15 4 6 11 11 7 4 9 20 32 25 19 16 7 18 2 12 6 24 36 28 13 7 18 2 16 3 4 3 1 1 5 4 1 7 19 97 150 119 74 32 81 16 64 41 19 23 30 30 20 28 22 66 66 1931973TABLE VII Psychoses of Patients Discharged and Condition on Discharge WHITE COLORED i Mer L Women Men Women 1 KI 1 1 S Oc R I Re i S total KI I IBIR I l Re 1 a i T l Tl Psychoses with brain tumor 1 1 1 11 1 1 20 12 12 11 20 9 133 16 2 15 21 13 6 1 14 1 2 25 12 15 11 25 9 223 Senile psychoses 3 1 6 1 3 3 Dementia paralytica Psychoses with brain or nervous disease 1 1 1 5 Alcoholic psychoses 6 2 3 13 4 4 5 7 1 2 3 6 5 6 11 5 67 4 1 Infectiveexhaustive psychoses 2 1 3 Involutional melancholia 1 2 3 5 Paranoic condition Manicdepressive psychoses 6 57 12 2 10 9 3 3 19 12 5 6 17 36 4 90 9 Epileptic psychoses Hysterical psychasthenic and neurasthenic 25 2 15 Constitutional disorders and inferiorities 5 12 8 2 Unclassified 2 5 2 1 3 4 1 10 5 3 31 4 18 9 20 134 2 4 1 3 136 2 2 304 21 25 11 211 55 1 134 438 R recovered I improved Re removed S Not insane E elop id Oc order of Court o M O o in H H W 56 SIXTYSIXTH ANNUAL REPORT TABLE VIII Causes of Death During the Year 1909 White Colored s o 8 n 3 n a O 3 o B 0 1 General Diseases A Epidemic Diseases Typhoid fever Influenza Dysentery Erysipelas B Other General Diseases Carcinoma of bladder Carcinoma of uterus Exopthalmic goitre Pellagra Pulmonary tuberculosis Peritonitis tubercular Syphilis 2 Nervous Diseases Bulbar paralysis Cerebral hemorrhage Epilepsy Epileptic status Exhaustion from acute mental disease Exhaustion from chronic mental disease Mastoiditis Other organic diseases of brain Paralysis Paralytic dementia 3 Diseases of the Circulatory System Organic heart disease Valvular heart disease Arteriosclerosis Gangrene of foot Thrombosis and embolism 4 Diseases of the Respiratory System Acute bronchitis Broncho pneumonia Lobar pneumonia Hypostatic pneumonia Pulmonary abscess Pulmonary edema Pulmonary congestion 5 Diseases of the Digestive System Indigestion acute Gastritis acute Gastroenteritis acute Enteritis acute Enteritis chronic Hernia strangulated Intestinal obstruction volvulus Peritonitis acute general Appendicitis suppurative Diseases of the GenitoUrinary System Acute nephritis Chronic nephritis 18 9 10 25 13 3 1 3 6 24 1 1 1 1 13 11 1 2 1 1 3 2 1 7 2 1 1 1 74 63 1 1 1 17 23 5 5 20 1 15 3 28 18 6 1 1 3 1 1 17 1 1 7 2 r8 1 6 5 1 1 1 1 1 17 2GEORGIA STATE SANITARIUM TABLE VIII Continued 57 White Colored n 0 Causes of Death During the Year 1909 2 n 3 O 3 n a s 3 O B n a 7 Diseases of the Skin and Cellular Tissue 1 12 1 T 1 1 5 1 1 31 t 1 8 Diseases of Old Age Exhaustion of senile dementia 11 6 M 9 Violence Spinal trauma 1 Asphyxia accidental 1 Suicide by hanging 3 1 i j 10 Ill Defined Diseases Surgical shock 1 Inanition 4 8 7 Unknown 8 S 22 1211111120 89144158 SIXTYSIXTH ANNUAL REPORT TABLE IX Surgical Operations Performed During the Year 1909 Amputation Breast Finger Toe Thigh Appendectomy Appendiceal abscess incision of Bursa of knee removal of Castration Circumcision Cholecystotomy Dilatation and curetage of uterus Dislocation Shoulder reduction Jaw reduction Fistulotomy Fractures Clavicle reduction Femur reduction Finger reduction Metacarpal reduction Patella reduction Radius reduction Gastrotomy removal of foreign body Hemorrhoidectomy Hernia strangulated Hydrocele radical cure Intestinal obstruction acute Laparotomy exploratory Lipoma removal of Paracentesis thorax Resection of long saphenous vein Trephine of skull Uterine polypus removal of Varicocele excision ofGEORGIA STATE SANITARIUM 59 Sfcjwrt nf tt pttfjologtat Milledgeville Ga October 19th 1909 Dr L M Jones Superintendent Georgia State Sanitarium Milledgeville Ga Dear Sir I have the honor to submit a report of the operations of the Pathological Department during the current year to date The work as heretofore is composed chiefly of clini cal microscopy During the year eight autopsies have been performed 1972 clinical specimens have been examined and a chemical and bacteriological examination of the water supply has been made Special attention is called to the truly alarming high percentage of patients showing the presence of intestinal parasitism Some of the results obtained in these examina tions during the past two years have been compiled in statistical studies6o SIXTYSIXTH ANNUAL REPORT TABLE No 1 Synopsis of Protocols of Autopsies 435 W M Mental Diagnosis Anatomical Diagnosis Epilepsy 11 436 C M48 437 C 438 56 Pachymeningitis Cortical hem orrhage Pulmonary emphy sema Pulmonary hypostatic congestion Acute adhesive pleurisy Fatty infiltration of liver Fatty kidneys Athero ma of aorta Partial Meningitis Organic Dementia Multiple abscess of liver Ul ceration and inflammation of csecum and colon Nephritis Cystitis 2541Cerebral hemorrage Softening right lenticular nucleus Opaci ty of piaarachnoid General arteriosclerosis Arterioscle rotic kidneys Cystitis 439 401 440 441 442 11 Acute Melancholia Imbecility 12 22 Mitral stenosis Colitis with multiple ulceration Nephritis Cystitis Peritonitis old and recent Pachymeningitis Tri churis trichiuria 12 M 231 Imbecility Dermatitis of face and extremi ties Enterocolitis Adhesive pleurisy Chronic ulcerative pulmonary tuberculosis Chronic adhesive pleurisy Tuberculosis of liver Fatty infiltration of liver Tu berculosis of intestines Ne phritis Pulmonary turberculosis Miliary tuberculosis of mesenteries Fatty infiltration of liver Ne phritis Cystitis Purulent pleurisyGEORGIA STATE SANITARIUM CLINICAL MICROSCOPY 61 TABLE No 2 Synopsis Urinalyses 527 Blood examinations Hemaglobin estimations 12 White counts 22 Red counts 12 Differential counts 13 For Plasmodium malariae35 Widal reactions 24 118 Sputum examinations For Tubercle baccillus90 For Diplococcus pneumoniae 5 95 Fecal examinations 1220 Miscellaneous examinations 12 Total 1972 Urine As heretofore the vast majority of the specimens of urine were routine specimens from the reception wards and in most cases but one specimen was examined from a given patient The results obtained from the viewpoints of albu min casts etc are shown in the following table TABLE No 3 Synopsis of Urinalyses Total number of specimens examined527 Number showing neither albumin casts nor pus103 Number showing albumin401 Number showing albumin without casts pus or or ganized sediment 180 Number showing albumin with casts135 Number showing albumin with casts pus and reds 5 Number showing albumin with pus and reds 37 Number showing albumin with amorphous or crystalline sediment 5g Number showing casts without albumin 1962 SIXTYSIXTH ANNUAL REPORT Blood Of the 24 widal reactions 20 cases 6 were negative 5 partial and 13 positive The malarial organism was found but twice during the year Sputum Of the 83 cases 90 specimens examined for the Tubercle bacillus 9 were positive Each of the five cases examined for the Diplococcus pneumoniae were positive Feces Of the 1107 cases 1220 specimens in which the feces was examined 478 or 4318 per cent were found to be in fected with one or more parasites Of the 474 persons in fected 285 or 2557 per cent had single infection U or 1102 per cent had double infections 58 or 554 per cent had triple infections and 15 or 135 per cent had quadruple infections as follows TABLE No 4 Trichuris trichiuria 8 Ascaris lumbricoides Necator americanus l Strongyloides stercoralis i Hymenolepis nana i2832557 Taenia saginata Trichuris trichiuria and A lumbricoides bo T trichiuria and S stercoralis T trichiuria and N americanus 10 A lumbricoides and S stercoralis A lumbricoides and N americanus A lumbroicoides and H nana A lumbricoides and H nana T Trichiuria A lumbricoides and S stercoralis T trichiuria A lumbricoides and N americanus T trichiuria S stercoralis and N americanus A lumbricoides S stercoralis and N americanus 1 58 oZ4o T Trichiuria A lumbricoides S ster coralis and N americanus 14 A lumbricoides S stercoralis N amenGEORGIA STATE SANITARIUM 65 From the foregoing table the following one is obtained showing the percentage of persons examined infected with each of the six parasites found T trichiuria whipworm 270 times 2439 A lumbricoides eelworm 187 times 1689 N americanus hookworm 178 times 1608 S stercoralis Cochin China worm107 times 966 H nana dwarf tapeworm 5 times 046 Taenia saginata 1 time 009 Total748 times 6757 TABLE No 5 This table shows us that 6801 per cent infections were found for each 100 persons examined while table numbers shows us that 4333 per cent of the persons examined were infected A STATISTICAL STUDY OF THE INTESTINAL PARASITES OCCURRING IN 500 UNSE LECTED COLORED FEMALE PATIENTS The parasites present were the whipworm Trichuris trichiuria the eelworm or common round worm Ascaris lumbricoides the CochinChina worm Strongyloides ster coralis the hookworm Necator americanus and the dwarf tapeworm Hymenolepis nana The seatworm Oxyuris ver micularis and the beef and pork tapeworms Taenia sagi nata and T solium respectively were conspicuous by their absence Frequency of Infection Of the 500 patients examined 285 or 57 per cent were found to be infected with one or more parasites Of the 285 patients infected 142 or 284 per cent had single infections 89 178 per cent had double infections 43 86 per cent had triple infections and 11 22 per cent had quadruple infections as shown in the following table64 SIXTYSIXTH ANNUAL REPORT TABLE No 6 Trichuris trichiuria f Ascaris lumbricoides Strongyloides stercoralis JJ Necator americanus 25142IVAfo T Trichiuria and A lumbricoides 5U T trichiuria and S stercoralis18 T trichiuria and N americanus 7 A lumbricoides and S stercoralis 9 A lumbricoides and N americanus 3 S stercoralis and N americanus 89liSo T trichiuria A lumbricoides and S sterco ralis 31 T trichiuria A lumbricoides and N ameri canus T trichiuria S stercoralis and N ameri canus f1 aaof T trichiuria S stercoralis and H nana 1 to o T trichiuria A lumbricoides S stercoralis and N americanus 11 llfo Total 7285570 From the foregoing table it will be seen that the five parasites occurred as follows TABLE No 7 Trichuris trichiuria whipworm201 times 402 Ascaris lumbricoides eelworm141 times 282y0 Strongyloides stercoralis CochinChina worm 91 times 182 Necator americanus hookworm 59 times 11 Hymenolepis nana dwarf tapeworm 1 time 02 Total 43 infections or 986 infections per 100 persons examined The striking features about these percentages are the relatively high percentage of cases showing the presence of the CochinChina worm Strongyloides stercoralis and the eelworm Ascaris lumbricoides the relatively low percent age of cases showing infection with the hookworm Necator americanus and the absence of infection with the seatworm Oxyuris vermicularis It is to be remembered however that the fairest test for the seatworm is not microscopic but gross for the adult wormsGEORGIA STATE SANITARIUM 65 The CochinChina worm was first reported for the United States by Dr W S Thayer of Johns Hopkins Uni versity in 1901 Since Dr Thayers three cases possibly twenty to twentyfive cases have been reported for this country Stiles and Garrison found 8 023 per cent of 3457 cases infected with this parasite Ashford King and Gutierrez working Porto Rico found 36 08 per cent of 4482 cases harboring the same parasite Because of the fact that the infection per cent with this parasite is so high and for the additional reason that the rhabditiform em bryos of the CochinChina worm and those of the hook worm closely resemble each other it is deemed advisable to here state the basis upon which a diagnosis was ren dered The embryos were found to be very active in fresh stools in a given number of patients they were found to be more numerous in diarrhoeal stools than in well formed or constipated stools and diagnosis was not rendered until the typical buccal cavity and sexual body which differen tiates this rhabditiform embryo from that of the hookworm as pointed out by Prof Henry B Ward and others were definitely determined Severity of Infection The ova of the whipworm Trichuris trichiuria varied from 110 to 31 in each cover slip of the eelworm Ascaris lumbricoides from 110 to 141 of the hookworm Necator americanus from 110 to 9 the embryos of the CochinChina worm Strongyloides stercoralis from 110 per cover slip to 189 in a single field The case of the dwarf tapeworm ex hibited 4 ova per cover slip The infections with the whip worm and with the hookworm were relatively mild while those with the eelworm as well as some of those with the CochinChina worm were relatively severe Wellmarked cases of uncinariasis were rare A majority of the infec tions with the eelworm were heavy Treatment of cases of eelworm with santonin resulted in the expulsion of 87 worms in one case and 159 in another case 151 of the 159 being obtained as the result of one treatment Age To determine the percentage of parasites occurring at various ages four age groups have been made as follows m 66 SIXTYSIXTH ANNUAL REPORT 1 Under 15 years of age 2 from 15 to 30 years of age 3 from 31 to 50 years of age and 4 over 50 years of age The results obtained are shown in the following table TABLE No 8 Number Per Cent Age ITnrlfr 15 vears Examined Infected Infected 3 3 10000 j iiii jl vtii j 138 74 5362 31 to 50 years 238 138 5798 121 70 5785 500 285 5700 Excluding the first group which is too small to admit of my deductions being made it is seen that the variations in the remaining three groups is not especially well marked By considering the separate parasites found in the various age groups the following results are obtained TABLE No 9 Trichuris Trichiuria Number Per Cent Examined Infected Infected Under 15 years 15 to 30 years 3 2 6667 138 46 3333 31 to 50 years 238 106 4454 Over 50 years 121 47 3884 TABLE No 10 Ascarus Lumbricoides Number Per Cent Examined Infected Infected Under 15 years 15 to 30 years 3 2 6667 138 45 3261 31 to 50 years 238 66 2773 Over 50 years 121 28 2314 TABLE No 11 Strongyloides Stercoralis Number Per Cent Examined Infected Infected Under 15 vears 3 2 3333 15 to 30 years 138 27 1957 31 to 50 years 238 45 1891 Over 50 years 121 18 1488 GEORGIA STATE SANITARIUM 67 TABLE No 12 Necator Americanus Number Per Cent Examined Infected Infected Under 15 years 3 0 000 15 to 30 years138 21 1522 31 to 50 years238 26 1092 Over 50 years121 12 992 The case of Hymenolepsis nana occurred in a child of 13 years of age Again excluding the first age group it will be seen from the foregoing tables that Ascarus lumbricoides Strongy loide stercoralis and Necator americanus consistently grow less frequent with the increase of age of the patient Tri churis trichiuria occurred most frequently among persons between 31 and 50 years of age Most statistical studies show this last parasite as occurring most frequently among children and the aged I believe It is generally considered that the dwarf tapeworm occurs more frequently among children than adults so it is not surprising to find our one case in a patient of 13 years of age From the viewpoint of the number of infections per 100 persons examined the age groups show that excluding the first group there is but slight variation between the second and third groups 10072 per cent and 10210 per cent respectively while for patients over 50 years of age the infection per cent is 8678 TABLE No 13 Number Number of Infections per Age Examined Infections 100 Persons Under 15 years 3 6 200 00 15 to 30 years138 139 10072 31 to 50 years238 243 10210 Over 50 years121 105 8678 DURATION OF INSTITUTIONAL LIFE For the purpose of determining the influence of insti tutional life upon intestinal parasites the patients have been separated into seven time groups as follows 1 Those who have been in the institution thirty days or less These68 SIXTYSIXTH ANNUAL REPORT are socalled admission patients many of whom were exam ined within two or three days after being received 2 Those who have been at the institution from thirtyone days to one year 3 two to three years 4 four to six years 5 seven to ten years 6 eleven to fifteen years 7 over fifteen vears TABLE No 14 Duration of Institutional Life Number Per Cent Examined Infected Infected 30 days or less 54 11 2037 31 days to 1 yearUo 67 4620 2 to 3 years 95 59 6210 4 to 6 years 78 56 7179 7 to 10 years 47 32 6808 11 to 15 years 34 26 7647 Over 15 years 47 34 7234 The number of admission patients is small but is ap proximately 110 of the whole number of patients examined It is at least a sufficiently large group to clearly show that parasitism is much less frequent among this class of patients than among those patients who have been at the institution for some time The above table shows that starting with 2037 per cent of admission patients infected with one or more para sites there is a steady increase in the percentage of persons infected until at the end of the sixth year of institutional life 7179 per cent are found to be infected while 7647 per cent of those patients who have been in the institution from eleven to fifteen years harbored one or more parasites It will be shown in a subsequent table that the greatest num ber of infections per 100 persons examined based upon the duration of institutional life was obtained in the class of patients who have been at the institution from four to six years Some interesting facts are developed by considering the percentage of infection with each of the five parasites found in connection with the duration of institutional lifeGEORGIA STATE SANITARIUM TABLE No 15 Number Per Cent Examined Infected Infected Trichuris Trichiuria 30 days or less 54 2 370 31 days to 1 year145 28 1241 2 to 3 years 95 44 4632 4 to 6 years 78 48 6154 7 to 10 years 47 28 5957 11 to 15 years 34 22 6470 Over 15 years 47 29 6170 TABLE No 16 Ascarus Lumbricoides Number Per Cent Examined Infected Infected 30 days or less 54 3 555 31 days to 1 year145 37 2552 2 to 3 years 95 32 3367 4 to 6 years 78 28 3589 7 to 10 years 47 18 3830 11 to 15 years 34 10 2941 Over 15 years 47 13 2776 TABLE No 17 Strongyloides Stercoralis Number Per Cent Examined Infected Infected 30 days or less 54 1 185 31 days to 1 year145 17 1172 2 to 3 years 95 19 2000 4 to 6 years 78 9 1154 7 to 10 years 47 12 2553 11 to 15 years 34 10 2941 Over 15 years 47 9 1915 TABLE No 18 Necator Americanus Number Per Cent Examined Infected Infected 30 days or less 54 11 2037 31 days to 1 year145 21 1448 2 to 3 years 95 13 1368 4 to 6 years 78 9 1154 7 to 10 years 47 2 426 11 to 15 years 34 1 294 Over 15 years 47 2 426 697 SIXTYSIXTH ANNUAL REPORT The infection with the dwarf tapeworm occurred in a child who had been in the institution between two and three years The foregoing tables show that the percentage of per sons infected with Trichuris trichiuria Ascaris lumbricoides and Strongyloides stercoralis increases in general with the length of institutional life while the percentage infected with Necator americanus decreases with the length of insti tutional life The increase with regard to the first three named parasites it will be seen is a steady one up to the end of the sixth year of institutional life but some unimpor tant perhaps accidental variations occur thereafter The slight rise to 426 per cent of persons infected with Necator americanus in those who have been in the institution over fifteen years over 294 per cent in those who have been in the institution from eleven to fifteen years is consid ered purely accidental since the number of infections is so small two infections in the one case and one infection in the other The steady decrease in the per cent of persons infected with Necator americanus is explained by the fact that the proper conditions of soil temperature and moisture do not exist at the colored female building for the propagation of this parasite It is well known that the hookworm egg must hatch outside of the human body and the embryo undergo certain changes before the infecting stage is reached The yards at the colored female building are of clay and are literally baked during the greater part of the yeara con dition which is diametrically opposed to the propagation of the hookworm The colored female building is overcrowded and as would be expected among the negro insane particularly many of these patients are uncleanly in their habitscondi tions which would strongly favor the propagation of para sites having simple life cycles such as the whipworm and the eelworm The conditions necessary for the propagation of the CochinChina worm have not been clearly1 determined so far as I am informed Evidently proper conditions exist at the colored female building With this strongyle as withGEORGIA STATE SANITARIUM 71 the hookworm probably a majority of infections take place through the skin The infecting stage is reached more quickly than is that of the hookworm after the embryo in the one case and the egg in the other leaves the human body Dr Charles Wardell Stiles has suggested to me that it might be well to examine collections beneath the fin ger nails of these patients The following table shows that the number of infec tions per 100 persons examined steadily increases with the length of institutional life until the end of the sixth year is reached and that hereafter the number steadily decreases TABLE No 19 Duration of Institutional Life Number Number of Infections per Examined Infections 100 Persons 30 days or less 54 17 3148 31 days to 1 year145 103 7103 2 to 3 years 95 109 11474 4 to 6 years 78 108 13846 7 to 10 years 47 60 12766 11 to 15 years 34 43 12647 Over 15 years 47 53 11277 A Statistical Study of the Intestinal Parasites Found in 500 Miscellaneous Admission Cases with Special Reference to the Occurrence of the Hook worm Necator Americanus All the specimens composing this series were taken within thirty days after admission and none of the patients had been in the institution previously It has been repeatedly stated that uncinariasis occurs more frequently among negroes than among whites The results obtained in this study indicate that the converse statement is true white males being infected more fre quently than colored males white females more frequently than colored females The study also shows that the fre quency of infection is largely dependent upon the age of the persons examined72 SIXTYSIXTH ANNUAL REPORT Persons are found in the series from almost every County in the State and although no definite statistics are presented sufficient work has been done on the geographic distribution of the infections found to clearly show that un cinariasis occurs more frequently in South Georgia and North Georgia than in MiddleGeorgia Parasites Present The parasites present were the hookworm Necator americanus the eelworm Ascarus lumbricoides the Cochin China worm Strongyloides stercoralis the whipworm Tri churis trichiuria and the dwarf tapeworm Hymenolepsis nana Frequency of Infection Of the 500 patients examined 119 238 per cent were infected with one or more parasites Of the 119 persons infected 108 216 per cent had single infections 9 18 per cent had double infections 1 02 per cent had a triple infection and 1 02 per cent had a quadruple infec tion as follows TABLE No 20 Necator americanus 101 Ascarus lumbricoides 3 Strongyloides stercoralis 2 Trichuris trichiuria 1 Hymenolepis nana 1108216 N americanus and A lumbricoides 6 N americanus and A trichuria 1 N americanus and S stercoralis 1 A lumbricoides and H nana 1 9 18 N americanus A lumbricoides and T trichuria 1 1 02 N americanus A lumbricoides S stercoralis and H nana 1 102 Total 119238 From the foreging table it will be seen that the various parasites present occurred the following number of timesGEORGIA STATE SANITARIUM 73 TABLE No 21 Necator americanus Ill222 Ascarus lumbricoides 12208 Strongyloides stercoralis 4 08 Trichuris trichiuria 3 08 Hymenolepis nana 3 06 Total133270 In other words while 238 per cent of the persons ex amined were infected with one or more parasites the infec tions per 100 persons examined was 270 per cent From the viewpoints of race sex and age infection with the hookworm occurred as follows Race The 500 cases were composed of 326 whites and 174 negroes Of the 326 whites 85 2609 per cent were found to be harboring the hookworm of the 174 negroes 34 1954 per cent were infected That is onethird as many again whites were infected as negroes Sex Two hundred and eighty of the cases were males These cases had an infection per cent of 275 Of the 220 females 1909 per cent were infected so that nearly onehalf as many again males were infected as females Two hundred white males showed 56 280 per cent infected 80 colored males 16 200 per cent infected 126 white females 23 1825 per cent infected 94 colored females 16 1702 per cent infected Age The patients have been divided into the same age groups as heretofore First will be considered the occur rence of the hookworm at the various ages in the several services white male white female colored male and col ored female then the results obtained in the different serv ices will be brought together in one table74 SIXTYSIXTH ANNUAL REPORT TABLE No 22 White Males Number Percentage Age Examined Infected Infected Under 15 years 1 1 10000 15 to 30 years 79 41 5190 31 to 50 years 62 7 1129 Over 50 years 58 7 1207 Totals 200 56 2800 TABLE No 23 White Females Number Per Cent Age Examined Infected Infected Under 15 years 3 2 6667 15 to 30 years 45 14 3111 31 to 50 years 52 5 962 Over 50 years 26 2 769 Total 126 23 1825 TABLE No 24 Colored Males Number Percentage Age Examined Infected Infected Under 15 years 2 1 5000 15 to 30 years 27 9 3333 31 to 50 years 32 4 1250 Over 50 years 19 2 1053 Total 80 16 2000 TABLE No 25 Colored Females Number Percentage Age Examined Infected Infected Under 15 years 1 1 10000 15 to 30 years 45 10 2222 31 to 50 years 31 2 645 Over 50 years 17 3 1765 Total 94 16 1702GEORGIA STATE SANITARIUM 75 TABLE No 26 Services Combined Number Percentage Age Examined Infected Infected Under 15 years 7 5 7143 15 to 30 years196 74 3776 31 to 50 years177 18 1017 Over 50 years120 14 1167 Total 500 111 2222 The foregoing tables show us in general that the lia bility to be infected with hookworms decreases as the age of the individual increases This fact is readily explained when one remembers that the vast majority of infections with this parasite occur through the skin thus causing the ground itch so common to tropical and subtropical conn tries Many of the infections found in patients between 15 and 30 years of age may have occurred in the barefoot days of childhood The hookworm like all other animals has a maximum length of life but this maximum is not definitely determined Infections have been found several years after the probable date of infection The first group under 15 years of age is a small one but the fact that five out of the seven cases composing it were found to be infected is very significant Attention is called to the high percentage of persons from 15 to 30 years of age found to be infected approximately one out of every two white males one of every three white females one of every three colored males one of every five colored females The high percentage of colored females over 50 years of age found to be infected is doubtless accidental A large series of cases would probably correct this finding Too much stress cannot be placed upon the results obtained They clearly indicate that it is our duty to con tinue the routine examination of the feces of admission pa tients and results shown elsewhere in the report indicate that a systematic campaign should be waged against intes tinal parasitism among our patients It is unnecessary for me here to review the symptoms of uncinariasis nor is it necessary for me to emphasize the importance of systematic76 SIXTYSIXTH ANNUAL REPORT and careful treatment of the cases found Every physician knows that the intestine should be freed from these blood sucking poisonous animals Upon treatment the physical condition of those infected begins to improve and it is not unusual for their mental condition to improve also Colored Males The feces of 194 unselected colored males who have been in the institution over thirty days were examined Of this number 99 5103 per cent were infected with one or more parasites 48 2474 per cent had single infections 29 1495 per cent double infections 17 876 per cent triple infections 5 258 per cent quadruple infections In other words 177 infections were found9124 per cent per 100 persons examined These were divided as follows Trichuris trichiuria 55 2835 per cent Necator ameri canus 47 2423 per cent Ascaris lumbricoides 46 2371 per cent Strongyloides stercoralis 28 1443 per cent Hy menolepis nana 1 052 per cent Comparison with the findings among the colored female patients will show the percentage of infection to be higher among the latter class of patients White Females Of 108 specimens from unselected white female patients other than admission cases 51 4722 per cent were in fected with one or more parasites 33 3056 per cent had single infections 13 1204 per cent double infections 4 370 per cent triple infections and 1 092 per cent a quadruple infection The infections per 100 persons exam ined were 6944 per cent and were divided as follows Trichuris trichiuria 36 3334 per cent Necator ameri canus 24 2222 per cent Ascaris lumbricoides 7 648 per cent Strongyloides stercoralis 7 648 per cent Hymeno lepis nana 1 092 per cent Water Examination During the summer a bacteriological and chemical ex amination of our water supply resulted in showing that the filtration plant is very efficient 9857 per cent of the bacteria in the raw river water being removed by filtrationGEORGIA STATE SANITARIUM 77 and that the percentage of various impurities present is well within the limits of impurities found in a good drinking water as agreed upon by chemists Repeated endeavors to isolate the colon bacillus resulted negatively In conclusion I desire to express to you and to each member of the staff of assistant physicians my sincere ap preciation of the uniform kindness shown me and many thanks for assistance in my work since I have been con nected with the laboratory Very respectfully D G WILLETS Pathologist78 SIXTYSIXTH ANNUAL REPORT Milledgeville Ga January 1st 1910 Dr L M Jones Superintendent Dear Sir I have the honor to transmit through you to our honor able Board of Trustees this my report as Stewart embrac ing the period from January 1st 1909 to January 1st 1910 Abstract A shows the balance brought forward from last fiscal year the amount drawn from the State Treasurer for support and maintenance of the Sanitarium together with a classified statement of the disbursements also an overdraft of 5424 to be carried forward to next year Abstract B shows the expenditures on account of subsistence Abstract clothing C shows the expenditures on account of shows the expenditures on account of shows the expenditures on account of shows the expenditures on account of Abstract D shows the expenditures on account of fuel and transportation Abstract E shows total amount of officers pay roll Abstract F shows total amount of employees pay Tolls Abstract G incidentals Abstract H medical supplies Abstract I contingencies Abstract J shows the expenditures on account of stationery and postage Abstract K shows the expenditures on account of special appropriation for waterworks Abstract L shows the requisitions drawn on State Treasurer for support and maintenance Abstract M shows the average number of patients from 1883 to 1910 and the per capita cost per diem and per annum Abstract N shows the cost of maintaining one patient for a year month week and dayGEORGIA STATE SANITARIUM 79 Our Storekeeper Mr W H Hunter reports stock on hand 1102220 Our Apothecary Mr D S Carrington reports stock on hand 296725 Our per capita per diem is 3728 By references to report of Mr G W Hollinshead Assistant Steward you will see results from garden dairy hogs etc also report of stock wagons implements etc on hand In compliance with the law duplicate vouchers of the expenses accompanied by the required certificate approved by yourself and audited by the Board of Trustees have been filed in the Executive Department in Atlanta I have devoted my entire time as required by the rules to the Stewards work and have to the best of my ability dis charged the duties encumbent upon me Respectfully submitted LUCIUS J LAMAR Steward G S S Abstract A Shows all money received from State Treasurer with a classified statement of the disbursements from January 1st 1909 to January 1st 1910 1910 Dr Jan 1 To balance 4811 26 To State Treasurer 425000 00 To overdraft 54 24 429865 50 1910 Cr Jan 1 Subsistence 142065 62 Clothing 45189 33 Fuel and transportation 35851 09 Salaries 33692 95 Wages 120064 85 Incidental expenses 46092 28 Medical supplies 4057 18 Contingencies l578 03 Stationery and postage 1274 17 429865 508o SIXTYSIXTH ANNUAL REPORT Abstract B Shows the expenditure on account of Subsistence from January 1st 1909 to January 1st 1910 Jan 31 H Ennis De Journette Co C M Gilbert Co Waxelbaum Co Flournoy Groc Co National Packing Co C E Newton Bro Johnson King Co VVinn Johnson Co J F Bell John Conn Co Whitfield Grocery Co Armour Co Swift Co S S Co S R Jacques T Co Hall Lamar Robert Buist Co S R Jacques T Co Home Andrews C Co Louisville Packing Co4 McCord Stewart Co Whitfield Grocery Co Penn Watson Hancock Bros Co W A Brown Tobacco Co Milledgeville Mills Barrett D Lynn Co F W Wagener Co Waxelbaum P Co American P Co Booker Tobacco Co So C and Spice Mills C M Gilbert Co Mangels Herold Co J B Meyers R F Nathans A R Phillips Armour Co Dan Talmages Sons Co Louisville Packing Co The Fleischmann Co J W Stembridge A D Truman Co F A Bradley T A rapierButter IJesse Miller IButter IT A ThomasIButter Joe HudsonButter Fruit Butter Coffee Fruit Samples Samples Produce Meats Candy Groceries Groceries Groceries Samples Samples Samples Samples Samples Seed Groceries Groceries Groceries Groceries Groceries Tobacco Tobacco iTobacco C S Meal Bran Rice Produce Produce Tobacco Pepper Molasses Syrup Srrup Poultry Poultry Beef Rice Hams Yeast Butter Butter Butter 128 00 315 04 70 89 288 67 80 1 74 84 00 120 00 63 00 27 45 252 17 208 92 26 55 2 25 2 83 9 61 2 35 33 38 2778 11 1276 47 169 40 223 72 939 42 66 00 55 00 54 00 864 35 145 00 123 24 427 26 115 50 62 50 12 00 66 90 175 61 220 75 11 50 10 50 1752 56 113 32 171 05 28 00 53 06 246 69 126 19 13 75 18 50 39 37 7 25GEORGIA STATE SANITARIUM Abstract B Continued 81 Date To Whom Paid What For Butter Butter Butter Milk Milk Milk Milk C Oil Meal Poultry Bull Produce Groceries Seed D E Hutchins J T Williams C A Underwood J A Buck IJ A Brooks T Treanor W C Blank So Cotton Oil Co lOconee R Mills IW T Bateman Feb 281 A B Coombs IWaxelbaum P Co Lamar Grocery Co IH Wright IWhittield Grocery CoJGroceries IJ E BellGroceries John Conn CoGroceries ICrenshaw Bros CoSeed Robert Buist CoSeed S R Jacoues T CoGroceries So Cotton Oil CoIC Oil Home Andrews Com CoJMeat Louisville Packing CoHams McCord Stewart CoGroceries Whitfield Grocery CoGroceries Penn WatsonTobacco Hancock Bros CoTobacco W A Brown Tobacco Co Tobacco Milledgeville Oil MillsC S Meal Barrett D Lynn CoIBran Dan Talmages Sons CoRice F W Wagener CoRice Waxelbaum P CoProduce American P CoProduce Booker Tobacco CoTobacco So C and Spice MillsIPepper C M Gilbert CoIMolasses J B MeyersISyrup Armour CoIBeef J I RobertsI Poultry F A BradleyiButter Jesse MillerIButter IJ W StembridgeIButter I Joe HudsoniButter ID E HutchinsIButter IJ T WilliamsIButter G L NewtonIButter IT B HawkinsIButter C A Underwood Butter J A ThomasIButter A D Freeman CoiButter ij A BrooksMilk IT TreanorMilk IT A Buck Milk W H BlanksIMilk Amount 6 56 6 87 5 12 24 59 55 86 79 70 31 00 86 25 466 50 24 15 25 00 21 16 61 83 170 75 13 40 15 10 77 82 18 00 83 96 496 51 57 75 306 71 336 82 223 72 577 62 66 00 65 00 54 00 745 49 113 00 113 32 126 73 300 27 115 50 62 50 12 00 69 25 218 79 340 88 21 20 107 87 15 87 30 25 13 44 8 06 7 50 4 06 3 75 2 56 40 19 194 50 49 89 60 45 20 45 28 0082 SIXTYSIXTH ANNUAL REPORT Abstract B Continued Date Mch31 To Whom Paid The Fleischmann Co Coner R Miller A D Freeman Co Milledgeville Oil Mills What For Yeast Meal Butter Meal C E Newton BroProduce Waxelbaum P Co J Produce p BellGroceries Whitfield Grocery CoGroceries Lamar Grocery CoGroceries B H JonesCorn Manilla F Co Fertilizers John Conn CoGroceries De Journette CoButter Milledgeville Oil MillsMeal S R Jacques T CoIGrocenes Home Andrews Com Co Meat Louisville Packing CoI Hams W A Brown Tobacco Co Tobacco Dan Talmages Sons Co Rice Waxelbaum P Coj Produce Produce Pepper Molasses Syrup Flour Meal Fertilizers Beef American P Co So C and Spice Mills C M Gilbert Co J B Meyers Co Whitfield Grocery Co Milledgeville Oil Mills Coe Mortimer Co Armour Co A F T T J D Jesse C A J A Freeman CoButter Bradley Newton Hawkins Stembridge Butter Butter Butter Butter HutchinsButter Butter Butter Butter Miller Underwood Thomas Joe Hudson Butter J W Rivers Butter J T WilliamsI Butter J A BrooksI Milk jj A BuckI Milk T TreanorI Milk W H BlanksI Milk F W Wagener CoI Rice I Penn WatsonTobacco The Fleischmann CoYeast IT H Anner Fish lOconee R MillsMeal So Cotton Oil CoIC Oil Apr 301 Waxelbaum P Co Lemons M J Glynn CoTea IFlournov Grocerv CoISamples ICudahy Packing CoISamples JLamar Packing CoIGrocenes Amount 28 00 441 26 33 75 556 20 2 00 18 75 24 25 115 87 19 46 10 00 735 25 72 71 216 73 1442 18 1647 31 1293 65 230 67 55 89 102 80 297 38 112 75 12 00 9 00 257 01 564 66 587 50 1117 98 2726 22 234 62 90 56 19 56 16 25 19 75 15 50 15 37 5 75 50 37 6 31 3 31 3 69 59 90 27 54 55 35 31 00 167 87 66 00 31 50 1 50 443 17 86 62 10 20 74 19 33 12 75 166 06 GEORGIA STATE SANITARIUM Abstract B Continued 83 Date I To Whom Paid I National Packing Co Swift Co S Sulzberger J Bolzeano Son Armour Co De Journette Co Louisville Packing Co Whitfield Grocery Co C M Gilbert Co W A Browne Tobacco Co M Fersts Sons Co Milledgeville Oil Mills S R Jacques T C Whitfield Grocery Co J B Meyers F A Davis Son Armour Co Home A Com Co Louisville Pk Co So Cotton Oil Co Burkenroad G Co T E Pugh J F Bell Lamar Grocery Co John Conn Co Armour Co A D Freeman Co T B Hawkins J W Stembridge J G F What For Samples Samples Samples Seed Samples Butter Samples Groceries Molasses Tobacco Coffee Hulls Groceries Groceries Syrup Tobacco Beef Hams Lard C Oil Rice Bull Groceries Groceries Groceries Beef Butter Butter Butter E HutchinsButter T Williams Butter L NewtqnButter A BradleyI Butter Jesse Miller C A Underwood T A Napier D L Lawrence IT A Thomas IA H Reed Annie Hudson J W Rivers Joe Hudson J A Brooks J A Buck T Treanor W H Blanks IT A Brooks The Fleischmann Co May 31 G D Myrick IT W Rivers Whitfield Grocery Co iWaxelbaum P Co J G Bearden IJ F Bell I Lamar Grocery Co Butter Butter Butter Butter Butter Butter Butter Butter Butter Milk Milk Milk Milk Meal Yeast Butter Butter Groceries Lemons Seed Groceries Groceries Amount 2 54 3 56 12 88 18 75 25 23 126 00 2 07 81 84 74 40 99 00 112 98 210 26 3568 83 280 24 129 36 118 80 1285 20 228 62 209 30 115 95 210 76 50 00 21 50 49 68 42 89 1952 31 467 50 33 87 24 62 17 06 48 69 7 37 102 12 25 00 39 37 17 50 17 62 123 94 25 56 12 00 7 37 8 37 117 02 34 00 86 75 30 00 246 00 31 50 20 31 27 37 37 55 9 75 11 05 18 22 78 6484 SIXTYSIXTH ANNUAL REPORT Abstract B Continued Date To Whom Paid What For John Conn Co S R Jacques T Co Whitfield Grocery Co C M Gilbert Co J B Meyers F A Davis Son W A Brown Tobacco Co Armour Co Louisville Pk Co M Fersts Sons Co So Cotton Oil Co Burkenroad G Co L P Burnley Petty Cash J A Brooks J W Stembrklge A D Freeman Cov F A Bradlev D E Hutchins Jesse Miller Joe Hudsongutter T B HawkinsButter A ThomasButter T WilliamsButter C A Underwood Butter Groceries Groceries Groceries Molasses Syrup Tobacco Tobacco Beef Hams Coffee C Oil Rice Cow Produce Meal Butter Butter Butter Butter Butter J W Rivers A H Reed T A Brooks J A Buck T Treanor W H Blanks The Fleischmann Co I Armour Co June30F M StewartCorn IE A BradyCom W C RobertsCorn Butter Butter Milk Milk Milk Milk Yeast Beef Fish Groceries Lemons Seed J H Ennis John Conn Co Waxelbaum P Co N L Willet Seed Co Whitfield Grocery CoOat Meal Milledgeville Oil MillsHulL W D McDadeButter J B MeyersyruUP F A Davis SonTobacco Tobacco Crockery Beef Lard C Oil Rice Butter W A Brown Tobacco Co Beck G H Co Armour Co Louisville Pk Co So Cotton Oil Co Burkenroad G Co Chandler Bros Petty CashProduce J SimmonsonPoultry S R Jacaucs T CoIGrocenes Amount 9oo 3993 85 237 65 109 40 131 08 118 80 99 00 1317 76 210 45 212 83 115 72 210 60 45 00 300 00 246 00 61 81 412 37 169 25 21 69 20 37 6 75 35 25 127 50 53 75 29 62 21 50 13 37 130 25 46 37 92 85 31 00 31 50 2305 21 381 50 120 00 425 00 75 38 75 19 50 17 12 15 40 255 15 14 81 139 65 118 80 99 00 39 00 1644 30 118 83 113 10 222 48 15 60 300 00 19 20 1409 22GEORGIA STATE SANITARIUM Abstract B Continued 85 Date To Whom Paid What For Amount S R Jacques T Co Whitfield Grocery Co J A Brooks Home A Com Co B Harris Armour Co Chandler Bros J A Thomas A D Freeman Co T B Hawkins I T Williams J W Stembridge J W Rivers T E Hutchins F A Bradley C A Underwood A H Reed J A Brooks J A Buck T Treanor W H Blanks The Fleischmann Co Armour Co July 31 Chandler Bros R G Smith Co Petty Cash De Journette Co Lamar Grocery Co Waxelbaum P Co Armour Co S Salzberger Swift Co S R Jacques T Co Oconee R Mills National Packing Co C M Gilbert Co Whitfield Grocery Co John Conn Co Louisville Pk Co Louisville Pk Co So Cotton Oil Co S R Jacques T Co F A Davis Son Penn Watson Lamar Grocery Co C M Gilbert Co G Schwartz Mongels Herold Co Austin Nichols Co McCord Stewart Co Whitfield Grocery Co Home A Com Co I Petty Cash J W Rivers Armour Co Groceries Groceries Meal Hams Corn Beef Butter Butter Butter Butter Butter Butter Butter Butter Butter Butter Butter Milk Milk Milk Milk Yeast Beef Butter Butter Produce Butter Groceries Lemons Lard Samples Samples Samples C Feed Samples Coffee Groceries Groceries Samples Hams C Oil Groceries Tobacco Tobacco Syrup Molasses Rice Syrup Syrup Pepper Flour Meat Produce Butter Beef 166 54 333 14 114 80 297 86 200 00 1520 56 10 50 80 75 163 56 31 06 51 87 46 25 46 12 13 44 101 12 40 25 12 87 102 91 42 91 74 80 30 00 28 00 953 76 9 00 14 45 300 00 83 44 133 54 36 00 165 48 14 46 25 77 47 79 38 25 4 04 69 53 34 36 115 97 2 59 738 00 85 87 2281 74 108 90 160 00 460 00 74 03 617 38 173 87 150 32 20 31 1454 88 3687 90 500 00 45 62 1578 IS86 SIXTYSIXTH ANNUAL REPORT I Abstract B Continued Date To Whom Paid What For Amount W D McDadeIButter Oconee R MillsMeal T B HawkinsIButter J W StembridgeButter J A ThomasButter D E HutchinsButter A D Freeman CoButter F A BradleyButter J T WilliamsButter C A UnderwoodButter J A BrooksMilk IT A BuckMilk T TreanorMilk W H Blanks Milk The Fleischmann CoYeast J H EnnisProduce Aug 31 Whitfield Grocery CoGroceries Robert Buist CoSeed Austin Nichols CoSyrup vVaxelbaum P CoLemons Oconee R MillsICow Feed De Journette CoButter Tohn Conn CoIGroceries Louisville Pk CoI Hams So Cotton Oil CoC Oil S R Jacques T CoFlour Oconee R MillsMeal Lamar Grocery CoGroceries Whitfield Grocery CoIGroceries J F BellGroceries J W RiversButter VV H RobertsIProduce Home A Com CoMeat Armour CoBeef A D Freeman CoButter D E HutchinsIButter F A BradleyIButter J A ThomasButter T B HawkinsIButter J W StembridgeButter C A UnderwoodIButter J T WilliamsButter J A BrooksIMilk J A BuckMilk T TreanorMilk W H BlanksIMilk B I FralyIProduce The Fleischmann CoI Yeast Oconee R MillsMeal Sept30T H GilmanIPoultry De Journette CoIButter Austin Nichols CoISyrup J F BellIGroceries Whitfield Grocery CoGroceries S R Jacques T CoIGroceries 11 75 716 00 27 19 48 94 96 87 13 81 137 69 85 75 42 25 39 00 108 94 43 88 78 30 31 00 31 50 29 10 84 79 10 70 130 51 16 50 76 50 94 46 75 88 739 95 86 85 1911 81 268 50 165 00 549 02 41 61 36 93 16 87 2477 14 2599 96 149 06 16 31 75 12 100 50 30 68 28 06 36 25 30 87 98 32 39 80 77 50 31 00 6 00 31 50 358 00 20 00 206 08 170 47 27 12 200 10 622 00GEORGIA STATE SANITARIUM Abstract B Continued 87 Date To Whom Paid What For Louisville Packing CojLard So Cotton Oil CoIC Oil S R Jacques T CoiGroceries Oconee R MillsiMeal C M Gilbert CoMolasses Whitfield Grocery CoIGroceries Meat Butter Robson Evans J W Rivers Armour CoBeef T B HawkinsButter J W StembridgeButter D E HutchinsiButter Oct 31 II 1 0 1 II i ll ll U ill 11 III il Dill J T Williams Butter T D Freeman CoButter C A UnderwoodButter F A BradleyButter T A Thomas Butter J A Brooks Milk J A BuckMilk r TreanorMilk W H BlanksMilk Armour CoBeef The Fleischmann CoYeast P J ClineCalf De Journette CoButter Armour CoButterine John Conn CoGroceries Lamar Grocery CoGroceries S R Jacques T Co C Starch Waxelbaum P CoLemons Armour CoHams National Packing CoSamples Whitfield Grocery CoIGroceries Macon F CoI Fertilizers Swift CoSamples S S CoiSamples Swift CoButterine R Buist CoSeed J F BellGroceries M W Johnson S CoSeed Louisville Packing CoSamples H G Hastings CoISeed S S CoiMeat S R Jacques T CoIGroceries Whitfield Grocery CoIGroceries McCord StewardCoIGroceries Lamar Grocery CoIGroceries Penn WatsoniTobacco W A Brown T CoITobacco A H Motley Co Mangels Herold Co Waxelbaum P Co J B Meyers Home A Com Co T N Dyller Co Tobacco Syrup Beans Syrup Salt Tobacco Amount IT W Teasdale CoApples 658 08 58 42 2138 90 179 00 78 23 497 89 628 42 35 37 1998 10 15 75 3 31 9 87 28 00 60 25 21 62 22 87 8 25 60 80 40 10 75 00 30 00 540 36 31 50 5 00 110 44 220 50 163 61 205 35 2 40 3 40 178 70 2 49 68 53 389 05 22 85 14 46 120 00 4 70 32 43 35 05 3 20 3 00 3045 61 1210 79 1267 09 2112 49 217 60 105 93 83 00 90 00 156 77 217 60 53 17 94 00 69 00 144 50 SIXTYSIXTH ANNUAL REPORT Abstract B Continued Date To Whom Paid Nov 30 What For C S Meal Yeast Butter Butter Butter Butter Butter Milledgeville Oil Mills The Fleischman Co J W Stembridge A C Westbrook P H McRee T B Hawkins A D Freeman Co D E HutchinsButter J W RiversI Butter L A BradleyButter J T WilliamsButter J A BrooksMilk J A Buck T Treanor W H Blanks Armour Co Empire Mills Co Lamar Grocery Co S R Jacques T Co Milledgeville Oil Mills Waxelbaum T CoBeans R BellGroceries Robson EvansGroceries R Buist CoSeed Milk Milk Milk Beef Meat Groceries Groceries Meal Whitfield Grocery CoGroceries John Conn CoGroceries Swift Co Buttenne S S Co Meat Whitfield Grocery CoGroceries McCord Stewart Co Flour W A Brown CoTobacco Home A Com CoSalt J W Teasdale CoI Fruit Louisiana M CoSyrup Armour CoIBeef A D Freeman CoButter D E Hutchinsgutter F A BradleyButter C A UnderwoodButter J W StembridgeiButter T B HawkinsIButter J T WilliamsButter 1J W RiversButter IP H McReeiButter JW S McDadeButter j A BrooksMilk J A BuckI Milk T TreanorMilk W H BlankMilk The Fleschmann CoYeast A R PhillipsPoultry J B Meyers Svrup lEmoire Mills CoI Meal Amount 1391 97 28 00 42 75 3 00 6 00 18 62 98 44 21 37 30 69 34 00 30 37 70 95 42 05 76 36 31 00 2060 84 344 40 62 80 886 20 618 75 44 65 30 55 5 03 47 99 35 02 79 26 120 00 3098 98 1337 73 2654 40 83 00 94 00 140 25 241 18 2215 07 63 81 28 12 56 50 32 75 37 19 8 75 30 25 12 37 10 00 7 25 58 77 38 09 61 75 27 18 31 50 2 50 80 60 229 60GEORGIA STATE SANITARIUM Abstract B Continued Date Dec 31 To Whom Paid What For A D Freeman Co Waxelbaum P Co Whitfield Grocery Co S R Jacques T Co J F Bell Empire Mills Co W A Brown T Co S S Co J W Teasdale Co Louisiana M Co Armour Co McCord John Conn Co Whitfield Grocery Co Milledgeville Oil Mills Swift Co Butter Lemons Groceries Groceries Groceries Meal Tobacco Meat Fruit Syrup Beef wart CoiFlour Amount Groceries Cocoa C S Meal Butterine 14 00 11 50 1202 07 968 39 4 65 57 40 83 00 3087 79 140 25 240 96 1338 60 1853 59 137 80 4 32 1132 28 120 00 142065 62 Abstract C Shows the expenditures on account of Clothing from January 1st 1909 to January 1st 1910 Date To Whom Paid Jan 31Goodman Wootten Davis Edwards E E Bell J W Hicks Co J R Freed Joseph D G Co J K Orr Shoe Co Waxelbaum CojSampies Rhoads FellmanISamples What For I Amount Samples Samples Samples Samples Samples Samples Samples Carson Penn Scott Co Quinn Marshall Co Guggenheimer Co E Wolff C W L Co IM C Riser Co Dannenberg Co IG D Welt Shoe Co iQuinn Marshall Co IBurden Smith Co IG D WeltShoe Co A A Bell ISmith Brown Shoe CoShoeo A A Waxelbaum BroIShoes J K Orr CoShoes M C Riser CoShoes IT W Hicks CoI Vests J R FreedI Hosiery IT C Woolen MillsI Jeans Samples Samples Samples Samples Samples Samples Samples Domestics Spreads Shoes Blankets 33 43 10 50 86 44 8 45 2 26 7 02 26 06 33 37 6 99 1 68 7 19 3 46 6 25 18 86 23 59 18 60 666 94 151 63 454 75 318 45 156 25 165 66 178 20 101 05 55 00 99 00 210 31 9 SIXTYSIXTH ANNUAL REPORT Abstract C Continued IGuggen heimer CoDomestics Carson Penn S Co Rhoads Fellman Josenh D G Co Feb 28E E Bell j Rhoads Fellman JHornett Warner Co Quinn Marshall Co Rhoads Fellman G D Welt Shoe Co E E Bell E A Waxelbaum Bro J K Orr Shoe Co M C Kiser Co J C Woolen Mills Dannenberg Co J W Hicks Co Guggenheimer Co Carson Penn Co Mch31 E E Bell Rhoads Fellman Quinn Marshall Co G D Welt Shoe Co J K Orr Shoe Co M C Kiser Co J C Woolen Mills Apr 30Happ Bros Co F Hany Shoe Co Middletown H Co Burton T Wise Co J K Orr Shoe Co United C W Co J W Hicks Co Atkins McK B Co Marcus Loeb CoSamp es Burden Smith CoSamp es M C Kiser CoSamples I Epstein Bro CoSamp es Meinhard Schaul CoSamp es Anderson L Gray CoSamp es Guggenheimer CoSamp es Samples Samples Samples Crash Coats Buttons Shoes Shoes Sheeting Plaids Blankets Shoes Shoes Shoes Shoes Shoes Jeans Hosiery Shoes Domestics Ticking Shoes Coats Hosiery Shoes Shoes Shoes Jeans Samples Samples Samples Samples Samples Samples Samples Samples Quinn Marshall Co Edelstein Baron Smith B Shoe Co G D Welt Shoe CoISamples I Rhoads FellmanISamples IGans Bros LipmanSamp es E E BellSamp es Dannenberg CoSamples ICarson P Scott CoSamples I Atkins McK B CoiHats lEdelstein BaronSheeting IQuinn Marshall CoPlaids Dannenberg CoSpread IBurton T Wise CoIDomestics 473 70 280 SO 400 93 4 50 2 75 62 34 215 81 377 65 224 70 259 37 244 80 182 58 146 40 54 00 122 94 75 10 55 00 346 54 527 71 14 37 776 98 49 50 97 59 154 08 79 32 120 96 1 77 5 03 82 73 15 87 1 39 19 85 8 25 3 75 12 27 12 68 2 96 6 04 1 92 9 16 14 43 22 81 21 95 17 82 29 29 54 66 38 16 29 28 9 77 90 00 267 63 299 79 334 90 260 00GEORGIA STATE SANITARIUM Abstract C Continued Date To Whom Paid May 31 I Epstein Bro Co Burden Smith Co E Wolff C W L Co F E Callaway Co Hornett Warner Co E E Bell J K Orr Shoe Co F Hany Shoe Co G D Welt Shoe Co Happ Bros Co Gans Bros Lipman E E Bell Goodman Wootten The Thread Agency Anderson Gray Co Enterprise M Co Atkins McK B Co Quinn Marshall Co Dannenberg Co I Epstein Bro Co Burton T Wise Co E Wolff C W L Co E E Bell F Haney Co What For G D Welt Shoe Co Sh Hosiery Spreads Domestics Jeans Sheeting Shoes Shoes Shoes Shoes Coats Hats Calico Calico Thread Domestics Bonnets Hats Domestics Domestics Domestics Domestics Domestics Shoes Shoes IT K Orr Shoe Co lHapp Bros Co IGans Bros Lipman June30E E Bell Quinn Marshall Co IDannenberg Co IBurton T Wise Co E E Bell IJ K Orr Shoe Co Happ Bros Co Chamberline J DuB Co oes July 31 B Brown P G Co J K Orr Shoe Co Carson Penn Co Goodman Wootten E E Bell Quinn Marshall Co Anderson L Gray Co T Rosenheim S Co Guggenheimer Co Dannenberg Co Edelstein Baron Shoes Coats Hats Shoes Domestics Domestics Domestics Spreads Shoes Jeans Curtains urden Smith CoJSamples Hats Shoes Samples Calico Shoes Samples Samples Shoes Samples Samples Samples IM C Kiser Co Sho IGans Bros Lipman IRhoads Fellman IG D Welt Shoe Co IJ Rosenheim S Co Hats Samples Shoes Shoes lEdelstein BaronShirtin IF E Callaway CoHos Amount lery 1S2 64 247 51 615 00 190 00 177 21 430 00 599 40 122 10 112 50 299 01 49 50 52 23 21 92 113 79 223 45 20 00 90 00 422 98 203 31 306 38 823 36 412 00 345 54 427 20 122 10 107 03 252 32 63 00 87 23 163 52 148 91 216 32 487 50 414 72 396 75 16 50 95 5 75 17 05 65 45 91 94 33 9 30 14 81 62 25 2 IS 18 57 18 25 15 61 27 25 15 69 35 53 181 80 147 75 35 0092 SIXTYSIXTH ANNUAL REPORT Abstract C Continued Date To Whom Paid What For Amount Aug 31 E E BellPaids G D Welt Shoe CoShoes M C Kiser CoShoes Smith B Shoe CoShoes Quinn Marshall CoDmestlcs The Thread AgencyThread Von Kamp Vaughn Co Domestics Rhoads FellmanTicking Carson Penn S CoI Crash Dannenberg CoShirting Goodman WoottenCalico Brown P G CoHats J K Orr Shoe CojShoes I Rosenheim S CoShoes E E BellShoes Smith B Shoe CoShoes Quinn Marshall Co Domestics Von Camp Vaughn Gerald Domestic O Shirts Hosiery Hats Shoes Oct 31 E E Bell Burden S Co Rhoads Fellman Dannenberg Co Brown P Green J K Orr Shoe Co Sept30Rhoads FellmanCoats P Quinn Marshall CoDomestics Von Kamp V Gerald Domestics IRhoads Fellmankicking Blankets Spreads Shoes Hosiery Samples Samples Brushes Hosiery Hats Samples F HanyShoe CoSamples Samples Samples Samples Samples Rosenheim S Co Quinn Marshall Co Lumpkin Co I Epstein Bro Co Guggenheimer Co Dannenberg Co Brown P Greene J R Freed E A Waxelbaum Bro Happ Bros Co T K Orr Shoe Co Burton T Wise Co Smith B Shoe CoSamples Goodman WoottenSamples Hornett Warner CoSamples T W Hicks Co Samples Davis EdwardsSamples Joseph D G CoSamples IMcCruw MvrickSamp es IThe Waxelbaum CoSamples M C Kiser CoSamples IGans Bros LipmanSamp es Harris Davis Co Samples IE Wolff C W L Co Hosiery IRhoads Fellmanoser IN Ohio B CoiBlankets 295 80 174 40 153 60 135 00 528 17 137 10 408 38 419 05 215 58 337 26 7 02 90 00 143 75 252 00 135 00 67 50 297 85 537 69 235 72 54 00 90 00 156 25 699 53 316 14 538 55 358 04 144 35 69 95 102 26 42 62 57 96 18 80 23 56 151 26 5 87 1 33 7 49 1 05 28 79 12 82 7 10 2 70 12 24 14 85 44 12 17 62 73 92 2 10 21 62 16 33 33 38 1 33 70 18 85 95 45 85GEORGIA STATE SANITARIUM 93 Abstract C Continued Date To Whom Paid What For Von Kamp Vaughn G Sampl ICarson P Scott CoBrushes Burden Smith CoBlankets Happ Bros CoCoats Joseph D G CoBlankets E E Bell Blankets Rhoads FellmanCoats The Dannenberg CoCoats Gans Bros Lipman Hats 1 Epstein Bro CoDomestics Lumpkin CoDomestics J W Hicks CoShoes J K Orr Shoe CoShoes E Wolff C V L CoShirting E A Waxelbaum BroShoes Quinn Marshall CoDomestics Von KampV GeraldDomestics Carson P Scott CoCrash Harris Davis CoDomestics M C Kiser Co Shoes F E Callaway CoJeans Louisiana M CoJeans Nov 30 Goodman WoottenCalico U C Woolen CoBlankets Hornett Warner CoBlankets G D Well Shoe CoShoes Burden S Co Blankets Happ Bros CoCoats E E Bell Blankets Rhoads FellmanBlankets Dannenberg CoI Domestics Gans Bros Lipmanhits I Epstein Bros CoIShirting Lumpkin CoI Blankets J W Hicks CoIShoes J K Orr Shoe CoIShoes E Wolff C W L Co Domestics E A Waxelbaum BroShoes Quinn Marshall CoIChecks Von Kamp V Gerald IShirting F E Callaway CoJeans IThe Dannenberg CoHosiery Joseph D G CoBlankets Dec 31 Burden S CoiBlankets Happ Bros CoiCoats iQuinn Marshall CoDomestics E Wolff C W L CoI Hosiery IE E Bellblankets Rhoads FellmanICoats Dannenberg CoHats I Epstein Bro CoIDomestics Happ Bros CoIDomestics IVon Kamp V Gerald IDomestics Joseph D G CoIBlankets IT K Orr Shoe CoIShoes I IJ W Hicks COIShoes i r Amount SO 31 23 14 1362 50 319 SO 287 SO 769 SO 499 40 752 88 42 00 593 S3 226 50 367 50 202 50 331 25 210 60 243 60 991 27 88 32 162 00 215 00 519 53 240 66 25 95 112 50 338 54 38 45 276 61 355 50 202 50 112 80 622 78 120 00 162 50 36 70 181 00 91 50 570 00 113 40 403 20 658 04 695 66 56 40 162 50 280 98 374 00 304 75 147 89 581 81 812 18 246 83 184 01 136 71 778 1 96 44 91 50 31 80 Total 1 45189 3394 SIXTYSIXTH ANNUAL REPORT Abstract D Shows the expenditures on account of Fuel and Trans portation from January 1st 1909 to January 1st 1910 Jan 31 J B Barnes C Co G R R Co J R Barnes C Co W P Broach Agt J R Hines J R Barnes C Co Big Hill C Co J R Barnes C Co R Barnes C Co R Barnes C Co C of Ga Ry Co What For Amount Coal Freight Coal Freight Wagons Coal Coal Coal Coal Coal Freight J R Barnes C CoCoal J R Barnes C Co Big Hill C Co Big Hill C Co G R R Co J R Barnes C Co J R Barnes C Co So Express Co W P Overman C C Hurt J R Barnes C Co J R Barnes C Co R Barnes C Co J R Barnes C Co IT Coal Coal Coal Freight Coal Coal Freight Wood Wood Coal Coal Coal Coal R Barnes C CoI Coal J R Barnes C CoI Coal Feb 281J R Barnes C CoI Coal IJ R Barnes C CoI Coal j R Barnes C Co Coal W P Broach AgtFreight j R Barnes C Co Coal H Johnson F Co Coal 1 R Barnes C Co Coal J R Barnes C Co Coal J R Barnes C CoI Coal T R Barnes C CoI Coal J R Barnes C CoI Coal IT R Barnes C Co iCoal J R Barnes C CoI Coal G R R Co J R Barnes C Co C of Ga Ry Co So Express Co J R Barnes C Co J R Barnes C Co J R Barnes C Co T R Barnes C Co J R Barnes C Co IC C Hurt J R Barnes C Co J R Barnes C Co Freight Coal Freight Freight Coal Coal Coal Coal Coal Wood Coal Coal 89 82 226 75 176 15 20 89 110 00 169 44 839 03 273 7S 91 20 91 36 82 53 94 08 82 24 126 35 130 55 22 45 169 11 80 32 16 22 148 00 369 87 179 99 108 96 80 79 93 12 97 28 182 39 90 72 89 76 187 20 10 79 92 80 13 90 92 32 188 32 93 12 81 75 90 72 91 18 90 88 24 65 169 43 162 91 18 67 91 20 89 92 89 44 87 84 80 32 100 93 172 33 90 56 GEORGIA STATE SANITARIUM Abstract D Continued Date To Whom Paid What For Mch3HT R Barnes C CoCoaT J R Barnes C Co J R Barnes C Co J R Barnes C Co J R Barnes C Co J R Barnes C Cc Coal Coal Coal Coal Coal Apr 30 May 31 ij R Barnes C Co C W P Broach AgtFreight I J R Barnes C CoICoal J R Barnes C Co Coal G R R Co C of G Ry Co J R Barnes C Co J R Barnes C Co J R Barnes C Co J R Barnes C Co J R Barnes C Co So Express Co J R Barnes C Co J R Barnes C Co J R Barnes C Co W P Broach Agt G R R Co C of G Ry Co So Express Co Waterman Sr Fentress C C Co Fentress C C Co Clear Creek C Co Fentress C C CoCoal Fentress C C Co Fentress C C CoCoal Fentress C C CoCoal Fentress C C Co Coal Freight Freight Coal Coal Coal Coal Coal Freight Coal Coal Coal Freight Freight Freight Freight Mules Coal Coal G R R C C of G Ry CoIf Freight reight Fentress C C CoJCoal Fentress C C CoJCoal Fentress C C Co JCoal Fentress C C CoJCoal W P Broach AgtI Freight Fentress C C Co ICoal J R Barnes C CoICoal Fentress C C CoCoal Fentress C C Co ICoal Fentress C C CoICoal C C Hurt Wood Fentress C C CoICoal Fentress C C Co I Coal Fentress C C CoC oal ress C C Co iCc Junc30Fentress C C CoIC SoExpress CoI Freight J R Barnes C CoICo J R Barnes C CoICoal IT R Barnes C Co ICoal 95 Amount 9280 91 52 92 80 184 80 89 12 89 12 83 84 16 63 86 08 156 95 100 26 55 54 369 43 83 20 169 60 90 40 259 35 19 07 179 19 169 43 183 19 14 59 440 14 140 42 11 10 450 00 161 35 159 21 43 30 160 89 163 17 163 63 170 34 172 02 160 90 160 15 168 82 171 11 165 31 172 17 9 75 161 80 124 92 175 38 166 99 169 42 55 50 168 51 162 57 159 06 169 88 8 41 120 67 214 58 97 1296 SIXTYSIXTH ANNUAL REPORT Abstract D Continued Date To Whom Paid T C of G Ry Co G H Tunnell Agt J R Barnes C Co Cont Coal Corp W P Broach Agt I Cont Coal Corp July 31Cont Coal Corp Cont Coal Corp Cont Coal Corp Cont Coal Corp H Johnson F Co Cont C Corp So Express Co Cont Coal Co G R R Co C of G Ry Co Cont C Corp Cont C Corp Cont C Corp Cont Coal Corp Aug 31 So Express Co Cont C Corp Cont C Corp Cont C Corp Cont C Corp Cont C Corp Cont C Corp G Bond Co Cont C Corp Cont C Corp So Express Co G R R Co Cont C Corp C of G Ry Co G R R Co Cont C Corp Cont C Corp W P Broach Agt W P Overman C C Hurt Cont C Corp Sep 30 What For Freight Freight Coal Coal Freight Coal Coal Coal Coal Coal Coal Coal Freight Coal Freight Freight Coal Coal Coal Coal Freieht Coal Coal Coal Coal Coal Coal Harness Coal Coal Freight Freight Coal Freight Freight Coal Coal Freight Wood Wood Coal Cont C CorpCoal Cont C CorpCoa Cont C CorpCoa Cont C CorpCoal So Express CoFreight Cont C CorpCoa Cont C CorpCoa Cont C CorpCoal C of G Ry Corest G R R CoFreight lW P Broach AgtFreight W P OvermanWood C C HurtWood H Waterman SrjMules Amount 49 99 62 36 240 68 248 80 26 08 122 30 752 95 246 80 591 87 120 26 13 90 238 79 19 18 118 53 50 28 64 82 338 17 365 65 588 59 363 14 13 14 876 52 491 40 441 79 984 54 360 94 369 57 108 50 584 34 740 72 14 64 251 39 1093 98 349 87 18 26 474 92 700 84 8 64 102 00 62 00 571 64 124 81 326 56 124 81 471 62 20 15 741 35 500 67 271 76 162 59 40 94 16 56 86 50 132 50 1200 00GEORGIA STATE SANITARIUM Abstract D Continued 97 Date To Whom Paid What For Amount Oct 31 W P Broach Agt C of G Ry Co G R R Co Freight 18 39 17S 56 90 49 J G Barnes C C Hurt W P Overman Wood 21 87 Wood 162 00 Wood 86 00 Nov 30 Coal 251 98 17 51 J R Barnes C Co 121 87 373 50 350 27 321 06 Coal 129 33 J R Barnes C Co Cont C Corp G R R Co C of G Ry Co Cont C Corp Cont C Corp W P Overman C C Hurt 172 04 Coal 282 44 38 88 65 45 421 70 113 82 Wood 112 50 Wood 157 50 Cont C Corp Cont C Corp W P Rroach Asrt 216 04 245 39 12 34 Dec 31 W P Rroach Act 17 08 J R Barnes C Co H Johnson F Co Cont C Corp G R R Co 54 07 Coal 13 90 133 92 71 75 IC of G Ry Co IG R R Co Freight 66 47 63 83 So Express Co Freight 38 73 Total 35851 09 98 SIXTYSIXTH ANNUAL REPORT Abstract E Shows amount of Salaries paid officers per month to gether with the aggregate amount from January 1st 1909 to January 1st 1910 1 Date I To Whom Paid What For Amount Tnn 31lPav Roll 2800 10 2800 10 Feb 28 Pay Roll Mch 31 Pay Roll Pay Roll 2800 10 Apr 30 May 31 Jun 30 July 31 Aug 31 Sep 30 Oct 31 2800 10 Pay Roll 2800 10 Pay Roll 2800 10 Pay Roll Pay Roll Pay Roll 2800 10 2800 10 2800 10 Pay Roll Pay Roll Pay Roll 2758 45 Nov 30 2810 80 Dec 31 2916 80 33692 95 Abstract F Shows amount of Wages paid to employees per month together with the aggregate amount from January 1st 1909 to January 1st 1910 Date I To Whom Paid Jan 31 Feb 28 Mch 31 Apr 30 May 31 Tun 30 July 31 Aug 311 Sep 301 Oct 311 Nov 30 Dec 31 Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Pay Roll Wages Wages Wages Wages Wages Wages Wages Wages Wages Wages Wages Wages Amount 10031 40 9748 95 10300 05 10186 80 10307 00 9861 40 9702 95 9991 65 10119 25 10037 35 9814 20 9963 85 120064 85GEORGIA STATE SANITARIUM 99 Abstract G Shows the expenditures on account of Incidental Ex penses from January 1st 1909 to January 1st 1910 Date To Whom Paid I Jan 31 Standard Oil Co Isaac Hardeman K T Alfriend J Frank Harris Dr A Block C S B S Co C H Dana B Davis Son C S B S Co Harrison Bros Co R W Hatcher R II Wootten Am L Mach Co Ahrens Ott M Co J W McMillan Stevens Bros Co Union Recorder E N Ennis Morning News J D Case J Stanley Cook L Co J A Brooks Genl F Ex Co E Bickers Am P Co Milledgeville News R Williamson Co King Hardware Co Hightower G Co J P Davies Co T C Burke Standard Oil Co J L Moore Son Simplex Eng Co Morris Eckler Co L W Toomer Antiseptic B Co Dixon Williams Phenix S Co Creamerv P M Co Conklin T P M Co Mallory M S Co Phenix S Co Columbus I Works Fuller Allen Co Lester B S Co Sumter T M Co J D Weed Co E J P D Willingham What For Oil Services Services Services Services Pipe Repairs Repairs Belting Paint Hardware Toys Repairs Closets Brick Pipe Printing Lumber Printing Brushes Tinware Lumber Repairs Material Repairs Sample Printing Repairs Hardware Hardware C Soap Cement Oil Material Repairs L Supplies Tinware Broom Spoons Starch Extractor Tin Pipe L Supplies Repairs Supplies Supplies Repairs Repairs Furniture Amount 27 SO 158 20 27 00 60 42 166 74 28 63 13 30 72 96 28 50 87 70 133 27 55 14 IS 90 70 S2 97 SO 33 00 15 25 34 44 83 50 7 25 5 80 22 14 24 80 169 06 1 00 98 12 00 2 50 8 06 3 39 168 75 102 75 53 98 1 50 6 3g 25 04 54 00 25 22 50 126 00 8 40 61 17 72 09 2 60 6 44 12 50 76 00 22 81 15 10 557 54SIXTYSIXTH ANNUAL REPORT Abstract G Continued Carolina P C CoICement Murrill H CoNails Feb 28 Beck G Hdw Co jBurkenroad W Co j Burkenroad W Co Augusta B Co Murrill H Co IBeck G Hdw Co Standard Oil Co IHightower G Co G W Hollinshead Jr G W Hollinshead Jr Oconee R Mills G W Hollinshead Jr G W Hollinshead Jr Standard Oil Co J Staley G D Case Milledgeville M S J W Burke J R Hines iS S White D M Co IE J P D Willingham S H French Co Lewis Roesch G Brend Co IP J Berckmans Co J E Burk L W Loomis Dunn Mach Co lAhrens Ott Mi Co U S C I P F Co IR W Hatcher Massie F L Co Columbus 1 Works C S B S Co J P Davies Co Cordeman R Co Augusta l Co Standard Oil Co IHightower Graves Co Mch 31 J C Ivey E T Alfriend Union C Co Hollinshead Jr W W Moran Oconee R Mills E X Ennis Standard Oil Co Cook L C Co W A McCurry I Walker A R Phillips ICrandall P Co Lester B P Co Samples Samples Brooms Brooms Locks S Irons Oil E Ware Lumber Lumber Lights Lumber Lumber Oil Tinware Paint Pipe Paper Harness I Supplies Carpet Paint Trees Leather Trees Repairs Tinware Machinery Repairs Pipe I ardware umber Pipe Pipe C Soap Repairs Brooms Oil E Ware Lumber Services Carbide Lumber Lumber Lights Lumber Oil Lumber Services T Expenses Stock Packing Paper 363 13 58 60 3 65 76 34 50 56 25 19 20 30 77 83 25 277 50 25 60 64 no 75 00 254 10 17 66 28 60 13 45 31 20 7 12 17 90 8 44 4 47 19 20 6 31 24 75 8 40 13 97 7 20 102 65 263 00 46 57 28 32 47 42 254 69 68 87 22 85 168 75 29 60 56 25 83 25 212 40 124 81 12 Ml 41 40 426 45 180 H 75 00 677 81 28 00 107 62 58 15 71 00 20 00 29 40 12 80GEORGIA STATE SANITARIUM Abstract G Continued Date J W McMillan J S Schofields Sons Co F W Wolf Co To Whom Paid C S B S Co Platt Iron Works Kennear Guyer Cordeman R Co Jno Van Range Co Chamberline DuBose Co S S White D M Co Stevens Bros Co J A Madden Union Recorder Macon T Pub Co Fairbanks Morse Co Genl Fire Ex Co Lombard I W S Co L M Morris Co Standard Oil Co Ahrens Ott M Co J W Burke Co E J P D Willingham R A Kensby Co Meiritt H Co M S D A Byck Co Morning News Columbus I Works Diamond P S Co Fairbanks Morse Co King Hardware Co J D Case G W Hollinshead Jr R W Hatcher Augusta B Co F N Ennis E Wolf C W L Co Apr 30 What For Amount Brick Pipe Ammonia Repairs Repairs Cutlery Repairs Repairs Furniture D Supplies Pipe Supplies Printing Advertising Repairs Repairs Pipe Safe A Grease Repairs Paper Furniture Repairs Nails Paper Printing Pipe Cement Repairs Hardware Brushes Lumber Wire Brooms Lumber Linters Oconee R MillsLights Standard Oil CoOil J T BrantleyServices Augusta Chronicle Advertising S H French CoPaint Garlock Pkg CoPacking C L BarnesLime Merritt Hardware CoNails Columbus B FacBroom Dixon Williams Spoons C C Atkins CoRepairs Racine T Lug CoRepairs Oconee R MillsCord Rhoads FellmanOil Sheets Sherman Williams CoPaint ISears Roebuck CoUtensils King Hardware CoLocks J Carlton CoIT Soap jOrr Sta CoSamples 200 45 88 06 117 36 3 50 26 18 13 82 5 00 99 36 29 40 1 71 31 20 44 65 14 25 8 75 9 14 23 92 28 HO 4 00 6 33 36 35 6 00 116 00 60 00 54 65 8 00 3 50 97 39 100 10 68 29 71 1 28 157 41 71 93 56 25 221 77 162 90 75 00 30 25 199 00 5 63 23 60 59 13 57 00 57 20 50 24 00 50 r0 10 79 2 10 125 00 60 69 16 96 7 37 30 00 60SIXTYSIXTH ANNUAL REPORT Abstract G Continued Date To Whom Paid What For Amount Lombard I W S Co Jas Boyle Son Schaffer Budenberg Co G Bernd Co S S White D M Co Morning News Gaylord Bros West Disinfect Co J D Weed Co Genl Fire Ex Co C S B Supply Co Savannah W Co J P Davies Co Conklin T P M Co J B Clow Sons Dunn Mach Co T C Burke E J P D Willingham Ahrens Ott M Co Harrison Bros Co Hightower Graves Co Burkenroad W Co Beck T H Co Orr Sta Co Burkenroad Wilcox Co Savannah W Co Carson Peru S Co Jones Hopkins Mfg Co Hightower G Co Standard Oil Co Buck G H Co King Hardware Co E N Ennis A Wolf C W L Co Isaac Hardeman J Frank Harris G W Hollinshead Jr Camden Phila S Co Atlanta J Co Est J Staley Dunn Mach Co Standard Oil Co Foote Davies Co Dixon Williams G D Case Stevens Bros Co J Schofields Sons Co Carolina S C Co C S B S Co Phenix S Co E J P D Willingham Moran Wilkinson R W Hatcher Oconee R Mills Standard Oil Co Pipe Material Material Leather D Supplies Printing Material T Paper Nails Material Pipe Envelopes C Soap Tin Material Material Cement Linoleum Repairs S Aluminum Samples Samples Samples Paper Ink Etc Samples Samples Oil Cloth Tinware E Ware Candles E Ware E Ware Lumber Linters Services Services Lumber Soda Printing H Ware Repairs Axle Grease Books O Paper Paint Pipe Pipe Cement Belting Starch Matting Repairs Wire Lights Oil 21 92 121 IS 3 09 19 56 10 55 48 00 14 48 156 25 29 33 95 69 105 12 4 70 168 75 106 82 529 75 264 23 22 06 859 70 103 99 106 60 05 69 46 71 00 3 25 4 40 21 00 6 79 156 90 83 25 86 40 87 20 89 40 246 56 64 04 47 80 115 95 49 00 4 20 19 33 28 87 5 94 7 00 1 30 20 00 7 04 2 00 375 50 3 00 93 66 195 83 83 80 90 75 00 28 60GEORGIA STATE SANITARIUM Abstract G Continued i3 Date I To Whom Paid T M Hall Massie F L Co May 31 K T Alfriend G D Case Lester B S Co S S White D M Co Camden Phila S Co Phenix S Co Armour Co Foote Davies Co Conklin T P M Co Linden M Co J L Moore Sons J H Day Co J D Weed Co Ahrens Ott M Co C S B Supply Co M S D A Byck Osmer Amend J W McMillan Yale T M Co J P Davies Co Harrison Bros Co Tenn Can Co Hightower G Co Standard Oil Co iBeck G H Co King H Co Jones H M Co Union Recorder Underwood T W Co Jas Ivey G D Case Oconee R Mills Standard Oil Co T G Dawson June 30 Richard Johnson Richard Tohnson Richard Johnson W A McCurry Augusta Chronicle Dow Wire Works Barnes Richter S S White D M Co Pittsburgh P G Co Atlanta J Co J A Madden R W Hatcher Milledgeville B F Co Standard Oil Co John Boyle Co F W Wolf Co E J P D Willingham IMacon Tel Pub Co Scats Roebuck Co What For Services Shingles Services Paint F Cases Material Soda Starch C Soap Book Tin Machinery D Paper Repairs Nails Pipe Pipe Paper Repairs Brick Locks C Soap Paint Cans E Ware Oil E Ware E Ware Tinware Printing Typewriter Lumber Brushes Lights Oil Services Services Services Services Services Printing W Guards Lime Material Glass Printing Extractor Hardware Repairs Oil Machinery Ammonia Carpet Printing Furniture Amount 62 SO 170 57 39 25 5 85 41 00 2 61 4 20 27 00 102 94 3 10 7 38 382 12 1 50 3 00 44 S3 47 84 19 86 10 80 1 25 94 05 112 35 168 75 91 00 115 30 139 57 65 71 82 83 44 00 6 88 12 25 40 45 102 92 20 00 75 00 27 50 84 85 8 50 90 96 150 00 51 06 3 75 38 95 6 75 3 45 48 93 4 20 10 00 181 64 60 9 03 276 75 57 96 50 75 6 00 3 61io4 STXTYSIXTH ANNUAL REPORT Abstract G Continued Date To Whom Paid I What For King H Co A K Robbins Co Am L Mach Co T C Burke Morning News W W Brushes Cans Repairs Cement Books Amount G P Pallings Sons CojMaterial Co July 31 Milledgeville H G Bernd Co Savannah Press The Trade Co J C Thornburg C S B Supply Co Lamar Groc Co Hightower G Co Jones H M Co Fulton C B Mills Oconee R Mills Standard Oil Co Fulton B C Mills J C Isaac T G J T T K I vey 1 ardeman Dawson Brant ley Wurst R W Hatcher S S White D M Co Hightower G Co J L Mott Iron Works IC S B S Co IT M Hall Lombard I M S Co l Pittsburgh P G Co I Barnes Richter Standard Oil Co Conklin T P M Co Ahrens Ott Mfg Co M S D A Byck jNealBlun Co Garlock P Co The Bushlin Co Babcock Wilcox Co John Van Ruuge Co Bromhall Deane Co J B Clow Son F W Wolf Co G Bernd Co T C Burke CourierJ J P Co j Plows Leather Printing Printing Repairs Pipe C Soap E Ware Tumblers Sacks Lights Oil Sacks Lumber Services Services Services Services Hardware Supplies Brooms Repairs Repairs Services Pipe Glass Lime Oil Tin Pipe Reports Paint Packing Valves Repairs Repairs Repairs Material Ammonia Leather Cement Book Enterprise Mfg CoMowers Milledgeville News Printing Bowen BrosMaterial T C Bossher Co Material Gen Fire Ex CoMaterial R H WoottenFile Fairbanks Moore CoRepairs I 75 OU 133 49 21 00 119 25 7 50 10 00 34 68 6 93 4 00 5 00 94 00 130 98 95 20 187 50 6 84 72 85 75 00 26 40 13 18 88 80 39 04 10 23 21 65 283 76 105 06 5 61 195 70 11 95 3 25 25 00 71 43 19 71 47 50 74 20 212 15 33 00 219 75 138 00 37 93 47 80 22 82 9 35 4 00 231 00 88 80 7 98 54 88 10 00 17 33 3 00 1 22 45 90 120 92 41 5 28GEORGIA STATE SANITARIUM Abstract G Continued 105 I Date I To Whom Paid What For Beck G H Co So Spring B Co King Hardware Co T D Case Savannah W Co L M Jones Beck G H Co Burkenroad Wilcox Co Jones H Mfg Co R H Wootten Hightower Graves Co Standard Oil Co Pittsburgh P G Co C S B Supply Co Oconee R Mills Standard Oil Co Aug 31 K T Alfriend W H Guild Co McLaurin Transfer Co E J P D Willingham R G Badger Lamar Groc Co L W Loomis Armour Co King Hardware Co D W Brown Morris Eckler Co Morning News G D Case R W Hatcher Harrison Bros Co Ahrens Ott M Co Lombard 1 W S Stembridge L Yards C S B Supply Co T C burke Stevens Bros Co Standard Oil Co Barnes Richter John Van Runge Co Western Elec Co Jones H M Co R H Wootten Standard Oil Co R W Hatcher Oconee R Mills iStandard Oil Co Sept 30 T M Hall W A McCurry T R Wright T M Hall Milledgeville O Mills S S White D M Co Stembridge L Yards R Williamson Co Samples Springs E Ware Brushes Samples Lordence Shovels Brooms Tinware E Ware E Ware Oil Paint Pipe Lights Kerosene Services Journal XRay Matting Journal T Soao Tinware C Soap Locks Collars Soda Printing Paint Hardware S Aluminum Repairs Pipe Lumber Pipe Cement Pipe Oil Lime Repairs Material Tinware Crockery Oil Hardware Lights Kerosene Services Services Expenses Expenses Linters Material Lumber Repairs Amount 1 79 132 24 62 57 9 51 50 25 00 54 06 22 75 70 02 130 00 117 50 78 75 74 83 119 45 75 00 25 20 37 50 3 75 256 00 203 95 3 00 48 00 90 00 204 86 10 50 11 25 56 00 32 50 31 87 36 13 91 00 27 79 64 48 72 41 52 91 30 23 58 80 34 30 62 08 26 35 1962 99 74 04 12 78 64 49 146 94 75 00 21 00 62 50 57 60 200 00 200 00 181 88 16 48 27 05 6 12io6 SIXTYSIXTH ANNUAL REPORT Abstract G Continued Date To Whom Paid What For Amount Oil 6 54 T ester B t S Co 6 00 9 79 1 32 Lombard I W S Co J S Schofields Sons Co CSBSCo 4 80 9 93 11 50 654 50 65 Oil 13 53 Paint 24 30 Smith P T W Co 1 50 Fairbanks Morse Co 72 35 15 E Ware 51 70 13 07 E J P D Willingham G Bernd Co 374 36 7 98 21 87 G D Case Paint 95 75 51 47 2 93 M S D A Bvck 19 25 Printing 5 00 34 53 R H Wootten T Paper 64 40 156 25 Printing Printing Wagons 140 40 3 75 6 00 R W Hatcher 199 82 D W Brown 122 00 Beck G H Co 1 12 Tones H M Co Material 68 95 985 47 W A Bass 186 05 132 00 Oconee R Mills Lights 75 00 Oil 24 15 Printing Machinery 4 20 237 50 42 02 Slate 116 71 G W Hollinshead Jr E T Alfriend 68 69 202 70 Oct 31 126 03 262 15 122 00 Material 30 00 85 30 12 00 G Bernd 9 00 Material Pipe 1 31 S S White D M Co C S B S Co 9 74 149 15 GEORGIA STATE SANITARIUM Abstract G Continued 107 Date To Whom Paid I What For King H Co S S Mach Co Foote Davies Co S Lumber Yards Dowman Johnson J C Parker Phenix S Co Carolina P C Co Crouse Hinds Co P C Lorenz Barnes Richter Harrison Bros Co W W Moran DeSaussures Hands Genl Fire Ex Co S H French Co The Bushlin Co Ahrens Ott M Co Union Recorder So S Bed Co J B Davis Sons Singer S M Co Gen Elec Co J W McMillan Pittsburgh P G Co T C Burke E J P D Willingham G D Case Morning News Gulf Refining Co F J Cubbedge Sons Conklin T B M Co Merchant Evans Co Merritt H Co Merchant Evans Co Dunn Mach Co Lombard I W S Co Kiernan B Co Standard Oil Co J S Schofields Sons Co Sav Wooden ware Co R H Wootten Beck G H Co R W Hatcher McClure T C Co Union C Co Western Elec Co Sav W W Co Beck G H Co R H Wootten Shovels Repairs Books Lumber Books Lumber Starch Cement Repairs Repairs Lime Paints Lumber Labor Material Material Valves Valves Printing Springs Repairs Material Supplies Brick Glass Cement Matting Brushes Printing Oil Paint Pans Tin Nails Solder Machinery Pipe Repairs Oil Pipe Envelopes Crockery Hardware Fencing Samples Carbide Material Brushes Hardware Crockery McClure T C CoiBrooms High tower G CoE Ware Merritt H W CoNails DeSaussures Hands ILabor W W MoraniLumber Amount 28 33 53 20 14 00 453 65 28 00 90 00 33 25 75 00 1 74 3 00 54 79 201 63 238 06 226 10 111 93 19 83 73 60 52 72 45 75 75 00 65 28 35 00 145 80 107 00 119 68 77 56 454 69 37 88 65 50 21 63 82 05 105 95 18 00 57 00 5 53 47 40 21 90 10 80 25 14 10 05 3 59 17 87 5 43 179 90 3 56 37 50 139 98 13 00 73 54 19 20 263 76 24 00 66 50 238 40 59 46io8 SIXTYSIXTH ANNUAL REPORT Abstract G Continued What For Nov 30 Lumber Kerosene Material Printing Material Lights Labor Services Labor Journal Material Paint Material Material Material Matting Repairs Solder Pipe CoI Repairs Pipe Lumber Byington Carswell Standard Oil Co Western Elec Co Union Recorder Western Elec Co Oconee R Mills DeSaussures Hands I saac Hardeman DeSaussures Hands R G Badger Western E Co G D Case Crouse Hinds Co Elec Con Co Geo Cutler Co E J P D Willingham S L S Mfg Co Conklin T P M Co J Schofields Sons Co Am L Mach Stevens Bros Co W G Hawkins G Bernd Co Phenix S Co King II Co T C Burke C S B S Co Cont Clay Corp Cook L Co J B Clow Sons R VV Hatcher K T Alfriend Armour Co S C Cooper McClure T C Co DeSaussures Hands J C Parker Western E Co Genl Elec Co W E Carter Elec Co DeSaussures Hands Richard Johnson Richard Johnson I Services Oconee R MillsLights J T BrantleyServices Standard Oil CoIKerosene DeSaussures Hands ILabor Material Labor Services Services Linoleum Leather Starch E Ware Cement Pipe Soap Lumber Machinery Hardware Services Soap Services Broom Labor Lumber Material Material Material Labor Services Western Elc Co Dec 31 DeSaussures Hands T M Hall T G Lawson E J P D Willingham Western Elec CoIMatenal I Pittsburgh P G CoI Paint IMorning News Printing Amount 132 12 24 IS 929 20 36 50 32 23 431 16 213 00 51 60 184 00 8 00 33 39 28 20 5 14 5 89 9 00 281 60 17 40 9 00 8 Id 103 57 18 90 51 51 9 90 69 60 67 50 63 00 44 20 30 00 215 00 164 87 56 08 14 50 2191 197 34 234 36 214 35 38 08 311 78 30 7S 2 25 161 25 91 31 150 00 476 77 215 57 26 25 105 10 111 01 100 95 25 00 84 60 102 37 1002 40 96 42 65 00GEORGIA STATE SANITARIUM Abstract G Continued 109 Date I To Whom Paid What For Amount jMacon Tel Pub Co S S White D M Co I Augusta Chronicle C S B S Co Oconee R Mills P J Berckmans Co Savannah Press Dow Wire Works Ahrens Ott Mfg Co Kennear Guyer Co King H Co T C Burke Troy L M Co Atlas Eng Works Merritt H Co Peterson Oven Co Barnes Richter J E Burk Union Recorder DeSausurres Hands A R Thiot Pub Co Stembridge L Yards R W Hatcher Harrison Bros Co iMilledgeville Tel Co Printing Material Printing Pipe Utensils Trees Printing Wire Repairs Brads Samples Varnish Extractors Repairs Locks Repairs Lime Repairs Printing Labor Advertising Lumber Hardware S Aluminum Rent Total 6 00 24 75 3 75 26 81 59 96 4 80 5 00 40 80 21 95 25 2 36 15 50 621 00 42 50 10 00 10 so 47 50 11 75 12 25 119 25 5 00 12 80 53 86 231 00 10 35 46092 28 Abstract H Showing the expenditures on account of Medical Sup plies from January 1st 1909 to January 1st 1910 Date Jan 31 Feb 28 Mfch3 To Whom Paid Lamar T R Drug Co Geo Tumann Co Horlicks M M Co McKisson Robbins West Disinfect Co Sharp Dohmc Horlicks M M Co Parke Davis Co So Label Box Co Becton D Co II J Lamar Co Ermer Amend Lamar T R Drug Co De Verber Mfg Co iThermometers McKisson Robbinsj Drugs Ermer AmendJDrugs Horlicks M M CoMilk What For Drugs Tube Milk Drugs Disinfectant Drugs Milk Drugs Labels Thermometers Drugs Drugs Drugs Amount 34 20 2 39 120 00 25 76 26 SO 113 96 80 00 35 25 6 90 68 67 28 80 3 71 113 65 18 95 8 75 3 60 64 80SIXTYSIXTH ANNUAL REPORT Abstract H Continued Date To Whom Paid What For Amount Apr 30 May 31 June 30 July 31 Aug 31 Geo Tumann Co Parke Davis Co Armour Co Seabury Johnson Cook Bernheimer Co Sharpe Dohme Menucke Co McKisson Robbins Lamar T R Drug Co Colburn Birks Co Fred Disinfect Co West Disinfect Co Lamar T R Drug Co Parke Davis Co Lamar T R Drug Co John Hoge Drug Co Lamar T R D Co Sharp Dohme McKisson Robbins Rhoads Fellman Armour Co Lamar T R Drug Co Sharp Dohme Seabury Johnson McKisson Robbins Colburn Birks Co Parke Davis Co Lamar T R I Co McKisson Robbins Sharp Dohme Ermer Amend M S D A Byck West Disinfect Co Dixon Williams Sharp Dohme McKisson Robbins Lamar T R Drug Co Ermer Amend M S D A Bvck S S White D M Co Sept 30 Oct 31 H Wunhuyen Armour Co Lamar T R Drug Co Munecke Co McKisson Robbins Colburn Birks Co SchufKlin Co Parke Davis Co Cook Bcrnhum Co Munecke Co Fred Disinfect Co Green River Dis Co Sharp Dohme Seabury Sz Johnson Tube Drugs Glycerine Plasters Wine Drugs Material Drugs Drugs Alcohol Disinfectant Disinfectant Drugs Drugs Drugs Drugs Drugs Drugs Drugs Glasses Glycerine Drugs Drugs Plasters Drugs Alcohol Drugs I rugs I rugs Drugs Sulphur Paper Disinfectant Glasses Drugs Drugs Drugs Sulphur Paper Material Enterprise Mfg CoICans Material Glycerine Drugs Instruments Drugs Alcohol V Vines Drugs Wine Material Disinfectant Whiskey Drugs Plasters S 25 SI 87 18 00 107 21 36 75 111 66 95 36 170 50 25 28 72 18 13 26 00 29 90 30 00 30 35 5 11 4 47 53 30 60 03 19 25 17 00 64 00 62 32 64 40 101 22 27 99 88 56 62 89 106 20 11 60 32 90 4 80 46 80 1 65 224 89 71 55 58 05 9 49 1 77 2 04 5 40 37 20 20 00 49 17 75 18 144 45 27 12 10 00 108 53 39 38 3 60 18 13 108 05 150 36 75 69GEORGIA STATE SANITARIUM Abstract H Continued Date Nov 30 To Whom Paid Lamar T R Drug Co I Armour Co Sharp Dohme Parke Davis Co Lamar T R Drug McKisson Robbins Dec 31Parke Davis Co So Label Box Co I What For Co Drugs Glycerine Drugs Drugs Drugs Drugs Drugs Labels Amount 50 93 10 00 21 17 109 87 13 66 239 98 4 84 16 35 Total 4057 18 Abstract I Shows the expenditures on account of Contingencies from January 1st 1909 to January 1st 1910 Date I To Whom Paid 1 What For Amount Jan 31 Feb 28 E L La C B C S Carr ington George S Jc Milledgevillc Tel Co Cen Ga Tel Co VV U Tel Co C of Ga Ry Co F E Rogers O W F C of Ga Ry Co Cen Ga Tel Co Milledgevillc Tel Cc G R R Co C of Ga Ry Co L M Jones Pat Insurance Fees Rent M lent essa ges essages iticnt Mch31 Jersey B D World IW U Tel Co Cen Ga Tel Co Milledgeville Tel Cc C W Hubbard Allen Pottle C of Ga Ry Co C of Ga Ry Co Atlanta J Co C of G Ry Co C of G Ry Co IC of G Ry Co C of G Ry Cc M Dis p Esc Patient Esc Patient Dis Patient M essages Rent Dis Patient Dis Patient Esc Patient Journal Messages Messages Rent Esc Patient 11 32 12 38 100 00 4 00 2 90 9 55 7 04 12 00 4 80 16 72 4 10 4 00 1 04 7 07 20 50 Dis Patient Dis Patient Print Di mg Patie 30 39 65 00 30 lent Dis Pat Dis Patient jDis Patient M H Guild CoJournals rV fG Ry CoI Ds Patient W U Tel Co Savannah Press P Mess ages IG R R Co nnting Apr 3QIC of Ga Ry Co Savannah Press IPrinti I Dis Patient IDis Patient ng 4 4 250 00 2 71 18 05 8 40 4 77 18 67 3 16 4 69 66 25 5 20 8 39 4 00 3 65 9 92 4 00SIXTYSIXTH ANNUAL REPORT Abstract I Continued Date May 30 To Whom Paid What For Amount Messages W U Tel Co Augusta Chronicle Frintin Macon Tel Pub Co Cen Ga Tel Co So Bell Tel Co C of Ga Ry Co C of Ga Ry Co Milledgeville Tel Co W U Tel Co June 30 Milledgeville Tel Co J W Beck C of Ga Ry Co Printing Rent Messages Dis Patient Dis Patient Rent Messages Rent Etc Esc Patient Dis Patient W U Tel Co Messages Aug 31 Sep 30 Rent Etc Dis Patient Messages Hack Hire Dis Patient Rent Etc Dis Patient Tuly 31 Milledgeville Tel Co C of Ga Ry Co W U Tel Co J R Roberts Co C of Ga Ry Co Milledgeville Tel Co C of Ga Ry Co V U Tel CoiMessages C of Ga Ry CoDis Patient C of Ga Ry CoDis Patient C of Ga Ry CoDis Patient iMilledgeville Tel CoRent Milledgeville Tel CoIMessages C of Ga Ry CoDis Patient W U Tel CoIMessages Oct 31Horne Ins CoInsurance IC of Ga Ry CoDis Patient G B Robertson SherifflEsc Patient Milledgeville Tel CoRent Etc C of Ga Ry CoiDis Patient C of Ga Ry CoDis Patient Hartford Fire Ins CoInsurance Hartford S B J Ins Co Insurance Firemans Fund Ins CoInsurance T M HallServices T R WrightServices W A GillespieServices Brinkley SheriffEsc Patient ICharles G GarnorJournal W U Tel CoMessages Nov 301E B BlockIServices Milledgeville Tel CoRent Etc IC of Ga Ry CoDis Patient C of Ga Ry CoDis Patient IJohn Hopkins PressJournal C W Mangum SheriffI Esc Patient Psychological ReviewIlournal W U Tel CoMessages C of Ga Ry CoDis Patient ID Appleton CoJournal Dec 31IJ C AveraEsc Patient C of Ga Ry CoDis Patient IW U Tel CoMessages Total 6 17 3 75 6 00 4 00 8 IS 13 38 9 16 4 60 2 57 6 60 3 93 2 71 8 43 8 70 2 88 10 05 16 00 18 82 11 15 3 61 13 62 5 17 4 70 2 15 2 35 4 00 4 12 10 28 37 50 4 21 4 50 6 30 15 10 2 23 87 50 150 00 108 00 25 00 25 00 100 00 1 00 5 00 12 74 25 00 7 90 5 50 2 78 5 00 4 20 4 00 15 97 19 24 24 00 8 20 5 IS 19 33 1578 03GEORGIA STATE SANITARIUM Abstract J 3 Shows the expenditures on acocunt of Stationery and Postage from January 1st 1909to January 1st 1910 Date JanT 31 Feb 28 Mch31 Apr 30 May 31 June 30 July 31 Aug 31 Sept 30 Oct 31 Nov 30 Dec 31 To Whom Paid What For J J J J J J J J J J J J J J J J J J J J J L L L L L L L L L L L L L L L L L L L L L Lester J L S L L L L L L L L L L L L L L bley bley bley bley bley bley bley bley bley bley bley bley bley bley bley bley bley bley bley bley bley B bley bley bley bley bley bley bley bley bley bley bley bley bley bley bley P M p M p M p M p M p M p M p M p M p M P M p M p M p M p M p M p M p M p M p M p M s Co p M p M p M p M p M p M p M p p M M p M p M p M p M p M p M Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Paper Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Postage Total Amount 63 10 35 00 20 62 35 62 35 62 57 48 45 62 35 62 35 62 42 48 25 62 35 62 67 48 10 62 10 62 10 72 35 62 38 62 40 00 42 48 46 24 22 25 42 48 35 62 38 62 42 48 10 62 40 00 25 62 20 62 10 62 57 48 25 00 10 62 25 62 70 48 25 62 J 1274 17 IH4 SIXTYSIXTH ANNUAL REPORT Abstract K Shows the expenditures of Special Appropriation for erecting and constructing a system of waterworks from January 1st 1909 to January 1st 1910 Dr Date Jan 1Balance on Hand4212 IS Cr Date To Whom Paid What For Amount July 23 Western Elec Co 27 Western Elec Co 28 Western Elec Co 30 Western Elec Co Aug 21 DeSaussures Hands 28 DeSaussures Hands Sept 4 DeSaussures Hands 8 Western Elec Co 10 Western Elec Co 11 DeSaussures Hands 17 Western Elec Co C G Grant 18 DeSaussures Hands 25 DeSaussures Hands Oct 1 Western Elec Co 20Western Elec Co Dec 31Cash on hand Material Material Material Material Labor Labor Labor Material Material Material Material Poles Labor Labor Material Material 502 73 17 96 119 93 1393 72 40 70 72 65 135 70 772 07 14 00 155 10 74 02 302 50 146 8 151 35 96 95 124 62 91 35 4212 15GEORGIA STATE SANITARIUM Abstract L 115 pof 1st Date Jan Jan Feb Feb Mch Mch April April May May June June July July Aug Aug Sept Sept Oct Oct Nov Nov Dec Dec Shows Requisitions drawn on State Treasurer for sup and maintenance from January 1st 1909 to January 20Requisition Mm 23Requisition 32 12Requisition 2500 00 17Requisition 1111 32rj6n 67 15Requisition 2500 00 18Requisition 33 00 17Requisition 28Requisition 3 17Requisition 2500 00 20Requisition 2 son nn 14Requisition 2500 00 17Requisition 33 W 19Requisition f500 00 23Requisition 3 19Requisition 2500 2oRequisition 2 son nn 13Requisition mn m 16Requistion 3 18Requisition 2500 00 20Requisition ISOO 00 8Requisition nnn nn 17Requisition 3 00 6 Requisition 4iaa 6Resi 35gjgj 425000 00n6 SIXTYSIXTH ANNUAL REPORT Abstract M Shows average number of patients per capita per diem and per annum from January 1st 1909 to January 1st 1910 Year 1 No of Patients Per Diem Per Annum 1883 1005 333 12146 1884 1179 3425 12690 1885 1232 3418 12476 1886 1237 3350 12319 1887 1266 3412 12740 1888 1340 3483 127 40 1889 1438 3437 12681 1890 1538 3143 11473 1891 1616 3208 11700 1892 1618 3233 11833 1893 1623 3195 11662 1894 1709 3221 11860 1895 1783 32 11680 1896 1912 3221 11833 1897 2085 3311 12085 1898 2247 3223 11850 1899 2383 3220 11700 1900 2495 2943 10899 1901 2573 3029 11056 1902 2625 3087 11268 1903 2696 3095 11297 1904 2770 3012 10994 1905 2880 3328 12179 1906 2938 3096 11300 1907 2978 3224 11768 1908 3083 34 12410 1909 3130 347 12700 1910 3159 3728 13608 Abs tract N Shows the cost of maintaining one patient per year month week and day For one year13608 For one month 1134 For one week 262 For one day 3728GEORGIA STATE SANITARIUM AsatBtant itwiarfl Report 117 Near Milledgeville Ga January 1 1910 Dr L M Jones Superintendent etc Dear SirI herewith hand you my report as Assistant Steward for the year 1909 of the dairy garden farm pork and transportation also statement of stock wagons etc on hand January 1st 1910 We have lost since the last report one old mule ten milch cows and eleven heifers We have received from the chicken yards during the year 2777 dozen eggs at market price would amount to 55540 and 504 pounds of turkeys 7560 Very respectfully GEO W HOLLINSHEAD Assistant Steward Dairy Cr By Sweet Milk gals 7742554 Beef lbs 8493 561 Hides lbs 817 06 Hides lbs 228 07 Empty Sacks No 747 a 3y2 Empty Sacks No 1363 03 Bull Calves No 13 100 30c23227 57 476 45 49 02 15 96 26 14 40 89 13 00 Total 23849 03 Dairy Dr ro Wages Mr Russell 600 00 Wages and Board Hands 2204 00 Outfit for Dairy 333 45 Champion Cooler 10 00 Cattle Case 10 00 C S Meal tons 208 5108 50 Ensilage tons 703 2109 00 C S Hulls lbs 664380 1776 74 Bran lbs 60000 Cow Feed from Oconee Mills lbs 13500 Cow Feed fi om Colony lbs 17400 Corn Meal from Colony lbs 48864 Corn Meal from Store House lbs 9600 Hay lbs 31066 Lucerne Seed lbs 120 Erru Rape lbs 75 Lard lbs 16 Cotton Rope lbs 21 yA 810 00 114 75 313 20 804 93 160 25 155 33 27 00 8 05 1 88 3 40u8 SIXTYSIXTH ANNUAL REPORT To Cheese Cloth yds 146 7 30 Amber and Orange Cane Seed 13 12 Corn Seed bu 72 14 00 Blankets prs 1 94 Rubber Hose feet 100 13 50 Ozone Salt pkgs 25 88 Aprons No 4 40 Lanterns No 6 2 88 Lantern Wicks No 12 05 Lantern Globes No 12 60 Shovels No 8 7 00 Salt Sacks No 34 16 22 Towels No 10 80 Soap Bars No 18 48 Matches boxes No 12 05 Pad Locks No 7 2 07 C S Forks No 2 3 50 Pitch Forks No 2 1 50 Sifter No 1 25 Sprayer No 1 1 00 Bull Rings No 4 2 00 Scrub Brushes No 8 1 51 Axes and Helves No 3 2 27 Pick and Helve No 1 63 14643 43 By Balance in favor of Dairy 9205 60 Garden Cr By Cabbage Heads 11031 05 551 55 Collards Heads 18410 05 920 50 Ensilage tons 703 300 2110 50 Pecans lbs 12 20 2 40 Sheaf Oats lbs 36910 75 276 82 Hay Mixed lbs 159486 50 797 43 Hay Pea Vine lbs 7627 100 76 27 Corn Green doz 3434J4 10 343 47 Cantaloupes No 12940 05 647 00 Egg Plant No 246 05 12 30 Beets bu 478 S SO 239 00 Beans Butter bu 135 100 135 50 Beans Snap bu 222 S 75 166 50 Cucumbers bu 120 100 120 50 Figs bu 5H 100 5 75 Kale bu 470 3 20 94 00 Lettuce bu 120 20 24 10 Onions bu 1041 90 936 90 Okra bu 99 S 100 99 00 Pepper bu 22y2 50 1125 Peas English bu 23 100 23 00 Potatoes Sweet bu 1323 S 60 793 80 Potatoes Irish bu 313 100 313 00 Rape bu 1451 0 20 290 20 Radish bu 215 5 50 107 75 Scuppernongs bu 84 100 8 75 Squash bu 633 50 316 SO Turnips Rough bu 1137 30 341 10 Turnips Rutabaga bu 330 a 60 198 00 Turnip Greens bu 2041 a 20 408 20 Tomatoes bu 6014 SO 300 75 10671 79GEORGIA STATE SANITARIUM u9 Garden Dr To Wages and Board Mr Simpson 510 00 Wages and Board Mr Hobby 450 00 Wages and Board Mr Bateman 450 00 Wages and Board Mr Leonard 450 00 Wages and Board Hands 2029 95 Farm Implements l62 02 Garden Seed 113 75 Seed Irish Potatoes 45 bbls 153 47 Onion Sets 18 bu 42 19 Fertilizers 5g2 29 Paris Green 4 72 Feed Wear and Tear Mules 800 00 5848 40 By Balance in Favor Garden 4823 39 Colony Cr By Peaches crates 63 100 63 00 Chickens No 163 a 30 48 90 Watermelons No 13978 05 698 90 Cabbage heads 526 a 05 6 30 Sweet Milk gals 2481 30 744 45 Syrup gals 1139 a 50 569 50 Turkeys lbs 266 15 39 90 Hay Pea Vine lbs 118220 100 1182 20 Grapes lbs 1588 05 79 40 Pork lbs 8517 S 10 85170 Oat Straw lbs 75000 60 450 00 Lard lbs 250 14 35 00 Fodder lbs 53299 3 75 399 74 Cotton lbs 10677 389 i Canned Goods cans 4547 a 7y2 341 02 Corn Green doz 94 a 10 9 45 Eggs doz 4833J 15 p 57 Corn bu 8470 90 7 623 00 Oats bu 1556 a 75 1167 00 Cotton Seed bu 715 a 40 286 00 Cucumbers bu 6lA a 100 6 50 Beets bu 15 50 7 75 Beans Snap bu 782 3 75 58 87 Onions bu 19J4 90 T 17 32 Okra bu 33 a 100 33 25 Potatoes Sweet bu 3786 fa 60 2 271 60 Potatoes Irish bu 87 a 100 87 00 Peas White bu 88Ts a 200 176 25 Peas Mixed bu 371 150 556 50 Rye bu 190 a 200 380 00 Radish bu 32 50 16 25 Squash bu 40r 550 0 25 Lettuce bu 2 oj 20 40 Scuppernongs bu 9 fa 100 9 00 Turnips Rough bu 21 S 30 6 30 Turnip Greens bu 43 of 20 8 60 Tomatoes bu 30 a 50 15 25 Wheat bu 45 150 67 50 Blackberries bu 16 160 25 60 19831 33SIXTYSIXTH ANNUAL REPORT Colony To Wages and Board of Mr Massey Wages and Board Mr Durden Wages and Board Mr Combes Wages and Board Cook Wages and Board Hands Farm Implements Fertilizers Seed Ground Peas Seed Irish Potatoes Velvet Beans Onion Sets Tomato Seed Twine Salt Speying Pigs Grape Vines Plum Trees Paris Green Ginning Bagging and Ties Feed Wear and Tear Mules and Horse 1 Dr 576 00 270 00 60 00 269 50 734 35 395 91 870 00 11 05 17 28 18 00 4 40 17 85 15 60 14 10 2 40 24 75 13 97 2 03 48 89 700 00 9066 08 Cr By balance in favor of Colony10765 25 Pork Cr By Pork lbs 32355 10 3235 50 Pork Dr To speying pigs 4 50 Pork Cr By balance in favor of Pork 3231 00 Transportation Dr To Corn bu 3074 90 6766 60 Hay lbs 118640 50 593 20 Pea Vine Hay lbs 7627 100 76 27 Sheaf Oats lbs 36590 75 274 42 C S Hulls lbs 16230 264 42 60 Stock Powders lbs 50 12 6 25 C S Meal tons 5 2350 117 50 3876 84 Number Head of Stock Fed at Stables for Year 1909 Number head 37 showing cost of feed for one head of stock for one year one month one week and one day One year 1Q4 78 One month 73 One week 2 01 One day 29 By Total Credit Dairy Garden Farms and Pork57587 65 To Total Debit Dairy Garden Farms and Pork 29562 41 By Total Balance in favor Dairy Garden Farm and Pork28025 24GEORGIA STATE SANITARIUM i Inventory of Stock Wagons etc on Hand Jan 1 1910 Mules 46 Horses 5 Carriages and Harness 3 Buggies and Harness 1 TwoHorse Wagons and Harness 9 TwoHorse Wagons Old 2 OneHorse Wagons and Harness 2 Dray Wagon 1 Dump Carts and Harness 6 Hearse Wagon 1 Ox Carts 6 Ox Wagons 3 Plow Stocks and Gear 30 Dixie Plow Stocks 20 TwoHorse Plows 10 Road Plow 1 Road Machine 1 Pea Huller 1 Mowers 3 Horse Rakes 2 Roller 1 Tooth Harrows 2 Acme Harrows 2 Small Harrows 8 Wheelbarrows 6 Separator 1 Reapers and Binders 2 Seed Drill 1 Cultivators 2 Shredder 1 Hay Press 1 Oil Tank 1 Gasoline Engine 1 Saddles and Bridles 2 Axes 12 Lanterns 6 Grind Stone 1 Canning Outfit 1 Lawn Mowers 2 Ensilage Cutter 1 Milk Separator 1 Small Boiler at Dairy 1 Milk Cooler 1 Milk Buckets 12 Milk Cans 19 Feed Carrier 2 Manure Carrier 2 Pitchforks 10 Hand Rakes 6 Spades 2 Shovels 10 Weeding Hoes 25 Picks 6 Mattocks 6 Stretchers pairs 3 Hand Saws 2 Hammers 2 Squares 2 Brace and Bits 2 Grass Blades 6 Grain Cradles 9 Double Plow Stocks 7 Cotton Planters 4 Stump Puller Syrup Mill and Pan Grist Mill Feed Grinder Corn Sheller Milk Cows 155 Calves 32 Heifers 73 Steers 10 Work Oxen 16 Bulls 4 Hogs and Pigs327 Goats 70SIXTYSIXTH ANNUAL REPORT Apnttiwary ippariment Milledgeville Ga Jan 1 1910 Dr L M Jones Superintendent Dear Sir The following is the report of the Apothecary Depart ment from January 1st 1909 to January 1st 1910 It being the policy of this department to manufacture all pharmaceuticals and preparations used by the institu tion we have done so at all times when it was economy to do so restricting purchases to chemicals and such prepara tions and specialties as were required by the physicians Respectfully submitted D S CARRINGTON Apothecary G S S Statement The following is the statement of all expenditures of the Apothecary Department from January 1st 1909 to Jan uary 1st 1910 Amount of drugs purchased including all druggist sundries dental and laboratory supplies etc all preparations for fumigation disinfecting and sanitary purposes also all alcohol wines and whiskies4057 18 Amount of drugs sold officers and employees 377 18 Amount of drugs on hand 2967 25 Amount of fixtures etc 385 50 Number of prescriptions filled 32110 Respectfully submitted D S CARRINGTON Apothecary G S SGEORGIA STATE SANITARIUM Dental Ipjrarlmrnt 123 Dr L M Jones Superintendent Dear Doctor The following is a report itemizing the Dental Depart ment and operations of this department during the vear of 1909 Alveolar abscesses treated 29 Periodonitis treated 23 Stomatitis treated 2 Pyorrhoea alveolaris treated 5 Acute odontalia treated 3 Calcarious deposits removed Numberof patients 32 Pulps devitalized removed and cavities and pulp canals filled oo Putrescent pulps removed tooth treated cavites and pulp canals filled g3 Cavities filled with oxphosphate zinc 188 Cavities filled with amalgam 433 Cavities filled with guttapercha 4 Cavities filled with gold 23 Crowns made a Bridges made 3 Artificial dentures made n Artificial dentures repaired 4 Hypersensitive teeth from erosion or attrition cauter ized with nitrate of silver number of patients 3 leeth cleaned number of patients 8 Teeth and roots badly decayed ulcerative and offen sive extracted j 43 Number of patients during the year 1164 Respectfully submitted J C RICHARD Dentist124 SIXTYSIXTH ANNUAL REPORT lejinrt of Etjaplain To the Trustees of Georgia State Sanitarium From November 1st 1908 to November 1st 1909 I served as Chaplain to the State Sanitarium Conducted the chapel services each Sunday afternoon The inmates at tended well and seemed attentive and appreciative I also attended all funerals when so ordered by the Superin tendent The Chaplains services are valuable to this worthy and wellregulated State institution Respectfully submitted FORD McREEGEORGIA STATE SANITARIUM Eepnrt of ilatrnn 125 Milledgeville Ga Jan 1 1910 Dr L M Jones Superintendent Etc Dear Sir With thanks to the officers and to my coworkers who have in any way aided me permit me to submit the enclosed as my report from January 1st 1909 to January 1st 1910 I would add that all repairing has been done for the institution and all scraps and remnants put to a good use and have been properly accounted for through the Store keepers office Respectfully submitted MRS J M DARNELL Matron Aprons 830 Aprons sleeve 1 Bed ticks 1787 Bonnets 155 Bureau scarfs 1112 Curtains Cushion covers Coats Covers screen Chemise 360 78 12 8 3695 Capes flannel 378 Covers table 726 Drawers 6713 Diapers 175 Dresses 5791 Dresses strong 1146 Gowns 2360 Mattresses made over 346 Napkins 451 Nets mosquito 7 Pillows made over 123 Pillows feather 28 Pillow cases 7384 Pillow ticks 1306 Pillows burial 248 Pants 5719 Shades window 158 Sheets 10006 Skirts flannel 2 Shirt waists 162 Shirts night 649 Skirts under 5179 Suspenders 1527 Shirts 5253 Towels 5158 Waists under 399 Total 59432 Clothing Made from Goods Belonging to Patients Aprons 1 Bonnets 2 Collars 4 Chemise 4 Corset covers 3 Dresses 31 Drawers pair 6 Gowns 4 Kimonas 1 Skirts dress 3 Skirts under 1 Shirt waists 16 Total76126 SIXTYSIXTH ANNUAL REPORT Bandages Cotton bandages ft Gauze bandages ft Bias bandages Flannel bandages 35763 Sterile gauge yds 10615 Iodoform bandage Tea bandage Abdominal bandage 1075 Canned Fruit and Pickles Canned fruit gals Ill Preserves lbs 595 Jam lbs1046 Jelly glasses 769 Catsup gals 70 Pickles 275 Htbranana Export Milledgeville Jan 1 1910 Dr L M Jones Superintendent Etc Dear Sir Permit me to submit the following as my annual report for the year ending January 1st 1910 Number of books and magazines at last report19790 Contributions received of books and magazines during the year ending January 1st 1910 Rev J R Speck books and magazines 33 Judge T G Lawson magazines364 D E Kibbee magazines 25 John Sullivan magazines 5 Mrs J M Darnell magazines 1 Mrs L J Lamar magazines 21 Mrs S T Coleman magazines374 J P Brown books 3 Dr A F Harrington books 2 R H Smith magazines 15 A F Dennett magazines 3 B L Estes magazines 28 Dr N P Walker magazines 35 Total 909GEORGIA STATE SANITARIUM 127 The following come to the Library free as compli mentary copies sent by the editors Macon Telegraph daily Atlanta Journal daily Atlanta Georgian daily Augusta Herald daily Augusta Chronicle daily Savannah Press daily Savannah Morning News daily Albany Herald daily Rome Tribune daily Cclumbus Enquirer and Sun daily Blackshear Times weekly Cuthbert Enterprise weekly Milledgeville News weekly Union and Recorder weekly Golden Age weekly Christian Advocate weekly Baptist World weekly Christian Index weekly North Georgia Citizen weekly Books taken out to wards 2 380 Books read in Library g2g D E KiBBEE Librarian128 SIXTYSIXTH ANNUAL REPORT import of iEngtttf rr Milledgeville Ga January 1 1910 Dr L H Jones Superintendent Dear SirI have the honor to submit herewith my re port of the workings of this department from January 1st 1909 to January 1st 1910 Respectfully submitted T H DeSAUSSURE Engineer Improvements The dairy buildings which were begun during the lat ter part of 1908 have been completed There are two cow barnsconnected by a covered way between thema calf barn a manure shed three silos and a cottage for the dairy man in this group of buildings The cottage is the only part of the old dairy that has been retained The barns have accommodations for one hundred and fiftyone cows they also contain four box stalls each ten by fourteen feet The barn is L shaped with an open driveway dividing the longest leg into two parts In it are two feed rooms twelve by twentyfour feet each one milk room and one boiler room The inside of the building is ceiled up to a height of five feet with dressed ceiling and all of the inside woodwork up to that height is dressed and painted white to the end that the building may be kept clean and sanitary The north east and west sides have windows with hinged sash The south sides are latticed for three feet from the eaves down for light and ventilation A ventilator on the roof extends the full length of the comb and the entire floor surface of the building is of cement paving The cows each have a separate stall divided one from the other by a bent twoinch iron pipe secured to floor and to stan chion posts and each stall has a swinging iron stanchion for the proper control of the animals The stalls are upon a slightly raised portion of the floor which slopes gently toGEORGIA STATE SANITARIUM 129 the rear where there is a cement trough to catch the drop pings In front of the line of stanchions there is a cement feed and water trough which is graded to a common outlet All floor surfaces and all troughs fall away to openings in the floor and these openings are connected to a system of underground sewers Water pipes run throughout the building with proper faucets and hose bibbs for cleaning up and for watering the cows There are three lines of over head iron tracks provided with switches feed and litter carriers which run the entire length of the building and outside of the building to a manure shed The manure shed is a building twentyfive by fifty feet with a shingle roof which overhangs four feet and it has the track for con veying manure up under the roof the full length of the building The three silos are each nineteen feet in diame ter and thirtythree feet six inches high they are made of two by four tongue and groove staves well banded with wrought iron hoops and sit on a foundation of concrete which extends one foot above ground The floors of the silos are paved with concrete and the roofs are conical with shingle covering Each silo is connected to the barn by a covered way into which the silage is dumped through a cov ered chute when being prepared for feeding Each silo holds two hundred tons of silage The grounds and all of the buildings of the institution except the Twin Buildings in which we have been using electricity since its completion have been wired for electric lights In all twentynine buildings have been wired By far the larger part of it has been wired in conduit which makes it as safe as it is possible to have it Fourteen hun dred andninetyeight inside lights and fiftytwo yard lamps were installed in this work The diet kitchen on the infirmary in the Powell build ing has been outfitted with electric cooking apparatus Two twentyeight inch electrically driven hydroex tractors have been purchased and set to work in the laundry at the Negro Building Fortytwo hundred and thirty square feet of flooring has been laid on the various wards during the vear13o SIXTYSIXTH ANNUAL REPORT One room has been added to the cottage occupied by the apothecary and one room and a back porch to the cot tage occupied by the dairyman The interior woodwork of five cottages and the exterior of three have been painted and the inside walls and ceilings tinted One of the cottages has been raised two feet higher from the ground and its kitchenan outbuildingmoved from one side of the house to the other Four cottages have been reshingled A fivestall stable for housing the oxen used in the scavenger work about the institution has been built at the horse lot A third story has been added to the porch at the back of the Executive Building and a doorway cut through the wall so that access may be had to it from the building Thirtyfive new water closets and a shower bath have been put in during the year A small room has been added to the dwelling at the colony and a bath tub placed therein with hot and cold water A small electric generator has been set up at the water works to furnish lights for night work and the building has teen wired for twelve lights The windows and doors of the infirmaries of both the Green Building and the Powell Building have been fitted with fly screens Fly screens have also been put to the windows and doors of both dining rooms of the Twin Building The following painting has been done The entire woodwork of Wards 21 22 and 23 The back porch of Powell Building The woodwork and machinery of engine room The woodwork in seven water closets at Negro Build Two examining rooms at Negro Building The paint has been burnt from all of the woodwork on the infirmary of the Green Building and the entire work xepainted and enameled The floor has been varnished alsoGEORGIA STATE SANITARIUM 131 The woodwork and walls in two offices and two bed Tooms in the Executive Building have been painted The walls of twentyseven cement rooms have been scraped clean and painted Besides the ordinary repair work of the institution the following articles have been made and repaired in the sev eral shops Carpenter Shop 420 Coffins 191 Boxes for shipping cof fins Bread Paddles Transom Sash Door Coupling Poles Gear for onehorse wagon Table Legs Sink Tables Large double Sink for dairy Lattice Gates Plow Beams Binder Reel Blades Pittmans for binder Wagon Bolsters Wagon Tongues Pair Wagon Hounds Wire Window Guards Ladder Cart Shalves Lattice Doors Blocks for Hay Press Set of Rims on wheels of two hose wagons Space Blocks Double Shelf Table Dining Tables Trays Wooden Seats for water closets Bedsteads Large Tool Box Hominy Paddles Square feet of floor laid 4 2 1 5 1 16 8 1 4 3 7 2 4 S 1 31 1 2 5 5 1 250 1 6 12 2 200 1 4 28 4000 4 2 6 2 Wash Tubs Lineal feet of moulding Ox Bows Double Ox Yokes Chicken Coops Wagon Carrylogs arrd frames 10 Commodes 8 Latticed Platforms 28 Wall Boards for flush tanks 4 Wagon Crates 1 Singletree 260 Mop Handles 330 Curtain Rods 1600 Souare feet of wooden ceiling 2 Flights of Steps 1 Set of Pigeon Holes for records 1 Ice Box 5 Step Ladders 1 Bread Box 1 Sledge Handle 1 Trap Door 152 Electric Light Cross Arms 1 Water Trough 12 Spokes in hand cart wheel 1 Crane 1 Dumb Clock for can nig factory 6 Tables 564 Headboards for ceme tery 1 Cart Body132 SIXTYSIXTH ANNUAL REPORT Tin Shop 18 Fiftypound Lard Cans 2 Half gallon Torch Lights 2 Twogallon Milk Cans 3 Eight gallon Milk Strainers 20 Milk Pans 8 Milk Shakers 12 Two and one half Milk Buckets 72 Dish Pans 2 Twofoot Ventilators 1 Water Cooler 1 Lining for rroof box Lining for double sink at dairy 132 Halfgallon Pitchers 7 Potato Steamers 1 Nutmeg Grater Mess Boxes Biscuit Cutters Ice Boxes lined Dust Pan Drip Pans Tables covered Dinner Pails Reflectors Flour Scoops 1 2 3 2 1 2 3 2 5 4 18 Feet of Valley Tin 23 Squares of Roofing put on 42 Oil Cans 30 Feet of Eave Trough 5 Galvanized Iron Tubs 14 x24 5 1 gallon Coffee Pots 2 Feeding Tubes 2 Boxes for laboratory 12 Fertilizer Distributors 575 Pcs Galv Iron each 33x2 1 Hominy Dipper 53 Pint Dippers 2 Butter Boxes 6 Chicken Troughs 9 Two and a halfgallon Buckets 1 Potato Grater 1 Funnel 1 Onepint Measure 11 Cake Pans 4 Cups for safe legs 2 Yard Horns 7 Ash Pans 1 Syrup Skimmer 1 Syrup Paddle Furniture Repair Shop 1583 772 97 39 38 46 4 1 172 77 5 2 Chairs repaired Wooden Seats put in Chairs Shades repaired Dressers repaired Dressers varnished Bedsteads repaired Trunks repaired Night Watch Clock Case repaired Cane Seats put in New Springs put in bed steads Bedsteads varnished Sewing Machines re paired 1 Backhand made 3 Throat Straps made 67 Leather Seats put in chairs 266 Shades put up 36 Shades cut down and fitted o Glasses put in dressers 72 Tables repaired 41 Tables varnished 4 Organ Stools repaired 30 Strong Dresses eyeleted 77 Chairs varnished 28 Chairs upholstered 7 Safes repaired 2 Safes varnishedGEORGIA STATE SANITARIUM 133 1 Door repaired 6 Water Buckets repaired 1 Box covered 1 Lounge repaired 2 Curtains put up 2 Mangle Aprons re paired 2 Cane Backs put in chairs 16 Horse Collars repaired 3 New Bridle Reins 24 Back Straps made 14 Traces repaired 3 Pairs of Double Reins made 24 Reins repaired 6 Breast Yoke Straps re paired 4 Harness Saddles re paired 8 Over Checks repaired 2 Wagons covered 2 Tables Covered 6 Settees upholstered 6 Awnings put up 31 Wards covered with lin oleum 5 Mattings put down 16 Carpets put down 4 Carpets repaired 4 Horse Blankets made 24 Sets of Harness re paired 112 Hame Strings made 38 Bridles repaired 38 Breechings repaired 18 Bellybands repaired 1 Shaft Band repaired 4 Tie Reins made 1 New Bridle 1 Saddle Girth repaired134 SIXTYSIXTH ANNUAL REPORT Eontmtttres Import Honorable Board of Trustees Georgia State Sanitarium Milledgeville Ga Mr President and Gentlemen Your Committee under the resolution passed at the July meeting beg leave to submit this their report Before undertaking our task it was deemed best to re quest your Superintendent to get from his Staff such sug gestions as they thought would be for the good of the Sanitarium and improve the work on their respective sec tions Our request was at once cheerfully complied with and the reports showed not only the great interest taken in the work by your entire Staff but was also of great assistance to the Committee in their work In order to make a better comparison with your institution it was thought best to visit several of the large insane hospitals in the West and then go North and East This was done and during the fourteen days of our stay visited the follow ing Hospitals Central Indiana Hospital for the Insane at Indianapolis Ind the Toledo and Massilon State Hos pitals of Ohio these hospitals are on the cottage or pavilion plan which is the modern ideal Manhattan State Hospital on Wards Island came next to be followed by visits to the New Jersey State Hospital at Trenton N J the Philadelphia Hospital for the Insane and the Pennsylvania Hospital in Philadelphia The latter while not a char itable institution like that under your care was built along the same line and gave us some valuable ideas on hydro therapy gymnasium and outofdoor games and exercise Our work of investigation ended with St Elizabeths or the Government Hospital for the Insane at Washington D C At all of these institutions your Committee was met with the greatest kindness and cordiality and every oppor tunity given them to go through their buildings to see their various methods of management and treatment Just here it is the pleasure of your Committee to state that from the general standpoint or practical work and results our information and observation is such as to enable us to say that the Georgia State Sanitarium is conducted on equallyGEORGIA STATE SANITARIUM 35 as good lines as any of the institutions we visited This statement is made with no spirit of criticism or deprecia tion for the Hospitals visited are all conducted on a high plane and are among the best in this country Per Capita Allowance In many institutions the reforms which were advo cated by the late Superintendent Dr T O Powell and his Board of Trustees are just being put into practice and had the Legislature of Georgia appreciated the great im portance of these recommendations and granted the request of his Board and himself made thirteen years ago the Georgia State Sanitarium would have been fully abreast and the equal of any insane hospital ijn this country Even as it is now it has been a source of surprise and congratu lation on the part of those at the head of similar institu tions that the Sanitarium under your care has been able to do such good work and exist at all on the per capita cost of 347 cents a clay In fact so little did this amount appear for the main tenance of 2100 patients with the Medical Staff officers nurses attendants and employees of all kinds making in the aggregate some 3700 people that criticism became so constant that we were loth to mention the per capita And of the Hospitals visited not one of them is maintained at so small an expense as the one under your care In the language of a distinguished alienist If the State assumes the care of her unfortunate insane it is her plain duty to provide every facility deemed essential for the proper treat ment of these people by those who alone are competent to judgethose who have studied the work in connection with such institutions Your Committee in order to get as much as possible out of their work formulated a plan of questions which we used for information and to invite dis cussion which often brought out valuable points Line of Investigation The questions are as follows and we will try to give you their answers and deductions later on in our report The Medical Staff how many and how divided136 SIXTYSIXTH ANNUAL REPORT Reception examination and detention buildings or wards Manner of preserving records Existence of a training school Number of nurses hours on and oft duty class of same and attendants Number of patients and per capita cost The manner of keeping sane and insane epileptic crim inal insane and feebleminded Care of the tubercular patients Infirmary and hospital arrangements Operative work Cleanliness of patients and institutions Food kitchen and dining room arrangement diet sheets etc A dentist Electro and hydrotherapy value of each Work recreation and amusements Autopsies How obtained Pathological work and its importance Library for staff and nurses Staff meetings The Staff Taking up our first questionThe Staff In Hospitals with less than 2000 patients we find the arrangement is like that of your institutiona Superintend ent First Assistant Assistants and Pathologists In larger Hospitals the Staff is composed of a Superintendent who is the executive head two First Assistants one for each male and female division with assistant physicians under them The Clinical Director comes next whose duty is to look after the patients classifying and assigning them to the respective sections Aside from this he is to preside at the clinical conferences or Staff meetings which are held daily in the early morning and all medical officers are ex pected to be present Here cases for admission or discharge are considered obscure cases and those of difficult diagno sis gone over and discussed and cases of special interest made the subject of studyGEORGIA STATE SANITARIUM 137 In every Hospital where this was in practice it was thought to be of utmost importance and value not only for the staff but to the paitents Your committee believes and would recommend that you give this matter your careful consideration for we think that its adoption would not only lessen the arduous duties of the Superintendent but get better more efficient and scientific work from his assist ants Your Committee has also noticed that the Medical Staff of our Hospital as in many others is too small and out of proportion to the number of patients cared for We recommend an increase of two physicians on the Staff and of two internes It is also of interest to state that your Medical Staff while having an average of 330 to 340 pa tients to each physician do not have more under their care than do the medical officers in many of the large Hospitals of the country The same is also true of the nurses and attendants It must also be remembered that one physician can care for many more of the chronic and harmless insane than he can of the acute disturbed or violent patients Examination of Patients We found with few exceptions that each institution now had what is known as a psycopathic or reception and detention building where acute cases are put to bed for a sufficient length of time for diagnosis and then transferred to the section for further treatment It is claimed by many Superintendents that this method of dealing with patients not only shortens the stay in the Hospital of many but not infrequently they recover without being sent to the main section or division In this building examinations are made and careful histories taken so as to get all possible light upon each individual case the records are then written up to be care fully filed away in a suitable fireproof safe or vault The great importance of keeping these records is patent not only from a medicolegal standpoint but for easy reference The writing up of these papers should be done by stenogra phers as the physicians dictate and so save a great deal of work Your Committee believes that a building for the purpose just named would be of great value but if138 SIXTYSIXTH ANNUAL REPORT not able to get this then some part of the present ones should be fitted up for this purpose Along with this suggestion comes the adoption of some good form of records and requiring the Staff to carry them out In order to further facilitate the work of taking and keeping the records the employing of at least three type writers will be needed Nurses Training Schools With but one exception we found a training school for nurses in connection with insane hospitals It is now looked upon as a necessity for thorough and systematic training of nurses renders them able to give more intelli gent and better care to the patients under their charge We hereby recommend the establishment of a training school in your Sanitarium the plans for which we have they hav ing been drawn up at the request of the Board in 1907 and with a few changes should be adopted Along with the establishing of a training school for nurses there should be a nurses home independent and apart from the other build ings where their rest and recreation would be undisturbed Looking into the per capita cost of maintaining patients we find that it is computed differently in the different hospi tals some not including all expenses in their calculations as is done in this institution From a close and careful analysis of the per capita per diem of seventynine insane hospitals in this country the cost of the Georgia State Sani tarium is the lowest with but two exceptionsi e Louisi ana State Hospital 34 cents and the Central State Hospital negro Petersburg Va Your cost of maintenance is en tirely too low as shown by the facts just stated and it should be increased That the State Sanitarium has been run for so small an amount 347 cents also reflects great care and credit upon its management Segregation Necessary The necessity of keeping the sane and insane epileptics the criminal insane and the feebleminded in the same build ing and wards is condemned and deplored and should notGEORGIA STATE SANITARIUM 139 be allowed It is unjust and not for the best interest of the patients or Sanitarium Attention to this was advocated in the report of the Trustees in 1902 Your Committee earnestly hopes that the recommendations so often made by the Board in con nection with the class of patients just mentioned be con tinued and the necessity urged upon the Legislature of establishing separate and distinct buildings for their care Tubercular Insane The management of the tubercular insane seems to have been a problem in many insane hospitals The importance of this subject cannot be overestimated and it is the desire of those in charge of every hospital to segregate these peo ple In this connection we found in some institutions their manner of isolating and caring for these patients was not better than yours the cause of this as with your institu tion is the need of money In some instances recreating piazzas have been turned into tubercular wards In others they are kept in the large wards of the buildings At Wards Island N Y Philadelphia Hospital and at St Elizabeths Washington D C they have cheaplybuilt pavilions or wooden shacks like the one now in use at your negro building In some instances they are kept with the old bedridden and harmless insane for the want of sufficient room and secondly on the idea that these poor unfortu nates can do each other but little harm While no doubt this plan is the best that can be done for the want of room and money still it does not seem just or fair to the poor unfortunates of either class Your Committee again begs leave to refer to the pa thetic appeal of the late Superintendent Powell for the tubercular patients under his care as shown in his report of 1902 Along this line let it also be remembered that appeal after appeal for means to properly care for these patients has been made in every report from this Board for the past eight years and until your requests are granted your Committee suggests and urges that the appeal be continued We also suggest the advisability of seeing if some parts of the present buildings cannot be set aside andi4o SIXTYSIXTH ANNUAL REPORT arranged for these people It must also be kept in mind that our requirements like those of other institutions in the South demand not only the separation of the races in distinct wards and buildings but also means a greater ex pense for their care A comparison between the Georgia State Sanitarium and the Sanitariums in thirtythree other States showing the percentage of deaths from all causes of the number of patients treated and the percentage of deaths from tubercu losis in each State for the year 1908 The white population only in the Georgia Sanitarium is compared with the total population in Sanitariums north of Mason and Dixons line because there are but few negroes in those States and we have no data for separating themGEORGIA STATE SANITARIUM 141 A comparison of the percentage of deaths of negroes in the Georgia Sanitarium and the Sanitariums of other Southern States is presented herewith in another paper Percentage of Percentage of No of Name of Deaths from Deaths from Sanitariums States All Causes Tuberculosis 1 Georgia 069 135 8 Massachusetts 062 205 1 Connecticut 057 158 10 New York 064 158 2 New Jersey 063 14 4 Pennsylvania 066 158 1 Delaware 152 239 1 Maryland 07 155 1 District of Colu nbia 06 154 3 Virginia 083 15 1 West Virginia 057 19 3 North Carolina 097 132 1 Florida 104 16 5 Ohio 07 125 4 Indiana 066 185 5 Illinois 10 161 3 Michigan 129 127 1 Wisconsin 074 16 1 Minnesota 10 20 2 Iowa 085 16 3 Missouri 131 15 1 North Dakota 11 288 1 South Dakota 049 268 2 Nebraska 107 1900 2 Kansas No data 175 2 Kentucky 082 12 3 Tennessee 076 12 1 Alabama 888 088 1 Mississippi 057 20 1 Louisiana 069 19 3 Texas 088 23 5 California 07 128 1 Washington 066 21 1 Oregon 122 127 86 34 Whites i42 SIXTYSIXTH ANNUAL REPORT 1 It will be observed that there are only three Sani tariums in the United States that contain a larger number of patients than the Georgia Sanitarium and it is reason able to suppose that when there are fewer in number bet ter sanitary conditions can be preserved 2 That in these thirtythree States there are only eleven wherein the percentage of deaths from all causes is lower than in the Georgia Sanitarium and only eight States wherein the percentage of deaths from tuberculosis is lower 3 That of the eightysix Sanitariums mentioned only two spend less per capita per diem than the Georgia Sani tarium while a vast majority of the others expend a great deal more 4 That in seven other Southern States where the percentage of deaths from tuberculosis among the negroes is known there are only three wherein the percentage is lower than in the Georgia Sanitarium 5 It is selfevident that if the Georgia Sanitarium were furnished with as much money per capita as a vast majority of the Sanitariums in the country enjoy much bet ter care and treatment could be bestowed on its patients Asylum Hospitals In the matter of infirmaries and hospitals in connection with insane hospitals we found that while infirmaries were in the same buildings the hospitals are separate and dis tinct and are used for the acutely sick and injured In the hospital buildings there are not only rooms for nurses and attendants but nicely arranged and equipped operating rooms in which the emergency or surgical operations can be safely done Surgical operations however are never performed except by the written consent of the family or relatives or for extremely urgent cases In the matter of the care treatment and cleanliness of patients and the sanitary conditions of the institutions visited we found them no better if as good as in the one under your care and especially is this true where the build ings are old and of the same style as many of the buildings here We took special pains to look into this and were glad to find this Sanitarium was not in the backgroundGEORGIA STATE SANITARIUM Kitchens and Dining Rooms i43 Of food kitchen and dining room arangements We were allowed to make every possible investigation being shown through the kitchens bakeries and cold stor age plants as well as through the dining rooms whether congregate or in the wards so as to see the patients at table the kind and quality of food and the manner in which it was served In every hospital but two that we visited your Committee ate the same food as that served the pa tients in the dining room of the Superintendent or of his house officers And we are glad to report these conditions as being practically the same as those in your own institu tion possibly the only difference being a greater variety of food and a desert twice a week In the matter of a dentist on the Staff such as you have here there were but two institutions in which such was the case although the value and importance of such an officer was admitted by all for not infrequently do gastro intes tinal disturbances and neuralgias of the head and face arise from defective teeth and diseased gums It is recommended that your dentist examine thor oughly the mouth and teeth of each patient as soon after admission as possible with the view of putting the teeth in good order And as a medicolegal point a diagram of the mouth and teeth should be made to be filed away with the records of the case so as to be of service in any injury occurring about the face or mouth later on Electro and Hydrotherapy In the matter of electro and hydrotherapy It was noted that the former was looked upon with but little favor as a remedial agent still it is of some value as an aid to diagnosis and for suggestive treatment Hydrotherapy is being extensively used and from what we saw is most highly commended A hydrotherapeutic plant to be effective must have an abundant supply of hot and cold water as well as good drainage It would also be necessarv to have some one trained in the handling and management of the plant to get satisfactory results from its use It was noted that the shower bath in varied forms is fast bein144 SIXTYSIXTH ANNUAL REPORT substituted for the old style bath tub which is now consid ered unsanitary and only used for immersion treatment which treatment we were told was of great value in cases of acute violent insanity While realizing fully that to pur chase and install a firstclass hydrotherapeutic plant would mean an outlay of considerable money we believe it to be of such importance that we recommend your taking the matter up with the view of having it done In the matter of work recreation and amusements In but one instance did we find a Superintendent who was op posed to having his patients work while on the other hand he most heartily advocated recreation diversion and amuse ments as being of the greatest value The general idea of work combined with amusements was most heartily com mended by all the Superintendents of the other institutions we visited Autopsies In the matter of autopsies it is the universal rule that this shall not be done without the written consent of the family of the patient Probably one of the most important matters in connection with the modern insane hospital is the pathological laboratory under the care of a neuropa thologist While the value of such scientific work as this is not fully appreciated nor is its results thus far such as hoped for in the treatment of the insane it is still in its infancy and like all innovations of advancements in science or medicine is being slowly and carefully developed Your Committee believes that this important department should be inaugurated and started on its labors at once No one not connected with medicine can realize the vast improve ment which has taken place in other departments of medi cine and why should we not then expect similar good work to come from this source Your Committee would also recommend a library and reading room for your Staff and nurses in which books and journals pertaining to the study of mental diseases as well as other journals of current literature that may be had As soon as it is possible we recommend the utilizing of such detached buildings as may be available for the disturbed noisy and vulgar who annoy other patients and do awayGEORGIA STATE SANITARIUM 145 with the possibility of their being benefited Your institu tion while unable for the want of room and money to separate these unfortunates has provided yards protected by walls in which they get the benefit of exercise fresh air and sunshine without being made the victims of idle curiosity The closewalled yard was noticed at Philadel phia Trenton and in part at St Elizabeths and Washing ton D C Where they do not have these yards this class of unfortunates are kept indoors and so deprived of the great blessings already mentioned Mr President and fellowmembers of the Board docs it not seem strange that in this day of advanced civilization and enlightenment possibly not equalled by any period of the worlds history and wherein the possibilities of the human brain seems to have no limit and where the intellect of man is using every effort to relieve suffering prolong life and elevate man to his highest estate as shown by the work in prison reform the effort to banish tuberculosis cancer yellow fever and kindred ailments at the cost of thousands of dollars that so little is done by those having the power of appropriations to care for our fellow beings sick in mind with reason dethroned and intellect gone An Appeal for the Patients Gentlemen of the Board bear with your Committee a few minutes longer review their report and it is evident that while great and good work is being done is it asking too much of the citizens of this great State to urge upon those comprising our legislative bodies to grant such needed appropriation as will place the Georgia State Sanitarium among the foremost of its kind Men who control the appropriations as a rule when matters connected with our institutions are pending mean to do right and if they fail to make the proper recommendations it is generally because they do not grasp the importance of the work contem plated Again on the other hand the authorities of the State institutions should be insistent and aggressive in their de mands for all that is essential to the proper treatment and care of the unfortunate individuals who are placed in their charsre146 SIXTYSIXTH ANNUAL REPORT The State deprives these patients of their homes their families and their liberties as much for the benefit of the community as for the benefit of the patients and is there fore in duty bound to provide for their needs These needs are not confined to mere custodial care nursing good food and clothing but include every equipment device or article which experience has proven to be of benefit in assisting the recovery or ameliorating the condition of the patient In dealing with this question it must be remembered that the individuals committed to our care are not here from choice They are deprived of their liberty by an act of the States cerationnot only for their own good but that of the entire community Is it not right under such circumstances for the State to provide every facility for the treatment and proper maintenance of these unfortu nates Then ask them when legislation is demanded for the unfortunates of other families who are just as near and dear to those interested that they bear in mind the greatest of all precepts for the government of their daily life viz The Golden Rule THOMAS R WRIGHT THOMAS M HALL E B BLOCK Commit lee3 SixtySeventh Annual Report OP THE BOARD OF TRUSTEES OF THE Georgia State Sanitarium FOR THE YEAR ENDING December 31 1910 LESTER BOOK STATIONERY CO PRINTERS ATLANTA GEORGIAfBoaro of uJritatrva Georgia State Sanitarium President JOHN T BRANTLEYBlackshear Ga VicePresident HENRY BANKS LaGrange Secretary RIIGHARD JOHNSONGray Ga THOMAS R WRIGHT M DAugusta Ga GEORGE S LOWNDESAtlanta Ga H H DEAN Gainesville Ga P H GAMBREIjLMacon Ga J C JARNAGINWarren ton Ga N PETERSON M DTifton Ga H M SMITH Rome GaEommtltfpa df loaru of Umatwa Georgia State Sanitarium Executive Committee Henry Banks Chairman Richard Johnson Geo S Lowndes P H Gamorell Dr J C Jarnagin Finance Committee George S Lowndes Chairman Dr J C Jarnagin P H Gambrell Henry Banks Richard Johnson Committee on Medical Service Dr T R Wright Chairman Dr N Peterson H H Dean Committee on Buildings and Grounds H M Smith Chairman H H Dean George S Lxwndes Committee on Outside Business Dr J C Jarnagin Chairman Dr N Peterson H M SmithExprutiitp Ofitrera of amtartum L M Jones M DSuperintendent and Resident Physician J M Whitaker M DFirst Assistant Physician B M Green M DClinical Director J W Mobley M DAssistant Physician N P Walker M DAssistant Physician R C Swint M DAssistant Physician Y A Little M DAssistant Physician L P Longino M D Assistant Physician Y H Yarbrougih M DAssistant Physician W J Cranston M DAssistant Physician B McH Cline M DAssistant Physician Geo L Echols M D from Nov 1 1910Assistant Physician J C Richard D D SDentist D S CarringtonPharmacist T J LamarSteward G W HollinsheadFarm Steward W H Hunter Storekeeper H S Jones Secretary W A Gillespie Assistant Steward T H DeiSaussure Engineer Mrs J M Darnell Matron L H Andrew Treasurer Rev D W Brannen Chaplainixtgsmntlj Annual 3Snnrt f loarfc of Exmtess of tlje Qkorgta gtatp anitarunn Milledgeville Ga January ist 1911 To His Excellency Joseph M Brown Governor SirThe Board of Trustees of the Georgia State Sani tarium as required by law respectfully submits herewith its report of the conduct and management of this institution for the year ending December 31st 1910 being the sixtyseventh year of its existence The annual reports of the Superintend ent and subordinate officers accompany this report as part of it and furnish full details of the movement of the population cost of maintenance work done etc Increase of Patients The year closes with 3347 patients in the care of the Sani tarium an increase over last year of 141 The daily average for the year was 3276 an increase over last year of 117 The num ber of admissions for the year was 996 the largest in the his tory of the institution The total number receiving treat ment during the year was 4202 From the census returns for the past forty years it is found that the ratio of the population of the Sanitarium to the popu lation of the State was as follows In 1880 one in 908 1890 one in 1012 in 1900 one in 869 and in 1910 one in 826 No statistics showing the actual increase in insanity for the past decade are at present available to the Board It should be remembered that the population of the Sanitarium includes the idiots and feeble minded the sane epileptics etc In the past quarter century the population of the Sani tarium has increased more than 300 per centSIXTYSEVENTH ANNUAL REPORT Cost to the State The appropriations to the support of the Sanitarium in 1910 were 44942200 and for the erection of tubercular wards 1500000 The expenditures for the year were 45038828 in which is included 804146 thus far spent of the tubercular wards appropriation The overdraft of 5424 from last year has been paid The year closes with a cash balance in the hands of Treasurer Andrews of 933534 in which is included 231440 derived from the board of special nurses sale of scraps etc In addition supplies are on hand as is shown in the officers reports Unpaid checks or vouchers were out standing at the close of the year amounting to 1346985 which though applicable to the past years work will not ap pear until the work of 1911 The yearly cost of each patient was 13748 as against 13608 in 1909 the daily cost 37665 as against 3728 in 1909 Prices for supplies have ruled high throughout the year and close economy has been necessary in order to live The farm gardens dairy and orchard have been made to contribute substantially to the support of the Sanitarium The Board is not advised as to the amount of insurance carried on the Sanitarium property including supplies and makes no report thereon The business records now in use were devised and in stalled by a competent public accountant in April last The classification of expense accounts has been slightly enlarged in order to more accurately set out the expenses of the insti tution Its exact financial condition can be readily ascer tained from them at any time Careful individual accounts are kept of the funds placed with the Steward for the use of patients and such accounts as all business records are regu larly examined by the Board The great and growing size of the Sanitarium makes it apparent that some relief must presently be afforded it In this connection the attention of your Excellency is again di rected to the increasing number of senile harmless imbeciles and helpless paralytics found among the commitments The Sanitarium is powerless to benefit them they are not a dangerGEORGIA STATE SANITARIUM 7 to society and while they are entitled to public care if such be needed this care can just as well be given by the counties committing them The Sanitarium should likewise be re lieved of the support of sane epileptics and the feeble minded by the establishment by the State of institutions designed for their peculiar needs This important matter is treated else where in this report Appropriations for Support in 1912 and 1913 The Board estimates that at the present rate of increase 3476 and 3576 patients must be provided for in 1912 and 1913 Based on a cost of 350 per week for each patient the sums required for these years will be 63437600 and 652 62600 respectively These sums can be slightly reduced by the restriction of commitments elsewhere recommended In recommending that appropriations be made on the basis stated the Board is in line with the findings Of the committees of in vestigation from both the Executive office and from the Gen eral Assembly in Which larger appropriations are urged as the chief need of the Sanitarium The Board is desirous of lending every assistance in its power to the good work of the medical department and can only do so with the aid of the General Assembly The needs of this department are set out in another part of this report At the same time the Board would call attention to the extra ordinary repairs and enlargements enumerated in the Super intendents report which press for early attention In addition to the regular maintenance appropriations other special appropriations for specific needs are recommend ed elsewhere Touching on these the Board is advised that in other States notably Alabama appropriations for main tenance are based on a cost of 350 to 400 per week for each patient it being stipulated that the Board of Trustees shall so administer such funds as to provide from it for the erec tion of new buildings etc as needed Your Board is not un willing to undertake the maintenance of the Sanitarium on a like basis provided only that the needed annex to the Negro building be first suppliedSIXTYSEVENTH ANNUAL REPORT Annex to the Negro Building The investigating committee from the last General As sembly directed attention in its findings to the crowded con dition of the Negro building as did the last report of the Board Its condition is highly unsanitary and more room is urgently needed Its day rooms are in use as sleeping quar ters The Superintendent estimates that room for 300 pa tients will afford needed relief to it and provide room for new comers An annex to the present building immediately in its rear is the most economical way of supplying this need It should carry a large hall which can be used for amusements religious services and social gatherings etc by the convales cent patients It does not reflect credit on the State that this important provision for the happiness of these unfortunates has been so long unprovided It is also necessary to enlarge the kitchen attached to this building that it may be adequate to the demand on it The boilers supplying heat to the building have been con demned by the insurance people and should at once be re placed These needs are all so urgent that the Board has had the Sanitarium Engineer make the necessary plans for such annex etc and prepare an estimate of their cost One floor plan and the plan for the enlarged kitchen etc is printed in this re port The estimate of cost is as follows Annex to accommodate 300 patients with rooms for nurses and administrative purposes and an amusement hall built of brick 9202800 Enlargement of kitchen added cooking utensils enlarged boiler room with new boilers 1400000 Total10602800 It should be noted that this estimate carries no allowance for furniture and 200000 should be added for this purpose The Board respectfully recommends an appropriation in this sum for these specific purposesGEORGIA STATE SANITARIUM 9 Water Storage Reservoir and Fire Escapes The previous recommendations by the Board for an ap propriation of 1500000 for the construction on the Sani tarium grounds of an underground storage reservoir for water to hold 250000 gallons is again respectively renewed The water works are 3 12 miles distant and but a single pipe line connects it with the Sanitarium A break in such line is always possible and should be guarded against A stand pipe of suitable size furnishing gravity pressure will of course be better than an underground reservoir but inasmuch as the Sanitarium is supplied with an excellent stationary fire engine the latter will answer its needs at less cost The estimate as to its cost has been carefully made by the Engineer The Sanitarium is not supplied with outside fire escapes nor with fire proof buildings All of the buildings are pro vided with ample inside stairways for use in case of fire and may be considered reasonably safe In order however that every precaution shall be taken against a possible fire the Board is constrained to recommend an appropriation for the purpose of equipping the Sanitarium with outside escapes It is advised that seventeen are needed and that the cost will be approximately 100000 each for such escapes as are adapt ed to the use of insane persons Work of the Medical Department The report of the Clinical Director shows in detail the work of this department The year has been a busy one Practically all of the 996 new patients received during the year passed through the clinic many more than once and the com hined skill of the members of the medical staff brought to bear on each case Good progress has been made and the Board notes with pleasure the deep interest shown by the medical officers in their work Much credit is due Clinical Director Green for the work accomplished The tuhercular wards of which four new ones have been built have shown gratifying results which amply justify the money expenditure for them The unexpended balance of the10 SIXTYSEVENTH ANNUAL REPORT special appropriation for the erection of such wards should be placed at the disposal of the Board for the erection of ad ditional wards as needed From the Clinical Directors re port it is learned that about 50 per cent of the tubercular cases are brought to the Sanitarium and do not originate in it It is also of interest to note that the deaths during the year from pellagra exceed in number those from tuberculosis Application has been made to the Public Health and Ma rine Hospital Service for the detail of an expert to study pel lagra in the Sanitarium Authority has been given the Superintendent to allow the members of the medical staff to respond to calls from with in the State for consultation in cases of suspected mental trouble when they can he spared without detriment to the service It was hoped in this way to increase the usefulness of the Sanitarium to the State The Nurses Training School chartered by the last Gen eral Assembly began its initial session in October with a fair number of students enrolled It is hoped to make this School an adjunct of great value to the Sanitarium It offers young women an exceptional opportunity to secure such training and while doing so support themselves as employees of the Sani tarium All of its white female nurses capable of receiving training are encouraged to enroll Needs of the Medical Department Tn the work of this department centres the hopes of hun dreds of Georgia homes It is the duty and should be the pleasure of the State to aid its work in every way possible that its efficiency may be increased As an asylum for the hope less and chronic insane the Sanitarium performs its duties admirably The Board does not minimize the importance of this work when it states that its greatest work is for the re cent and acute insane in whom there is hope for recovery Its every need to this noble end should be willingly supplied After long consideration preceded by frequent conferences with the medical officers the Board is constrained to make theGEORGIA STATE SANITARIUM 11 recommendations which follow giving in each case its rea sons FirstA suitable building for the treatment of the recent and acute insane is urgently needed The Board is advised that such cases are practically the only ones in which recovery can be hoped for and that it is highly essential they be cared for in a building entirely apart from the general wards in order that they may be free from the depressing presence of the chronic and hopeless insane The arrangement of the present buildings as well as their crowded condition precludes such a separation now Again it is advised that such a building should be equipped with such methods of treatment as mod ern science has demonstrated to be of value with diet kitchens etc It is further advised that the mentally ill require hospital care even more than do the physically ill and that the lack of such care or failure to give it promptly frequently decides against recovery It would appear that the test in terests of the State are served by giving such cases the best treatment modern science can afford for the excellent reason that every uncured patient is a burden to the State as long as he lives while on the contrary every cured patient ceases to be a burden and becomes a producer The nftt floor plan of such a hospital building for these classes has been pre pared by the Engineer under the supervision of the medical officers and accompanies this report It il lustrates what is required for the most effective work Exclusive of foundation and movable furni ture the estimate of cost is 11243900 In all a to tal of 13000000 will be required Such a building will accommodate 208 patients and is furnished and equipped in duplicate for white males and females The Board respectfully recommends that such a build ing be provided and that an appropriation be had for this purpose SecondThe next need of the medical depart12 SIXTYSEVENTH ANNUAL REPORT ment is the necessary equipment and instructors for the occupational treatment of the insane now recog nized as a remedial agent of much value Occupa tion and amusement divert the diseased mind and direct it into healthy channels of thought They need to be wisely administered It is a notable fact that from the patients actively employed come the great est number of improvements and recoveries The many different classes represented in the Sanitarium require that many kinds of employment be provided To this end work rooms instructors and materials are required The increase in the per capita allow ance will make this need easy to supply It is not now possible ThirdToo much emphasis cannot be laid on the value of good nursing and every effort should be made to secure a sufficient number of nurses for the work of the medical department There is a grow ing scarcity now of white female nurses due in the judgment of the Board to these causes the long hours of duty and arduous work while engaged the low wages paid them and the lack of a home for them when not on duty The wages of these faith ful women range from 1250 to 1700 per month head nurses being paid 2000 Our sister States pay from 1500 to 2500 The increased per capita al lowance asked for will enable the Board to grant an increase in such wages Other nurses and attend ants in the Sanitarium have asked for increases and are waiting patiently for such time as the way may may be clear for the Board to grant them The wages now paid being increased a Nurses Home should be provided for the white female nurses They should no longer be required to sleep on the same wards with their patients It deprives them of the rest so essential after an arduous days work They should be given a building comfortably heated and furnished for their use when off duty The cost of such a building exclusive of foundation and movaGEORGIA STATE SANITARIUM 13 ble furniture of adequate size and built of brick is estimated by the Engineer to be 4885300 To this should be added 750000 for the foundation and fur niture The first floor plan of such a building accom panies this report and recommendation is made that such an appropriation be granted for this specific pur pose Epileptics Not Insane and the Feeble Minded The Board has made repeated recommendations regard ing the proper care of these classes urging that suitable in stitutions be established for their proper care and treatment elsewhere in the State The present law allows their commit ment to the Sanitarium There were doubtless economic reasons for it at that time but these are not of force now A hospital for sane epileptics and a home and training school for the feeble minded have nothing in common with a hos pital for the insane each class requiring radically different care and treatment Their enforced association with the in sane is an injustice to each class and should not be permitted longer No class of the afflicted are so to be pitied as the epileptics They suffer from a malady that bars every door to them and from which there is little hope ofrecovery The Board would suggest that a hospital for them might appropri ately be called the T O Powell State Hospital for Epilep tics in memory of that great and good man who devoted his life to the service of the State and humanity as Superintend ent of the Sanitarium Many were his appeals in behalf of these unfortunates whose condition aroused his profoundest sympathy The home and training school for the feeble minded is an urgent State need and its establishment should not longer be delayed Donations of land can doubtless be secured for it free of cost and the initial cost to the State reduced in this way By request of the Board Dr Thomas R Wright a mem ber of the Board has prepared a paper on the State care of the feeble minded and it is published as an appendix to this re port14 SIXTYSEVENTH ANNUAL REPORT Should action in this matter be longer delayed then it is necessary the Board shall ask an appropriation for the purpose of erecting a suitable childrens building at the Sanitarium for the accommodation of this class when committed to it The present building is badly crowded and inadequate to its purposes The first floor plan of such building as suggested by the Board is published herewith It includes two small school rooms for their use Kindergarten teachers will be necessary for their instruction and an increased per capita allowance is needed in order to secure them The Engineer estimates the cost of this building exclusive of foundation built of brick to he 5164200 and a conditional appropriation in this sum is asked for this specific purpose Amendments to the Law Believing that certain changes in the law governing the Sanitarium to be essential to the best interests of humanity and the State the Board recommends the following amend ments thereto 1stAmended so as to prohibit the commitment to it of senile harmless imbeciles and helpless para lytics also sane epileptics and feehle minded The reasons for such recommendation are set out else where It should be preceded by proper provision for the two classes last named elsewhere 2ndAmended so that the three nearest adult relatives may have the right to waive the present re qmred ten days notice of trial for lunacy Such an amendment will serve to bring at once into the care of the Sanitarium acute cases of insanity who in many instances are now kept in jail for ten days awaiting trial s 3rdAmended so that any person who brings a patient to the Sanitarium and who shall without the consent of the Superintendent leave or abandon such patient on the Sanitarium grounds shall be arrested and tried for the same in the courts of Baldwin County having jurisdiction in criminal cases andGEORGIA STATE SANITARIUM 15 upon conviction shall be punished as for a misde meanor The object of such an amendment is ap parent 4thAmended so that nine members shall con stitute the membership of the Board of Trustees that at the first appointment three shall be appointed for two years three for four years and three for six years and thereafter three shall be appointed every two years for a term of six years Such an amend ment to become effective on the expiration of the terms of the present membership The Sanitarium has grown too large and its interests too vast to en trust its management into the hands of inexperienced men every two years 5thAmended so as to permit the Board of Trustees to secure the services of an attorney at law as its legal adviser as occasion may require 6thAmended so as to change the name of the Sanitarium from the Georgia State Sanitarium to the Georgia State Hospital for the Insane The latter title more accurately indicates its functions Finally The care of so great a number of afflicted fellow citizens presents many problems requiring wise solution Some of these are brought out in this report and to their solution the Board has given its best judgment It cannot but believe that an increased liberality by the General Assembly in deal ing with it now so much needed will be warmly sustained by the people of Georgia Superintendent Jones has the affairs of the Sanitarium well in hand Under his wise direction an excellent years work has been accomplished The Board has nothing but commendation for him and for the members of his staff both medical and business each of whom has willingly and cheer fully met and discharged their respective duties The Board appreciates most highly the courteous and sympathetic consideration shown it by your Excellency in the16 SIXTY SEVENTH ANNUAL REPORT discharge of the responsible duties placed in its hands These duties it has faithfully endeavored to discharge Respectfully submitted JNO T BRANTLEY President HENRY BANKS VicePresident RICHARD JOHNSON Secretary THOMAS R WRIGHT M D GEORGE S LOWNDES H H DEAN P H GAMBRELL J C JARNAGIN N PETERSON M I H M SMITH Board of TrusteesGEORGIA STATE SANITARIUM 17 ppnrt nf Bnpmntmhmt For the Year Beginning January ist 1910 and Ending De cember 31st 191 o Georgia State Sanitarium January ist 1911 To the Honorable Board of Trustees Georgia State Sanitarium GentlemenI respectfully submit for your official con sideration the sixtyseventh annual report of this institution for the year ending December 31st 1910 On January ist 1910 there were white patients on hand 2203 anc colored 1003 There have been received since 602 whites and 394 colored making a total reception of 996 There have been discharged removed eloped and died 855 leaving in the institution 3347 on January ist 1911 of whom there are 111 whites and 25 colored on furlough not discharged The average number of patients under treatment during the year was 3276 while the total number receiving treatment was 4202 It will be seen that the average number receiving treat ment was 117 more than last year The actual number of patients on hand January ist 1911 over the actual number on hand January 1st 1910 is 132 Otir per capita has been as follows Annual 13748 monthly 1146 weekly 264 daily 37665 average monthly expenses 3753235 making total expenses for the year just ending 45038828804146 of this amount being spent on new pavilions for tubercular pa tients leaving 44234682 the actual amount spent for main taining the institution You will call to mind that our annual appropriation was 42442200 Finding that we could not maintain the institu tion on this amount you appealed to the Legislature for a supplementary appropriation of 2500000 which they very18 SIXTYiSEVBNTH ANNUAL REPORT generously granted making the total appropriation amount to 44942200 The annual and supplementary appropriations for 1911 are 46599200 which is 1517200 more for maintenance this year than we had last Estimating the number of patients to be cared for as 3376 the same per capita cost will require 46413200 to support them It will readily be seen that we will have to practice close economy and not be able to make the many urgent extraordinary repairs and enlargements that are needed We asked for special appropriations last summer to make additions to the white laundry which our Engineer now esti mates will cost 624000 In this estimate he finds that a brick addition to the pres ent boiler room a new brick chimney new steam boiler three new washing machines two body ironers ironers for shirts collars and cuffs a hydroextractor etc are necessary to put the laundry in proper condition to do the great amount of work that is necessary to keep clean clothes and bedding for the large and increasing number of patients in our institution Next for enlargement of Negro Building kitchen and boiler room with new floors new boilers and much new cook ing apparatus estimated cost 1449800 Next enlargement of the general storehouse which he estimates will cost 26500 Concrete floors in 734 bath rooms 788500 Wood ceiling in place of old plaster that is rotten and constantly falling thereby endangering the lives of the patients in the Powell Building both detached build ings and parts of negro building 900500 Painting all outside woodwork 259200 Repairs and painting all employes cottages 247500 Floors on wards and platform of storehouse 301600 Painting all tin roofs 132600 A covered reservoir for the purpose of holding a larger amount of water in reservoir at the institution 1500000 These needs are urgent most of them but we will not be able to make them out of the present appropriation Ex penses are increasing every year proportionately and unlessGEORGIA STATE SANITARIUM 19 we get larger appropriations we cannot keep the institution up to the standard of first class hospitals of its kind I would most urgently recommend that we ask for 50 cents per capita per diem This amount would enable us to keep the institution in good repair and maintain it for the maximum of usefulness While on this line it might be well to mention other needs of the institution As was shown in our report last year 800000 was asked for to finish one wing of the Twin Building This being done we would have room enough for the white males for some years to come We asked for new additions to the negro building to ac commodate three hundred patients This is a great necessity as we are more overcrowded in this department than any where else It was thought that 10000000 would be required for this work We also asked for the erection and equipment of a building for the acute insane There were 996 patients received during the last year and all of them have to go through a thorough course of examination physically and mentally and notes made on each case for days and some times weeks before they can be properly classified hence you see the importance of such a building This building would relieve the crowded condition in the white department so that we would not be forced to use the dormitory rooms that were intended for sitting rooms for sleeping quarters It is getting to be a serious question now to know where to put our white female patients it is utterly impossible to clas sify them properly in our present quarters Then the child rens quarters are overcrowded 3500000 was thought to be sufficient to build and equip suitable quaters for this pur pose A nurses hall is thought to be a necessity for the rest and comfort of the white female nurses after being on arduous duty for twelve to sixteen hours during the day They are now compelled to sleep on the wards where the patients sleep and many a night they get very little rest on account of the noise that is kept up I am happy to say that the State Legislature last summer appropriated 1500000 for the building of tubercular pavil ions for our consumptive cases This appropriation had been20 SIXTYSEVENTH ANNUAL REPORT asked for so many times and not given until we had almost despaired of ever getting it Since this appropriation was made we have completed four pavilions two for whites and two for colored and have all of the tubercular cases comfort ably segregated from other patients This fills a long felt want Since noting more carefully the physical condition of pa tients as they are received it has been found that a much larger per cent of cases have tuberculosis when they come than was once thought and that all of them do not contract the disease after coming here Of the one hundred and fiftvfive i5S cases reported for the year eighty 80 were found to be dis eased when received I believe pellagra is getting to be a greater menace to the health of our people than tuberculosis One hundred and seventy 170 cases of this disease reported for the year mak ing fifteen 15 more cases than of tuberculosis and of this number seventysix 76 deaths while sixtyfive 65 deaths are reported from tuberculosis Of the one hundred and sev enty cases reported fiftythree 53 had pellagra when re ceived While this disease is not thought to be contagion the Clinical Djrector has made some effort to segregate these cases though lack of room has prevented as complete separa tion as we would like to see So far as I know no definite con clusion has been reached as to the cause of this trouble Dis eased maize was thought to be the cause but as so many cases have been found who never ate corn in any form other causes have been soughtsome now claiming that a certain fly produces it I believe that we are in the dark concerning this dreaded maladymore to be dreaded than tuberculosis for it is so much more loathsome and depressing Most cases are depressed and many merge into insanity while you rarely find a case of tuberculosis who is not cheerful and hopeful With plenty of fresh air sunshine and a liberal diet many cases of tuberculosis recover if it is recognized and treatment given in time T will not go into details concerning the health of the in stitution as you will get this informaton from the Clinical Di rectors report You will also learn from his report that weGEORGIA STATE SANITARIUM 21 have not progressed in the matter of furnishing employment and amusements for our people This is all for the lack of funds We should have industrial shops where shoes and brooms could be made sewing rooms etc where tailoring could be done This would afford occupation for a good many who will not work on the farm and garden You know as has been so often reported of the good that is done in the garden and on the farm that the crops are not only profitable but those who are employed in these pursuits are the most contented and healthful class of our people About the usual number has been employed in the garden on the farm grading in the kitchens dairy laundry sewing etc We have followed the usual custom of paroling patients Frequently patients improve to a certain degree and get to be on a standstill when a change would do them good If they have been here long enough to reach that condition and seem to be harmless and we do not think they will be a nuisance to the community in which they live and their relatives re quest it we allow them removed on a ninetyday furlough Also quite a number who seem to have recovered go on fur loughs when we are somewhat apprehensive of relapses so they may be returned without a new commitment Quite a good many continue well and remain at home While others have to be returned before their furloughs expire During the year a good many eloped from the institution Some re main away but most of them are returned sometimes at a considerable cost to the institution Some of them seem to have a mania for escaping and give us a lot of trouble The Legislature passed a bill at its last session granting us the authority to establish a training school for white fe males and give certificates of graduation This school was opened in October and a good number of the nurses enrolled but more than half of them have dropped out but we still have a good class and they are making good progress Two of our male nurses desired to take up the course of study and were allowed to do so They are studious and make good pu pils I would recommend that our Charter be amended so as to include white male nurses We had hoped that opening the school would induce many more young women to apply for22 SIXTYSEVENTH ANNUAL REPORT positions that they might get the advantages of the school but so far our hopes have not been realized Most of those in the class come from among the faithful ones who have been connected with the institution for some length of time We are still short of help in the white female department I am sorry to say that a good many among our best nurses are constantly leaving our service some to go to other institutions where they get better pay and some go to business schools where they learn stenography and typewriting Others get positions as clerks in stores etc I trust that we may get appropriations for the next two years large enough to in crease the pay of some of our employees more especially the nurses and attendants You will see from the Farm Stewards report that the crops at the Colony last year were very good We dfd not make as much syrup as usual on account of the drought in the late summer and fall but all other crops were up to the average or better We had a fine crop of peaches from which about fifty thousand pounds were canned and the patients are enjoying them once a week during the winter months The dry weather continued so late that our fall gardening was almost a failurehence a scarcity of vegetables Sweet po tatoes have been plentiful and we have had some turnips collards and rape The dairy has yielded a nice supply of milk and our sick and feeble cases have not suffered for this very essential diet without which we could not run a hospital In the fall we bought an extra amount of feed cotton seed meal and hulls believing they would be higher later on By making this out lay the net proceeds will not show as much as last year We are increasing the number of milkers occasionally by adding a few young cows that we have raised All three of the silos were filled this year making about six hundred tons of silage enough to furnish green feed for all the milch cows during the fall and winter months This is a very valuable adjunct to the dry feed increasing the flow of milk and keeping the stock in good healthy condition The pond our source of water at the Colony came very near drying up last fall Tf it had fallen about one more footGEORGIA STATE SANITARIUM 23 we would have been without water for the stock bathing and cooking purposes I would recommend that some steps be taken to insure a supply in case of another such drought Religious Services Rev D W Brannen Pastor of the Presbyterian Church in Milledgeville was our Chaplain from November ist 1909 to November ist 1910 Rev Lamar Sims Pastor of the Bap tist Church was elected in October as Chaplain for the year beginning November ist 1910 but later accepted a call to the First Baptist Church of Albany Georgia and Mr Brannen has been conducting the services and will continue until you elect a successor to Mr Sims Library The Library is still in charge of Mr D Kibbee While his health is not robust with the aid of Mr Merrill one of the patients in the Convalescent Building everything is kept in good order We are indebted to our friends for quite a good lot of magazines books daily and weekly newspapers men tion of which will be made in the Librarians report I would again urge the amendment to the law requiring ten days notice to be given to three of the nearest adult rela tives before a patient can be committed to this institution No one can know as we do here the great need of this amend ment Hardly a week passes that we do not get urgent re quests to take a patient at once let them waive the ten days notice as the patient has been taken suddenly is very violent and will have to be guarded day and night or go to jail unless he can be admitted No man with any sympathy for his fel low man would refuse such a request if he could grant it with out a violation of the law The law says relatives cannot waive the ten clays notice Would anyone like to go to jail because he was sick Insanity is no crime for which people should be sent to jail It is a disturbance of the mind a dis ease if you please which should have the earliest and best treatment that could be had Do not send your brother to24 SIXTYSEVENTH ANNUAL REPORT jail there to suffer and perhaps die for want of proper care and treatment waiting for what For ten days to expire be fore he can be committed to the place the State has provided for his care Such a law is a disgrace to civilization As you know a special Legislative Committee visited the institution in November 1909 and spent ten days investi gating certain charges that had been made and published to the world against the management of the Sanitarium This committee invited everyone who had any complaints or charges to make to appear before them They were very thorough in this investigation going into every detail of the charges and the management in every particular I am glad to say that this committee treated us fairly and gave us every op portunity to prove the falsity of the charges and when their report was made to the General Assembly last summer it was all that we could have asked fora complete vindication The institution lost a very valuable officer when Air W A Gillespie Assistant to the Steward died last September He had been with us about seven years and I think I can well afford to say that the institution never had a more faith ful and loyal officerbeloved by everyone who knew him and came in contact with him At the October election Mr Homer Bivins of Milledgeville was elected to fill his place At this election Dr Bernard Cline and Dr G L Echols who had been serving as internes were put on the Medical Staff as Assistant Physicians Dr J I Garrard who had also been serving as interne was at Hot Springs Ark at that time where he had gone for his health and was not able to stand the ex amination hence is still serving as interne Dr W F Tan ner of Milledgeville has accepted a place as medical interne Dr R C Swint who has been serving very acceptably on the Medical Staff for quite a number of years has resigned to accept a position with the Rawlings Sanitarium at Sanders ville on the 15th of January Such men as Dr Swint are rare being an able physician strictly moral and thoroughly re liable in every particular Dr J C Richard left us on the first of November to open a dental office in Milledgeville and Dr George Green of Kentucky is doing our dental work until a dentist is electedGEORGIA STATE SANITARIUM 25 Dr J H Hewitt has been acting as pathologist since the latter part of last May but will be with us no longer No other changes have taken place in the corps of officers For further details would respectfully refer you to the reports made by other officers at the head of the different de partments Thanking you for your support and kind consideration Respectfully submitted L M JONES Superintendent26 SIXTYSEVENTH ANNUAL REPORT Expert of Clitttral Simtor Dr L M Jones Superintendent Georgia State Sanitarium Dear SirI beg to offer the following report of the Med ical Department of the Sanitarium for the year ending Decem ber 31 1910 The plan of work which was outlined in the report for 1909 has been carried out during the past year A few minor changes were made however as they seemed to be advisable in order to secure a more efficient service For reasons pre viously stated our efforts have been concentrated upon the reception service but the wards for chronic patients have not been neglected on the contrary they have received more at tention than ever before from the physicians having charge of them Staff meetings have been held daily at 8 130 A M except on Sunday These meetings consume one hour the physicians going to their respective services immediately after their con clusion No feature of our work has proved of more interest or value than these meetings at which the recently admitted patients are presented and their histories are discussed By them interest in mental diseases has been stimulated and a larger portion of our time is being given to the study of such conditions With the increased activity in this department of our work there has been a more thorough examination of the physically ill and an added attention to the details of treat ment which are carried out on our hospital wards Of the 996 patients admitted to the Sanitarium during the year 948 were presented at the Staff meetings Of the remaining 48 some died a short time after reception while others were removed by relatives A number in whom the diagnosis was unquestioned had no second presentation while all the others came before the Staff a second time after addi tional information in regard to them had been obtained through observation or correspondence with relatives Many of the more obscure cases were presented for a third timeGEORGIA STATE SANITARIUM 27 e are greatly handicapped in arriving at a clear idea of our patients condition previous to admission by the fact that only in exceptional instances are we able to see their relatives and secure satisfactory anamneses The history blanks sent with the patients are as a rule carelessly filled out and are in many cases actually misleading while our correspondence with their relatives is seldom productive of reliable informa tion During the past year 3863 cases of acute illness were re ported though this number does not include every case under treatment Among them were 10 cases of typhoid fever four of which occurred in employees who are away from the insti tution several days in each month One patient was admitted in whom the disease was well developed The five remaining cases were found in patients who had been in the institution for a short time only Two cases of scarlet fever occurred in the early part of the year in children who had been in the institution for a number of months The origin of neither was discovered Owing to prompt measures of isolation and disinfection there was no spread of the disease We have at present seven pavilions for the tubercular patients All of them are filled with the exception of the one for white males It was formerly thought and so stated that almost all of our cases of pulmonary tuberculosis originated in the institution but the records for the past year show that 535 per cent of these patients gave evidence of the disease on their initial examination a few days after reception One hundred and seventy cases of pellagra were reported during the year and of this number 53 presented the character istic lesions of the disease on admission while in three addi tional instances i was suspected In many of the cases report ed pellagra was not suspected on admission but developed within a few weeks showing that its cause had been active for some time and that conditions at the Sanitarium were not re sponsible for it Among the admissions for 1910 chronic disease of the heart was discovered in 121 instances more than 12 of the pa tients suffering from valvular or other organic lesions28 SIXTYSiEVENTH ANNUAL REPORT One suicide occurred during the year The patient was a white male While alone in his room he hung himself by means of a strip of cloth which he had torn from an under garment One patient died from injuries inflicted by her roommate Neither of these patients had manifested any inclination to be violent both having been in the institution for many years and no danger to either was apprehended from their sleeping in the same room Except for the fractures reported later no other serious accidents have occurred though the usual number of minor injuries have been noted The surgical work has been in excess of that done in any previous year 484 operations have been reported including those of a minor character and excluding the reduction and treatment of fractures and dislocations In three instances death followed operation One patient died of acute cardiac dilatation a few hours after being returned to her bed following an amputation of the foot one died of dysentery which begun on the second day after an operation for appendicitis the third patient died after a double salpingooophorectomy and on autopsy a large retroperitoneal abscess was found which had evidently existed for some time All of the surgical work was done by the members of the Staff with the exception of two operations one for vesicovag inal fistula one for pyosalpinx which were performed by Dr Wright of the Board of Trustees As will be seen by an accompanying table pellagra and pulmonary tuberculosis are responsible for the greatest num ber of the deaths which occurrd during the year To the for mer is attributed 76 deaths or 169 of the whole number to the latter 65 deaths or 144 In 20 instances the cause of death was undetermined This uncertainty is accounted for by the fact that many of the number died suddenly while several others lived only a few hours after being admitted to the Sanitarium and as no autop sy was allowed they could not be otherwise recorded Our record of recoveries is unusually low but as stated in my former report this is due to the policy of allowing relatives to remove harmless patients on furlough before recovery isGEORGIA STATE SANITARIUM 29 complete if it appears that a return to their homes will not prove injurious Undoubtedly the greater number of those so removed recover before the expiration of their furloughs but as we are seldom informed of their subsequent condition they are discharged at the end of 90 days as improved or unimproved as their condition is recorded at the time of re moval With our unsatisfactory anamneses we cannot offer re liable statistics in regard to the influence of heredity in the patients admitted to the Sanitarium but in spite of this fact we were able to obtain a history of insanity or nervous dis ease in the ascendents of 310 of the 996 patients received dur ing the year Quite a large proportion of the patients admitted in 1910 were assigned to groups from which recovery cannot be ex pected This is due m a large measure to the fact that the State provides no other accommodation for the epileptic or the feeble minded and that there seems to be a disposition to relieve the counties of the care of many senile cases which might be cared for in alms houses or in private families 587 patients 589 of all admissions were classified as follows Dementia praecox 159 Senile psychosis 108 Paresis 51 Psychosis with Nervous or Brain disease 43 Paranoic condition 10 Imbecility or idiocy 81 Constitutional inferiority 25 Epilepsy 100 Total587 The accompanying tables show the number of patients received during the year with their diagnostic grouping table II gives the percentage ratio of each group based upon the whole number of admissions as well as that by race based upon their respective admissions30 SIXTYSEVENTH ANNUAL REPORT TABLE FORM OF PSYCHOSIS Traumatic psychoses Senile psychoses Dementia paralytica Psychoses with other brain or nervous disease Alcoholic psychoses Drug and other toxic psychoses Infectiveexhaustive and autotoxic psychoses Allied to infectiveexhaustive psychoses Involution melancholia Depression undifferentiated Dementia praecox Allied to dementia praecox Paranoic conditions Manicdepressive psychoses Allied to manicdepressive psychoses Epileptic psychoses Hysterical psychasthenic and neurasthenic psycnoses Other constitutional disorders and inferiorities Imbecility and idiocy Not insane Unclassified Total White Colored a a 01 u H ti S D o S s 3 32 11 13 18 13 15 1 6 5 43 6 4 51 14 46 2 12 32 11 338 24 5 18 1 7 24 4 2 11 33 9 4 43 7 20 5 11 27 1 8 264 34 22 i 108 51 43 24 21 67 8 8 16 159 39 10 152 35 100 V 25 81 3 34 207 187 996GEORGIA STATE SANITARIUM 31 TABLE II PERCENTAGE RATIO Traumatic psychoses Senile psychoses Dementia paralytica Psychoses with other brain or nervous diseases Alcoholic psychoses Drug and other toxic psychoses Infectiveexhaustive and autotoxic psychoses Allied to infectiveexhaustive psychoses Involution melancholia Depressions undifferentiated Dementia praecox Allied to dementia praecox Paranoic condition Manicdepressive psychoses Allied to manicdepressive psychoses Epileptic psychoses Hysterical psychasthenic and neurasthenic psychoses Other constitutional disorders and inferiorities Imbecility and idiocy Not insane Unclassified o o Q 04 93 26 51 30 33 6 t 08 11 26 126 24 1 3 156 34 109 1 0 38 98 01 31 01 131 88 30 12 02 71 08 208 60 05 147 35 S6 05 55 05 37 3 a o o 04 108 51 43 24 21 67 08 08 16 159 39 10 152 35 100 07 25 81 03 34 ManicDepressive Psychoses The number of patients assigned to this group is 152 or 152 per cent of the whole number admitted In our report for 1909 nearly 25 of all admissions were so classified This discrepancy can be explained by the fact that during the past year all diagnoses followed examination and discussion by the whole Staff where formerly each physician in charge of a re ception ward classified the patients admitted to his service According to the clinical manifestations the group was subdivided as follows White Colored Total Manic attack 56 47 103 Depressed attack 24 6 30 Circular attack 2 3 5 Mixed attack 12 2 14 Total 94 58 15232 SIXTYSEVENTH ANNUAL REPORT Of these 152 patients 60 gave a history of former attacks One previous attack 24 Two previous attacks 15 Three previous attacks 10 Four previous attacks 1 Five previous attacks 1 Six previous attacks 4 Seven previoHis attacks 1 Eight previous attacks 1 Several previous attacks 3 Total50 Even with our unsatisfactory information in regard to the family history of these patients we obtained a history of insanity or nervous disease in one or more members of the family in 77 instances or 506 Allied to ManicDepressive Psychoses To this group were assigned 35 patients 35 of the whole number admitted In 20 of this number a family history of insanity or nervous disease was obtained Dementia Praecox This group forms the largest one in our table of classifica tion giving a percentage ratio of 159 as opposed to 143 so as signed in our report for 1909 It is of interest to note that the percentage of negro patients falling into this group is much larger than that found in any other According to the clinical symptoms the tvpe of the dis ease was as follows Hebephrenic form including simple deterioration 70 Katatonic form 31 Paranoid form 5g Total159 Those cases among the negroes presenting vague ideas of poison and spells were not included in the paranoid form as in this race such ideas are common to the sane andGEORGIA STATE SANITARIUM 33 insane alike and show no marked departure from what is normal to them as every illness or temporary emotional change is usually ascribed to such influences These cases were grouped with the hebephrenic forms unless definite per secutory ideas accompanied them A family history of insanity or nervous disease was ob tained in 78 of the patients assigned to this group while in 35 additional instances no facts in regard to this point could be elicited Allied to Dementia Praecox Under this heading were included 39 patients 15 of whom were white and 24 were colored Of this number a neuro pathic heredity was obtained in twenty Senile Psychoses To this group were assigned 108 of the cases admitted or 108 of the whole number The clinical types represented were as follows Deterioration 72 Delirious and confused 15 Depressed and agitated 3 Excitement 2 Agitated and confused 4 Presbyophrenic 5 Paranoid 7 Total108 Dementia Paralytica The fact that admissions to this institution are chiefly from the villages and from the rural districts accounts for the comparatively small number of cases diagnosed as general paralysis In such environment syphilis is less common than in the densely populated localities and opportunities for dissi pation are few The percentage of general paralysis in mem bers of the negro race was almost four times as great as in the white race This condition is not surprising when we rec34 SIXTYSEVENTH ANNUAL REPORT ognize the prevalence of syphilis in that race and that only in rare instances do those infected continue treatment afterthe superficial evidences of the disease disappear A few lumbar punctures have been made for diagnostic purposes but we have been without a pathologist for the greater part of the year so this aid to diagnosis has not been taken advantage of as frequently as we hope to do in the fu ture In the si cases of this group a history of syphilitic infec tion was obtained in 36 instances that of a probable infection in 6 additional ones In five cases no history was obtainable and in four syphilis was denied In those instances in which reliable information was secured a luetic infection was noted in 90 Alcoholic Psychoses Only 24 cases were assigned to this group This is doubt less accounted for in part by the prohibition laws of the State and as stated above by our patients being drawn chiefly from the country and the small towns where opportunities for se curing alcohol are not at hand Thq clinical forms presented were as follows Chronic alcoholism q Delirium tremens 4 Acute hallucinosis Deterioration Korsakows syndrome Paranoid state Total 24 Drug and Other Toxic Psychoses This group is composed of 21 cases the etiological factors being Morphine TO Morphine and cocaine 4 Morphine and alcohol 3 Morphine cocaine and alcohol 1 Morphine hyoscin and alcohol GEORGIA STATE SANITARIUM 35 Cholera mixture 1 Lead intoxication 1 Total 21 Psychoses With Other Nervous or Brain Disease In this group were included 43 cases in which the mental symptoms accompanied nervous diseases or followed brain lesions The associated condition is shown below Amyotrophic lateral sclerosis 1 Acute chorea 3 Cerebral arteriosclerosis 21 Cerebral hemorrhage 2 Cerebral syphilis 7 Combined lateral and posterior sclerosis 1 Huntingtons chorea 2 Multiple sclerosis 1 Tabes dorsalis with multiple neuritis 1 Tabes dorsalis 2 Undetermined 2 Total43 InfectiveExhaustive Psychoses This group is composed of 67 cases which in addition to the mental symptoms of the psychosis gave a history of an infective or an exhaustive process to which they could be at tributed That this group is larger than has formerly been the case is due to the fact that pellagra has increased in fre quency and is so often accompanied by a delirious type of re aciton As the causation of pellagra is still undetermined and as the mental manifestations of this disease so often correspond with those found in other infectiveexhaustive states it was thought best to group such cases here rather than with the toxic psychoses The etiological factors are shown in the following table Chronic enteritis 1 Chronic gastric catarrh 1 Gastric ulcer with subphrenic abscess 1 Malarial fever 436 SIXTYSEVENTH ANNUAL REPORT Multiple neuritis Pellagra 30 Pellagra with pulmonary tuberculosis 4 Pulmonary tuberculosis 11 Puerperal infection 1 Small pox 2 Thyreogenous disorders 2 Typhoid fever 4 Valvular heart disease with chronic nephritis 2 Undetermined 3 Total67 Allied to Infective Exhaustive Psychoses Under this heading were placed 8 cases about which there was a considerable degree of uncertainty on account of failure to satisfactorily account for the symptoms presented or where it seemed probable that the condition was only a temporary phase of an undeveloped psychosis which could later in its course be more accurately grouped Involution Melancholia This group is composed of only 8 cases 6 being white males 2 white females The number so classified grows small er each year as a closer study of them leads to the recognition of features which cause them to be included with the manic depressive or the senile cases Undifferentiated Depression The 16 cases classified as undifferentiated depression all occurred in the white race 5 of them were men and it were women This group is made up of those depressions which cannot be otherwise assigned as they present only this one symptom for which there is no determinable cause Paranoic Condition more thorough study of the patients formerly assigned to this group has resulted in a steady reduction in the numberGEORGIA STATE SANITARIUM 37 so classified Many of these patients are found to be cases of dementia praecox paranoides while in many the paranoid symptoms are only features of other physchoses There re main a few cases however in which the symptoms are suffi ciently distinctive to warrant assignment to a separate class Under the heading of paranoic condition we include 10 cases Imbecility and Idiocy This large group forms 81 of all admissions for the past year As noted earlier in this report the State makes no pro vision for the care of such cases consequently those who can not be kept in poorhouses are committed to this institution Of the 81 patients so classified 9 were idiots while in the re maining number were found all higher grades of mental en feeblement Other Constitutional Disorders and Inferiorities Under this broad heading are classed those illbalanced individuals who show little or no intellectual deficiency but present a weakness of judgment indifference to consequences lack of sound moral instincts criminal tendencies or sexual perversions Many of them manifest in addition ideas of a paranoid character transitory emotional outbreaks or hal lucinatory episodes Of the 25 cases here included a family history of insanity or nervous disease was obtained in 18 while in only four instances was such a history denied A further classification of these cases was made into Constitutional psychopathic state 5 Constitutional inferiority 20 Hysterical Psychasthenic and Neurasthenic Psychoses This group is composed of 7 cases distributed as follows Hysterical 2 Psychasthenic 2 Neurasthenic 338 SIXTYSEVENTH ANNUAL REPORT Epilepsy Ten per cent of all patients admitted to the institution during the past year suffered from epilepsy The laws of the State require us to receive epileptics regardless of their men tal condition In only a few cases however were mental changes not noted among those received during 1910 Of the ioo patients admitted a neuropathic heredity was acknowl edged in 34 a history of paternal alcoholism was given in 9 additional instances while in 24 no facts in relation to these points could be obtained The clinical manifestations of the disease was as follows Deterioriation 72 Excitement 14 Hallucinatory excitement 5 Dazed state 3 Paranoid state 2 No mental change noted 4 Total100 1 Traumatic Physchoses Four cases were assigned to this group 3 white males 1 negro male The clinical forms presented were Posttraumatic constitution 2 Traumatic defect condition 2 Unclassified n many instances we are unable to obtain any informa tion whatever in regard to the condition of the patients pre vious to admission and unless the symptoms manifested are distinctive enough to warrant assignment to one of the diag notic groups we prefer to leave them unclassified In other instances obscure or complex symptoms preclude a diagnosis By reference to table I it will be seen that 34 cases 34 Qf all admissions are so recorded In the accompanying tables will be found a statement of the ape civil condition occupation and etiological factors inGEORGIA STATE SANITARIUM 39 the psychosis of each patient admitted to the institution dur ing the year ending December 31st 1910 also the form of psychosis of those discharged with their condition on discharge the physical diseases treated the surgical operations perform ed and the number and causes of deaths TABLE III Ages of patients admitted during the year 1910 Under 10 years 10 to 15 years 15 to 20 years 20 to 25 years 25 to 30 years 30 to 35 years 35 to 40 years 40 to 45 years 45 to 50 years 50 to 55 years 55 to 60 years 60 to 65 years 65 to 70 years 70 to 80 years Over 80 years Unknown White Colored u 0 a OS Total 338 2 2 1 7 6 3 5 35 13 20 12 53 29 37 35 36 39 27 28 42 32 21 21 32 29 18 27 22 23 16 17 20 19 17 13 20 18 7 3 22 16 10 3 19 18 9 4 9 6 13 10 15 8 6 4 4 4 1 1 2 2 4 338 264 207 187 21 80 154 130 116 108 78 69 48 51 50 38 33 10 TABLE IV Civil condition of patients admitted during the year 1910 Single Married Widowed Divorced Separated Unknown Total White Colored 0 L 3 03 S ID 2 5 fe fe 157 95 78 36 131 108 85 89 28 45 25 39 4 2 1 17 14 18 19 1 2 a 338 264 207 187 366 413 137 68 996 40 SIXTYSEVENTH ANNUAL REPORT TABLE V Deration of insanity before admission Under 1 month 1 to 3 months 3 to 6 months 6 to 9 months 9 to 12 months 12 to 18 months 18 months to 2 years 2 to 3 years 3 to 4 years 4 to 5 years 5 to 6 years 6 to 8 years 8 to 10 years 10 to 16 years 15 to 20 years 20 to 30 years Over 30 years Several years Unknown White Colored S3 g 28 70 45 11 24 12 22 22 10 s o fc 20 4 28 16 16 14 9 5 3 10 10 8 7 10 3 19 a m a h 31 50 29 13 12 2 11 4 5 2 1 q o 2 6 1 6 3 24 2 Total o Eh 100 224 130 51 64 36 60 41 25 20 13 20 26 24 23 41 10 71 17 338 264 207 187 996GEORGIA STATE SANITARIUM 41 TABLE VI Duration of hospital residence of those who died during 1910 Under 14 days 14 days to 1 month 1 to 2 months 2 to 3 months 3 to 4 months 4 to 5 months 5 to 6 months 6 to 7 months 7 to 8 months 8 to 9 months 9 to 10 months 10 to 11 months 11 to 12 months 12 to 15 months 15 to 18 months 18 to 24 months 2 to 3 years 3 to 4 years 4 to 5 years 6 to 6 years 6 to 8 years 8 to 10 years 10 to 15 years 15 to 20 years 20 to 30 years 30 to 40 years Over 40 years White Total 106 100 Colored 132 6 4 7 7 14 5 7 9 6 5 5 1 5 9 3 6 7 5 7 2 I 4 111 o Ei 19 23 36 23 22 16 22 18 18 11 6 8 3 21 17 25 25 20 15 12 21 14 23 13 13 3 2 44942 SIXTYSEVENTH ANNUAL REPORT TABLE VII Etiological factors other than hereditary in the psychoses of patients admitted during the year 1910 Mental Mental stress worry overwork domestic unhappiness 119 Disappointment in love 5 Emotional shock death of relatives etc 25 Religious excitement 8 Physical Alcoholic excess 38 Alcoholic excess and poor health 2 Alcoholic excess and trauma 2 Alcoholic excess and typhoid fever 2 Alcoholic excess and syphilis 9 Alcoholic excess and advanced age 3 Alcoholic excess and morphinism 6 Alcoholic excess with morphinism and cocainism 3 Alcoholic excess with morphinism and hyoscinism l Alcoholic excess and lead poison 1 Alcoholic excess with syphilis and pellagra l Alcoholic and sexual excess 1 Epilepsy 53 Epilepsy and alcohilic excess 1 Excessive masturbation 2 Morphinism 12 Morphinism and cocainism 2 Menstrual disturbance 10 Pregnancy parturition and lactation 15 111 health 48 Head trauma 9 Physical injury 4 Lead poisoning and injury to spine 1 Arteriosclerosis 4 Advanced age and poor health 4 Advanced age and vascular degeneration 62 Surgical operation 3 Surgical operation alcoholic excess and morphinism 1 Visceral and general diseases 90 Syphilis 34 Syphilis and trauma 1 Syphilis and pulmonary tuberculosis 1 Mental and Physical Alcoholic excess and domestic trouble 1 Alcoholic excess financial and domestic worry 1 Frequent pregnancies poor health domestic unhappiness 1 Injury to head excessive masturbation domestic trouble 1 Poor health and desertion by wife 1 Poor health and sexual difficulties 1GEORGIA STATE SANITARIUM 4a Sexual excess and mental worry 1 Small pox financial worry disappointment in love Not insane 3 Undetermined jgg Total996 TABLE VIII Occupations of patients admitted during 1910 Agricultural pursuits Farmer 187 Farmers wife 76 Farmers son 8 Farmers aaushter 36 Agricultural laborer 128 Agricultural laborers wife 13 Gardener 2 Professional Service School teacher 8 School teachers wife 1 School teachers daugh ter 1 Clergyman 4 Clergymans wife 1 Clergymans daughter 2 Actor 2 Musician 2 Dentist 1 Lawyer 3 Physician 5 Physicians wife 2 Mechanical engineer l Consulting engineer 1 Domestic and personal service Barber 4 Hotel keeper 1 Laborer 38 Laborers wife 16 Laborers daughter 1 Nurse 2 Restaurant keeper 1 Bar tender 1 House servant 2o Hotel waiter 4 House Keeper 6 Watchman 4 Prostitute 2 Butler 2 House wife 7 Policemans wife 3 Soldier 1 Detective 1 Prison guard 1 Cook 29 Janitors wife 1 Laundress 31 Trade and transportation Automobile agent 1 Insurance solicitor 4 Bookkeeper 1 Bookkeepers wife 2 R R clerk Stenographer Commercial traveler Commercial travelers wife Foreman Hostler Peddler 2 Liveryman Merchant io Merchants wife 12 Merchants daughter 1 Porter 3 Locomotive engineer Locomotive fireman Collector Street railroad condurtTr Telephone linemans wife Postal clerk 1 Fireman 1 Firemans wife i R R newsboy 1 Salesman 12 Express clerk 1 Transfer agent 1 Steamboat engineer 1 Steamboat stewards wife 1 R R section fore44 SIXTYSEVENTH ANNUAL REPORT mans wife 1 R R section fore mans daughter l R R section laborer 1 R R section laborers wife x Stevedore Station master l R R conductor l R R yard foreman 2 Marine engineer 1 Contractors wife l Teamster 4 Teamsters daughter 1 Telegraph operator 3 Telegraph operators wife 1 Manufacturing and Me chanical Carpenter s Carpenters wife 3 Brick mason 1 Painter 9 Paper hangers wife 1 Plumber 2 Mechanic 3 Mechanics wife 2 Carriage painter 1 Violin maker i Chemical workers Guano mixer 1 Stone workers Stone cutter 3 Marble cutter 1 Marble cutters wife 1 Marble polisher 1 Mining Miner 1 Food and kindred products Baker 1 Butcher 4 Butchers wife 1 Millers daughter 1 Bonbon dipper 1 Iron and steel workers Blacksmith 5 Machinist 6 Machinists wife 3 Tron moulder 3 Iron moulders wife 1 Foundry pattern maker 1 Foundry laborer 1 Leather and its finished products Shoemaker 3 Trunk maker 1 Liquors Distiller 1 Mimber and its manufac ture Lumberman 2 Lumbermans wife 2 Saw mill operators wife 1 Crate factory cup maker 1 Metal workers other than iron and steel Tinner 1 Paper and Printing Printer 1 Printers son 1 Monotype operator 1 Box maker 1 Textiles Seamstress 2 Dress maker 4 Tailor 3 Cotton mill sweeper 3 Cotton mill frame run ner 1 Cotton mill card grind er x Cotton mill operative 4 Cotton mill operatives wife 1 Cotton mill operatives daughter 1 Cotton mill mender 1 Cotton mill drawer 1 Cotton mill spinner 3 Cotton mill header l Cotton mill weaver 3 Cotton mill inspectors wife 1 Miscellaneous industries Cigar makers wife l Hunters wife 1 Furrier 1 Turpentine distillery op erative 4 Ne 101 Unknown 14 TotalnfisGEORGIA STATE SANITARIUM 45 TABLE IX PHYSICAL DISEASES TREATED DURING THE YEAR 1910 General Diseases Erysipelas 22 Influenza 174 Measles 1 Parotitis 41 Scarlet fever 2 Malarial fever 41 Tonsilitis 92 Varicella 12 Typhoid fever 10 Tuberculosis glandular 10 joint 1 intestinal 7 larnygeal 1 peritoneal 4 pleural 2 meningeal 1 acute miliary 5 pulmonary 155 Syphilis 23 Septicaemia Sarcoma of orbit Carcinoma bladder breast pancreas stomach Anemia pernicious Chlorosis Rheumatism acute articular 18 chronic 22 Pellagra 170 Diseases of the Nervous System and Organs of Special Sense Aeromegalia 1 Amyotrophic lateral sclerosis 2 Angioneurotic edema 1 Aphasia 4 Cerebral embolism 1 Cerebral hemorrhage 17 Cerebral edema 14 Chorea 6 Combined sclerosis 1 Facial paralysis 1 Meningitis 3 Neuralgia 9 Neuritis Neuropathic decubitus Multiple neuritis Status epilepticus Conjunctivitis Corneal ulcer Iritis Keratitis Mastoiditis Otitis media Pterygium Diseases of the Circula tory System Anasarca Aneurism aorta cartoid Arteriosclerosis Ascites Cardiac disease valvular other organic Hemorrhage bladder nasal pulmonary stomach uterine Hemorrhoids Gangrene feet toes Edema of feet Pericarditis Purpura Varicose veins Myocarditis Diseases of the Respira tory System Asthma Atrophic rhinitis Bronchitis acute chronic Bronchopneumonia Ooryza acute TCmphysema Laryngitis acute Pharynigitis acute Pleurisy 41 36 4 4 3 18 1 2 14 3 40 7 1 3 20 2 2 S 4 1 6 15 2 4i 3 7 72 2 11 15 1246 SIXTYSIEVEiNTH ANNUAL REiPORT Pneumonia lobar 28 hypostatic 5 Pulmonary congestion 3 Pulmonary gangrene 3 Diseases of the Digestive System Appendicitis 23 Catarrhal jaundice 4 Cholera morbus 4 Cholecystitis 6 Enteritis 267 Enterocolitis 78 Fecal impaction 1 Fistula in ano 2 Gastritis acute 3 Gastroenteritis 9 Indigestion acute 20 Intestinal colic 4 Intestinal obstruction 3 Intestinal parasites 94 Intestinal toxemia 131 Peritonitis 1 Prolapse of rectum 7 Stomatitis ig Diseases of the Genito urinary System Amenorrhoea 1 Cystitis 13 Dysmenorrhoea 70 Epididymitis 4 Gonorrhoea 7 Menorrhagia 9 Nephritis acute 2 chronic 2s Orchitis 0 Ovaritis 4 Phimosis 3 Procidentia 4 Prostatic hypertrophy 3 Renal colic 5 Urethral stricture 5 Urethritis 3 Uterine fibroid r Vaginitis 1 Vesical calculus Diseases of the Skin Cards and Cellular Tissue Abscess ischiorectal 4 palmar 9 peritonsilar 3 other regions 78 Carbuncle 10 Gellulitis 39 Dermatitis 5 Eczema 11 Erythema nodosum 1 Felon 3 Furunculosis 10 Herpes 2 HerpesZoster 4 Hordeolum 12 Lymphadenitis 8 Mastitis 1 Scabies 6 Sebaceous cyst 2 Tinea circinatata 17 Ulcer of leg 18 Urticaria 17 Diseases of Organs of Lo comotion Muscular rheumatism 10 Thecitis 1 Synovitis 3 Periostitis of tibia 1 Miscellaneous Undertermined fever 4 Undiagnosed conditions 58 Vaccinia 551 Accidental Traumatisms Burns first degree 3 second degree 2 Dislocation of elbow 1 Dislocation of femur 1 Dislocation of humerus 5 Dislocation of jaw 4 Fracture of clavicle 3 Fracture of femur 8 Fracture of metatarsi bones 1 Fracture of humerus 1 Fracture of nasal bone 1 Fracture of patella 1 Fracture of radis 1 Fracture of skill 1 Scald 6 Snrains 6 Wounds contused 2fi gunshot l incised 10 lacerated141 punctured 5 Total3863TABLE X Discharges during the year 1910 with condition on discr arge White Males j White Females j Colored Males Colored Females R I U S 3 lL U s R 1 I U 1 S 1 R 1 U S Total 4 2 4 1 1 2 o j o 1 1 1 1 2 1 12 2 Psychosis with other brain and nervous disease 11 3 4 1 10 6 8 i 2 4 2 7 1 1 1 15 2 4 39 2 2 1 1 2 1 2 1 9 26 14 Infectiveexhaustive and autotoxic psychosis 26 2 1 1 1 1 1 4 1 1 3 2 14 5 q 1 1 28 9 42 0 2 37 12 2 2 6 5 1 1 1 1 5 5 2 4 4 14 1 3 7 12 1 151 6 o 0 4 1 1 29 Hysterical psychasthenic and neurasthenic psychosis Other constitutional disorders and inferiorities 2 6 5 3 40 i 7 4 1 9S i 2 15 2 2 3 1 1 16 19 1 S 1 1 3 6 41 1 5 1 1 4 3 36 23 7 28 106 R Recovered IImproved UUnimproved SNot insane48 SIXTYSEVENTH ANNUAL REPORT TABLE XI SurgicalOperations Performed During the ear 1910 Abscesses incised and drained carbuncles incised and curetted superficial wounds repaired etc e ea Abdominal section with drainage 4 Amputation of finger Amputation of foot 6 Amputation of toe Appendectomy Appendectomy with oophoreetomy Castration Cellulitis incision and drainage l Cervical glands excision of 14 Chalazion incised and curetted Circumcision Cystic tumor of groin removal Cystic tumor of scalp removal Dilatation and curettage of uterus t Ectropion plastic repair b Enucleation of eye Epithelioma of neck excision 2 Fistulotomy Hemorrhoidectomy Herniotomy radical cure 8 Hysterectomy abdominal 10 Hysterectomy vaginal Lipoma removal 1 Meatotomy Obstruction of nasal duct incised and dilated Oophoreetomy Orchidectomy u Papilloma removal 1 Paracentesis thorax 1 Perforations of intestines repaired and portion of colon excised Penneorrhaphy and colporrhaphy Plastic repair of lip 1 Resection of caecum X Resection of long saphenous vein Rectal prolapse excision Salpingooophorectomy double Saiigiment0Ph0reCt0my remVal f fibroids and cyst of the broad 4 Skin graft Tumor of breast removal 3 Tumor of orbit removal X Ununited fracture of patella sutured Urethral stricture dilated Vesicovaginal fistula repaired X Total 484GEORGIA STATE SANITARIUM 49 TABLE XII Causes of death during the year 1910 General Diseases Typhoid fever Dysentery Erysipelas Carcinoma of bladder Carcinoma of breast Sarcoma of pancreas Septicaemia with enteritis Syphilis cerebral with convulsions Pellagra Pellagra with hypostatic pneumonia Pellagra with status epileptictas Pellagra with pulmonary tuberculosis Pellagra with meningitis Pellagra with pulmonary gangrene Tuberculosis pulmonary acute miliary general with organic heart disease pulmonary and intestinal Tuberculosis Tuberculosis Tuberculosis Tuberculosis Tubercular pneumonia Tuberculosis intestinal Diseases of the Nervous System Tabes dorsalis Cerebral hemorrhage Multiple cysts of brain Dementia paralytica Status epilepticus Epilepsy with exhaustion Chorea with exhaustion Acute mental disease with exhaustion Chronic mental disease with exhaustion Exhaustion post febrile Organic brain disease with exhaustion Paralysis agitans with exhaustion Cerebral edema Cerebral embolism Cerebral softening Cerebral softening with chronic nephritis Diseases of the Circulatory System Acute dilatation of heart White Colored 1 4 6 1 1 1 1 3 76 1 1 4 1 1 65 8 6 1 1 2 1 16 1 21 17 10 150 SIXTYSEVENTH ANNUAL REPORT TABLE XIIContinued Causes of death during the year 1910 Thrombosis Gangrene of Gangrene of Acute dilatation of heart post operative Organic valvular disease of heart Other organic diseases of heart Arteriosclerosis Thrombosis femoral vein pulmonary artery foot leg Gangrene of scrotum Diseases of the Respiratory System Bronchitis chronic Bronchopneumonia Lobar pneumonia Pleurisy with effusion Pulmonary edema Hypostatic pneumonia Pulmonary edema with emphysema Pleurisy with retroperitoneal abscess Diseases of the Digestive System Gastric ulcer with subphrenic abscess Acute enteritis Chronic enteritis Colitis mucous Colitis chronic ulcerative Enterocolitis with cholecystitis Appendicitis Intestinal obstruction acute Peritonitis general Diseases of the GenitoUrinary System Acute nephritis Chronic nephritis Chronic nephritis with elephantiasis Chronic nephritis with uremia Cystitis with pyelonephritis Diseases of the Skin Carbuncle Diseases of Old Age Senile exhaustion Violence Suicide by hanging Fracture of skull White Colored I o 1 16 1 1 2 3 14 1 5 3 1 1 1 13 4 I 1 i 1 4 1 1 18 1 2 1 1 23 1 1GEORGIA STATE SANITARIUM TABLE XIIContinued 51 White Colored Causes of death during the year 1910 3 3 s a 3 3 a 3 o Fracture of femur 1 1 1 6 111 1 Chloroform anaesthesia 1 Asphyxia accidental 1 1 1 3 IllDefined Causes Inanition 1 Undetermined 2 106 1 100 11 132 20 Total 449 NUMBER OF INMATES GEORGIA STATE SANITARIUM JANUARY 1st 1911ACCORDING TO COUNTIES Appling 10 Ren Hill 14 Baker 7 Baldwin 41 Banks 12 Bartow 36 Berrien 24 Bibb 70 Brooks 26 Bryan 4 Bulloch 19 Burke 23 Butts 15 Calhoun 13 Camden 6 Campbell 21 Carroll 38 Catoosa 14 Charlton 8 Chatham 186 Chattahoochee 8 Cherokee 23 Clarke 38 Clay 11 Clayton 13 Clinch 12 Cobb 57 Coffee 14 Columbia 15 Colquitt 20 Coweta 38 Crawford 8 Crisp 4 Dade 10 Dawson 1 Decatur 14 DeKalb 45 Bodge 29 Dooly 22 Dougherty 23 Douglas 20 Early 19 Echols 3 Effingham 11 Elbert 18 Emanuel 17 Fannin 15 Fayette 10 Floyd 58 Forsyth 15 Franklin 21 Fulton 312 Gilmer 17 Glascock 6 Glynn 18 Greene 21 Gordon 31 Gwinnett 43 52 SIXTYSEVENTH ANNUAL REPORT Grady 9 Habersham 21 Hall 41 Hancock 18 Haralson 21 Harris 9 Hart 15 Heard 14 Henry 34 Houston 26 Irwin 11 Jackson 32 Jasper 19 Jefferson 21 Jenkins 3 Johnson 7 Jones 12 Jeff Davis 2 Laurens 38 Lee 12 Liberty 16 Lincoln 6 Lowndes 20 Luinpkin 15 Macon 11 Madison 20 Marion 5 McDuffie 8 Mclntosh 6 Meriwether 3S Miller 5 Milton 7 Mitchell 20 Monroe 20 Montgomery 22 Morgan 22 Murray 20 Muscogee 79 Newton 32 Oconee 7 Oglethorpe 17 Paulding 19 Pickens 22 Pierce 15 Pike 21 Polk 23 Pulaski 29 Putnam 14 Quitman 3 Rabun 9 Randolph 18 Richmond 113 Rockdale 16 Schley 4 Screven 15 Spalding 35 Stewart 21 Sumter 36 Stephens 5 Talbot 22 Taliaferro 9 Tattnall 14 Taylor 15 Telfair 15 Terrell 27 Thomas 33 Towns 5 Toombs 1 Troup 35 Turner 7 Twiggs 10 Tift 10 Undon 6 Upson 11 Walker 21 Walton 29 Ware 34 Warren 10 Washington 28 Wayne 12 Webster 12 White 8 Whitfield 28 Wilcox 11 Wilkes 17 Wilkinson 24 Worth 24 Respectfully submitted E M GREEN Clinical Directorlack of interest and general GEOGRIA STATE SANITARIUM 53 SUpori of iimpnintettflntt of ISnxBVB To the Hoard of Trustees Georgia State Sanitarium 1 herewith submit to you my report of the Training School which about closes the last half of the first year There have been but few changes since my last report there being three to drop out one on account of health one unable to stand examination and one to get married One out three months unable for duty and one entered that was out the first half on account of health The nurses have shown no efficiency I present to you with this a short summary of each nurse since entering the institution together with the rating of each This is done with the consideration I believe due them that the interested Board of Trustees might know the service of each nurse prior to the beginning of her training We have to date 14 nurses in training We have altogether 122 with 29 vacancies We had to resign the past three months 26 and received 22 probationers All the examinations have not been held hence the blanks I should like if possible to send a nurse off during vaca tion months to take a special course in Massage I also ask if possible to give us a much needed diet kitch en and class room Please allow me to voice all the nurses with myself in extending thanks to each member of the Board who has done so much and shown so much interest in the Training School and institution We are grateful too to all officers who have been so helpful and interested This the first year has been one of hard and unremitting work accompanied at times by great mental strain Signed April 18 1911 A V CROSS Superintendent Nurses54 SIXTYSEVENTH ANNUAL REPORT Apararg Btpartmmt Dr L M Jones Superintendent Georgia State Sanitarium Dear SirThe following is the report of the Operating Department from January 1910 to January 1911 It being the policy of this department to manufacture all pharmaceuticles and preparations used by the institution we have done so at all times when it was necessary to do so restricting purchases to chemicals and such preparations as were required by the physicians Statement The following is a statement of all expenditures etc for this department from January 1910 to January 1911 Amount of drugs purchased including all druggist sundries dental and laboratory supplies etcall preparations for fu migation disinfecting and sanitary purposes also all alco hol wines and whiskies 00 IQ Amount of drugs sold to officers eg gi Amount of drugs on hand 2 2tj 80 Amount of Fixtures etc g0 Number of Prescriptions Filled 31167 Respectfully submitted D S CARRINGTON Apothecary G S SGEORGIA STATE SANITARIUM iUport flf reaaurr Milledgeville Ga January 3 1911 Dr L M Jones Superintendent Georgia State Sanitarium Dear SirI beg to submit herewith a statement of my re ceipts and disbursements of my office as Treasurer for the fiscal year RECEIPTS January IS 18 0 Balance 3711 January 3 1911 Total receipts from State Treasurer 45446346 Total receipts from Steward 1327404 46777461 January 3 1911 Total disbursements 45715557 Balance on hand 1061904 I attach hereto Certificate of the Merchants Farmers Bank which is a part of my report Respectfully submitted L H ANDREWS Treasurer Milledgeville Ga January 3rd 1911 This is to certify that the balance to the credit of L H Andrews Treasurer of the Georgia State Sanitarium and sub ject to his check at the close of business this day is Ten Thous and Six Hundred Nineteen and 4100 1061904 Dollars Signed L C HALL Cashier Attest JNO T DAY N P Baldwin County Ga56 SIXTYSEVENTH ANNUAL REPORT impart of ietuard Milledgeville Ga January 2 1911 Dr 1 M Jones Superintendent Dear SirPermit me to transmit through you to our Honorable Board of Trustees this my report as Steward for the year 1910 Abstract A shows overdraft of 5424 brought over from 1909 also amount drawn from State Treasurer with a classi fied statement of disbursements etc Abstract B shows the expenditures on account of sub sistence Abstract C shows the expenditures on account of cloth ing Abstract D shows the expenditures on account of fuel and transportation Abstract E shows the expenditures on account of Officers Payrolls Abstract F shows the total amount of Employees Pay rolls Abstract G shows the expenditures on account of inci dentals Abstract H shows the expenditures on account of med ical supplies Abstract I shows the expenditures on account of con tingencies Abstract J shows the expenditures on account of sta tionery and postage Abstract K shows the expenditures on account of special appropriation for waterworks Abstract I shows total amount of requisitions draw on State Treasurer Abstract M shows average number patients for the year together with the cost of maintaining same The past year supplies were much higher than they have been for several years This together with some increase in wages has caused our percapita to reach 37665GEORGIA STATE SANITARIUM 57 In compliance with the law duplicate vouchers of the expenses accompanied by the required certificate approved by yourself and audited by the Board of Trustees have been filed in the Executive Department Atlanta I have devoted my entire time as required by the rules to the Stewards work and have to the best of my ability dis charged the duties encumbent upon me Respectfully submitted L J LAMAR Steward Ga State Sanitarium ABSTRACT A Shows all money received from State Treasurer with a classified statement of disbursements from January 1 1910 to January 1 1911 Also Petty Cash Collections made by Steward from April 12 1910 to January 1 1911 Jan 1 1911 Dr To State Treasurer 45746346 To Petty Cash Collections 231440 45977786 Cr Jan 1 1911 By Overdraft 5424 Subsistence 15829839 Clothing 6145798 Fuel and Transportation 2791487 Salaries 3110492 Wages 11432964 Incidental Expenses 4972389 Medical Supplies 549088 Contingencies 87458 Stationery and Postage 119313 Total 45044252 By Balance Cash on hand 9335 34 45977786 Jan 1 199To balance cash on hand 933534 N B In addition to the above there is a liability of 1346985 SaM amount representing the salary and wages payrolls for the month of December 1910 These being outstanding January 1 left us with a balance on hand as shown above of 933534 Had they been paid in the month in which the indebtedness accrued there would have been an overdraft of 413451SIXTYSEVENTH ANNUAL REPORT ABSTRACT B Showing the expenditures on account of Subsistence from January 1st 1910 to January 1st 1911 Date To Whom Paid Amount Jan 19 Miss C A Underwood 3575 J A Brooks 8969 T Treanor 6955 J W Stembridge 3412 W H Blanks 2627 J T Williams 2187 J A Buck 3655 T B Hawkins 581 F A Bradley 8050 D E Hutehens 2037 Swift Company 114469 Whitfield Gro Co 197453 S R Jaques Tins ley Co 268146 Whitfield Gro Co 23371 Feb 19 A D Freeman Co 6744 T B Hawkins 344 C A Underwood 825 J W Stembridge 1788 J T Williams 1937 E R Collins 1942 F A Bradley 9862 D E Hutehens 2900 J A Brooks 9364 J A Buck 3805 W H Blanks 2480 C M Gilbert Co 7089 The Fleischmann Co 3150 Southern Cot Oil Co 10259 T Treanor 6460 National Packing Co 226180 Burkenroad Goldsmith Company 18306 F A Davis Sons 7304 A H Motley Co 10500 Home Andrews Com mission Co 53287 Milledgeville Oil Mills 13851 Robert Buist Co 17077 Chandler Bros 3025 John Conn Co 105 F A Davis Sons 7304 J A Buck 3144 T Treanor 6205 Cate To Whom Paid W H Blanks J A Brooks E R Collins J T Williams C A Underwood J W Rivers J W Stembridge C B Sullivan F A Bradley D E Hutehens T B Hakwins S R Jacques Tins ley Co S R Jacques Tins ley Co McCord Stewart Co Milledgeville Oil Mills Robert Buist Co McCord Stewart Co Empire Mills Co American Produce Co Empire Mills Co W L Hargrove Co National Packing Co Waxelbaim Pro Co National Packing Co Swarzschild Sulz berger Co Home Andrews Com Amount 1807 4317 1237 1787 687 375 912 1875 5837 2181 500 249555 1227 123769 39432 2078 550 10190 19681 10360 3604 226706 2375 282 5373 mission Co 504 21 J A Brooks 62 3D eb 18 John Conn Co 50 08 J H Ennis 348 00 J B Meyers 56 10 M Firsts Sons Co 396 89 Armour Co 1172 10 Burkenroad Goldsmith Company 183 1 Armour Co 123 S4 Southern Cot Oil Co 102 68 Armour Packing Co 120 00 J N Wyllie Co 105 00 F A Davis Sons 73 04 The Fleischmann Co 31 50 GEORGIA STATE SANITARIUM 59 Abstract BContinued Date To Whom Paid Feb 17 Schoen Bros F Wks Sami Evans Sons Co Waxelbaum Pro Co Empire Mills Co Feb 18 Whitfield Gro Co S R Jacques Tins ley Co Whitfield Gro Co J B Meyers Armour Packing Co M Firsts Sons Co Swift Co Gudahy Packing Go March 19 Empire Mills Co S R Jacques Tins ley Co Armour Packing Co Robert Buist Co Armour Co J N Wyllie Co M J Glynn Co J B Meyers The Fleischmann Co W L Hargrove Co Swift Co National Packing Co Whitfield Gro Co John Conn Co Whitfield Gro Co Milledgeville Oil Mills Waxelbaum Pro Co Southern Cot Oil Co March 22 W J Borden April 30 Home Andrews Com mission Co The Fleischmann Co Milledgeville Oil Mills H G Hastings Co Saml Evans Sons Co Edwin S Davis Co W A Brown Tobacco Company J N Wyllie Co N L Willett Seed Co Amount Date To Whom Paid Whitfield Gro Co 42750 The Swarzschild and 116620 Sulzberger Co 1100 T B Hawkins 25900 D E Hutchens F A Bradley 185146 C A Underwood J T Williams E R Collins 1750 112 56 120 158 2268 114 86 52 36 00 50 83 00 W D McDade J W 15540 Rivers J A Brooks T Treanor W H Blanks J A Buck J W Stembridge John Conn Co Stewart Lamar Amount 327274 215706 969 1837 937 2212 887 581 475 519 5899 6170 2835 3357 1194 9508 174600 202330 E R Collins 8 56 36000 April 30 5195 McCord Stewart Co 335 65 250 B H Jones Co 12 00 10500 Jos Napier Co 18 62 7424 Burkenroad Goldsmith 5763 Company 181 32 2800 National Packing Co 3 90 3170 Farmers Whouse Co 47 00 195313 Empire Mills Co 148 00 226838 Armour Packing Go 720 00 181437 Armour Co 55 40 6508 fitt Co 2926 11 2832 Oconee River Mills 178 76 14939 S R Jacques Tins 2700 Co 2053 89 12818 W L Hargrove Co May 31 19 15 2000 McKesson Robbins W A Brown Tobacco 12 35 Company 90 00 43953 W L Hargrove Co 28 95 3150 H G Hastings Co 1 50 29259 Saml Evans Sons Co 35 00 2250 A H Motley Co 180 00 28525 The Fleischmann Co 28 00 139000 Stewart Lamar 2328 00 Whitfield Gro Co 2154 5fi 9000 S R Jacques Tins 9000 ley Co 186 544 O 640 Milledgeville Oil Mills 27 60 SIXTYSEVENTH ANNUAL REPORT Abstract BContinued Date To Whom Paid Amount W A Willis S62 W H Blanks 1900 T Treanor 6144 J A Buck 4423 J A Brooks 8144 A D Freeman Co 6256 Robert Parham 387 T B Hawkins 1531 D E Hutchens 2212 F A Bradley 1575 J W Stembridge 2081 C A Underwood 1337 J T Williams 1487 J W Rivers 912 W D McDade 750 E R Collins 1507 Swarzschild Sulz berger Co 212652 Waxelbaum Pro Co 1900 John Conn Co 1270 Swift Co 162874 Armour Packing Co 24000 MoCord Stewart Co 17949 June 30 Stewart Lamar 174600 Swarzschild Sulz berger Co 212248 E R Collins 494 W D McDade 1225 J W Rivers 1162 J T Williams 2537 C A Underwood 3319 J W Stembridge 1750 F A Bradley 3119 D E Hutchens 1225 T B Hawkins 1112 J A Brooks 8940 J A Buck 4197 T Treanor 8510 3200 W H Blanks A D Freeman Co 16037 Robert Parham 956 T A Napier 2212 T T Barnes 1712 Edwin S Davis 70750 Swift Co 221621 S R Jacques Tins lev Co 108970 Whitfield Gro Co 176686 Date To Whom Paid J H Eimis June 30 Milledgeville Oil Mills W L Hargrove Co John Conn Co The Fleischmann Co C M Gilbert Co W A Brown Tobacco Company Armour Packing Co July 31 Swift Co Home Andrews Com mission Co John C Roth Pack ing Co The Fleischmann Co Robert Buist Co Mangels Herold Co The Schwarzschild Sulzberger Co National Packing Co Jos M Napier Co E R Collins J T Williams C A Underwood J W Stembridge F A Bradley T R Hawkins A Brooks A Buck T Treanor W H Blanks A D Freeman Co Robert Parham T A Napier Mrs C B Walker W A Brown Tobacco Company The Burkenroad Gold smith Co Saml Evans Sons Co Oconee River Mills Tennessee Can Co Southern Cot Oil Co S R Jacques Tins ley Co John Conn Co Whitfield Gro Co Amount 156 42 303 03 7 15 104 89 31 50 68 51 90 00 240 oo 3053 51 3438 64 269 04 31 50 1 70 278 05 16 20 3 54 4 74 5 37 38 75 19 12 21 31 64 94 5 69 90 40 36 78 109 30 61 70 102 31 9 00 19 44 40 00 10908 15825 16300 16000 650 26822 286869 7190 701 SOGEORGIA STATE SANITARIUM 61 Abstract BContinued Date To Whom Paid Amou Armour Co 50 Armour Packing Co 240 W L Hargrove Co 5 Milledgeville Oil Mills 857 J H Ennis 150 MeCord Stewart Co 339 Aug 31 J W Rivers 33 J T Williams 39 MissC A Underwood 30 J W Stembridge 32 P A Bradley 90 J A Brooks 90 J A Buck 51 T Treanor 128 W H Blank 62 A D Freeman Co 145 Robert Parham 16 Ezell Griffin Co 3 Hugh Cline 9 Jno T Dennis 9 Swift Co 1465 W A Brown Tobacco Company 109 Home Andrews Com mission Co 3509 The Pleischmann Co 28 Mangels Herold Co 398 Jno C Roth Pack ing Co 274 Burkenroad Gold smith Co 160 Southern Cot Oil Co 190 Armour Co 37 Armour Packing Co 240 S R Jacques Tins ley Co 1110 Sept 30 Waxelbaum Pro Co 13 W L Hargrove Co 19 Southern Cot Oil Co 193 Robert Buist Co 14 Armour Co 239 John C Roth Pack ing Co 266 The Pleischmann Co 31 Swift Co 2561 Oconee River Mills 480 Armour Co 240 To Whom Paid nt Date 03 John Conn Co 00 H T Cline 30 J A Buck 80 T Treanor 96 Robert Parham 30 J A Brooks P A Bradley 50 W H Blanks 50 J T Williams 50 A D Freeman Co 87 E R Collins 50 Miss C A Underwood 80 J W Stembridge 65 W A Brown Tobacco 70 Company 00 Whitfleld Gro Co 31 Oconee River Mills 44 John Conn Co 94 Whitfleld Gro Co 56 Whitfleld Gro Co 00 W L Hargrove Co 27 Mangels Herold Co The Garlock Packing 08 Company The Burkenroad Gold 13 smith Co 00 W L Hargrove Co 09 S R Jacques Tins ley Co 45 Oct 31 Hancock Bros Co 01 A H Motley Co 13 Mangels Herold Co 68j Georgia Chem Wks 00 Robert Buist Co Macn Fcrt Wks 80 Jos M Napier Co W A Brown Tobacco 00 Company 60 Cudahy Packing Co 12 Pouisiana Molasses Co 82 Southern Cot Oil Co 38 J N Wyllie Co The Pleischmann Co 14 John C Roth Packing 50 Company 50 W H Blanks 00 Robert Parham 00 T Treanor Amount 5431 487 4897 11625 762 10301 7225 6110 4062 10625 237 2637 3106 10008 71184 32000 2973 67 S4 44076 1650 39809 846 15979 1140 99721 135 00 155 00 186 72 412 51 4 20 198 85 15 28 55 08 2 62 60 87 169 84 145 00 31 50 31 24 59 00 6 12 77 15 62 SIXTYSEVENTH ANNUAL REPORT Abstract BContinued Date To Whom Paid J W Stembridge J W Rivers F A Bradley The Burkenroad Gold smith Co The Swarzschild Sulz berger Co A D Freeman Co J T Williams C A Underwood J A Buck White Provision Co Armour Co Armour Co J A Brooks John Conn Co W L Hargrove Co Home Andrews Com mission Co S R Jacques Tins ley Co McCord Stewart Co Milledgeville Oil Mills Oct 31 Swift Co National Packing Co Oconee River Mills Whitfield Gro Co Nov 30 McCord Stewart Co Louisiana Molasses Co John C Roth Pack ing Co The Burkenroad Gold smith Co W A Brown Tobacco Company Milledgeville Oil Mills The Fleischmann Co Oconee River Mills Robert Buist Co Mangels Herold Co Miss C A Underwood J W Rivers Merritt Hardware Co Milledgeville Oil Mills Robert Parham Mrs P H McRee J A Brooks Amount Date To Whom Paid Amount 2844 J W Stembridge 3675 1900 W H Blanks 6140 4687 FABradley 2187 T Treanor 6180 11883 J A Buck 4385 J T Williams 1787 943 Swift Co 202843 1562 Armour Co 37000 1937 Armour Co 58126 1637 S R Jacques Tins 4550 ley Co76829 1095 W L Hargrove Co 1850 47000 Home Andrews Com 64431 mission Co 204860 7867 John Conn Co 11930 15286 Whitfield Gro Co 290361 2612 Southern Cot Oil Co 16753 Dec 31 246459 Mr G S Rives 1898 John Gause 1648 289750 Swift Co 296538 34829 W L Hargrove Co 3602 142510 Whitfield Gro Co 318512 Milledgeville Oil Mills 332885 307869 S R Jacques Tins 1896 ley Co 305649 40000 Oconee River Mills 42000 181093 John Conn Co 17032 J H Ennis 160 112125 Armour Co 59255 4498j Armour Co 47900 Home Andrews Com 20755 mission Co 222058 John C Roth Pack 12621 ing Co 20239 Robert Parham 531 5508 J W Rivers 900 65625 D L Lawrence 737 3150 J T Williams 3037 42000 J W Stembridge 3469 5730 Louisiana Molasses Co 5158 18989 The Burkenroad Gold 1537 smith Co 11591 1756 Southern Cot Oil Co 16819 1800 The Fleischmann Co 2800 142980 Mangels Herold Co 1S906 562 Waxelbaum Pro Co 2075 600 CM Gilbert Co 2679 1156 J A Buck 4742GEORGIA STATE SANITARIUM 63 Abstract BContinued Date To Whom Paid Amount Date To Whom Paid Amount Mrs A L Collette 120 Home Andrews Com W H Blanks 6230 mission Co 3 28183 T Treanor 4630 McCord Steward Co l3750 C A Underwood 712 PABradley 4925 Total 15829839 J A Brooks 6290 ABSTRACT C Shows the expenditures on account of Clothing from January 1st 1910 to January 1st 1911 To Whon Paid Amount Date Jan 20 M C Kiser Co Happ Bros Co M C Kiser Co Burden Smith Co J W Hicks Co G D Witt Shoe Co Guggenheim Co G D Witt Shoe Co Gans Bros Lipman Goodman Wootten Gans Bros Lipman E Wolf C Woolen L Co J Rosenheim ShoeGo Brown Perryman Greene and Co Carson Pirie Scott and Company E A Waxelbaum Company Carson Pirie Scott Company Rhoads Pillman Joseph Dry Goods Co Rhoads Fillman Rhoads Fillman Quinn Marshall Co Rhoads Pillman Quinn Marshall Co E E Bell The Dannerberg Co Quinn Marshall Co E E Bell The Dannenberg 1 Date To Whom Paid Von Kamp Vaughan 1640 Gerald 3169 J K Orr Shoe Co 10500 Von Kamp Vaughan 561 Gerald 4713 The Lumpkin Co 1783 The Bumpkin Co 238 E E Bell 4590 E A Waxelbaum 6300 Bro 2771 G D Witt Shoe Co 2600 he Lumpkin Co Rhoads Pillman 6166 The Dannenberg Co 8100 Rhoads Pillman The Thread Agency 650 Happ Bros Co Von Kamp Vaughan 11426 Gerald Joseph Dry Goods Co 11340 J K Orr Shoe Co The Brown Shoe Co 97 J Rosenheim Shoe Co 3173 March 19 3561 The Union Dry Goods 24635 Company 21600 Gans Bros Lippman 41130 Quinn Marshall Co 38300 Happ Bros Co 17445 United Cotton Wool 49411 en Co 3764 E E Bell 1272 April 30 431451 Chamberlin Johnson 15735 DuBose Co Amount 935 2734 16282 613 14277 218328 32295 4320 13046 9500 81615 12810 15995 55000 105394 76874 122340 2554 17500 4575 11700 875 25000 9000 8244 1757964 SIXTYSEVENTH ANNUAL REPORT Abstract CCantinued Date To Whom Paid Amount Clarke Co 2030 J W Hicks Co 2000 Goodman Wootten 288 Lumpkin Co 3270 Edward Wolff Cotton Woolen Linter Co 1111 J K Orr Shoe Co 3190 Carson Pirie Scott Company 4935 W A Doody Co 3590 M Kiser Co 1800 Von Kamp Vaughan Gerald 1697 Anderson Lewis Gray Company 10261 April 30 Guggenheimer Co 344 The Joseph Dry Goods Company 6583 Happ Bros Co 600 G D Witt Shoe Co 6475 E E Bell 60395 Edelstein Baron 13292 Stovall Pace Co 9333 The Dannenberg Co 4786 Gans Bros Lipman 4633 Rhoads Fillman 82721 I Epstein Bro Co 8098 J R Preid 696 E A Waxelbaum Bro 27211 Burden Smith Co 602 Edward Wolff Cotton W L Co 32684 Quinn Marshall Co 6162 The Dannenberg Co 2486 Rhoads Fillman 18950 Jos Rosenheim Shoe Company 5143 Edelstein Baron 11250 Brown Shoe Co 20598 Quinn Marshnall Co 34721 Burton Taylor Wise Co 102294 May 31 Quinn Marshall Co 40924 The Dannenberg Co 36523 E E Bell 424 E A Waxelbaum Bro 63018 Date To Whom Paid Amount Geo D Witt Shoe Co 9020 Edelstein Baron 36050 The LYumpkin Co 34481 Von Kamp Vaughan Gerald Stovall Pace Co Edward Wolff Cotton Waste L Co Rhoads Fillman I Epstein Bro Co Burden Smith Co Burton Taylor Wise Company 1 Tanhouser Weiller J K Orr Shoe Co 1 The Brown Shoe Co Happ Bros Co June 30 Burton Taylor Wise Company Quinn Marshall Co Edward Wolff Cotton L W Co The Brown Shoe Co E E Bell Geo D Witt Shoe Co W A Doody Co July 31 E A Waxelbaum Bro M C Kiser Shoe Co Jos Rosenheim Shoe Company Joseph Dry Goods Co Quinn Marshall Co J K Orr Shoe Co W A Doody Co E C Kingsbery Agt Carson Pirie Scott Company Rhoads Fillman Burkenroad Goldsmith Company Burden Smith Co Stovall Pace Co Edelstein Baron David Rothschild Co Lumpkin Co 23698 26250 72800 27000 10085 94440 53154 14875 34628 1729 32237 41681 19028 36004 2855 18595 1980 20000 10547 2201 7228 936 13254 2303 7168 18265 7528 68259 200 3514 23100 2199 48595 16105GEORGIA STATE SANITARIUM 65 Abstract CGontinued Date To Whom Paid Amount Von Kamp Vaughan Gerald 4240 E E Bell 21300 Edward Wolff Cotton W Linter Co 52511 I Epstein Bro Co 8089 Burton Taylor Wise Co 69755 July 31 Geo D Witt Shoe Co 1110 Anderson Lewis Gray Company 2250 The Dannenberg Co 8810 Aug 31 Stovall Pace Co 159452 David Rothschild and Company 58519 J K Orr Shoe Co 126132 Burton Taylor Wise Company 50281 Geo D Witt Shoe Co 17500 The Middletown Hat Company 120 Hygienic Sheet Co 8670 E C Kingsbery Agt 18905 E E Bell 4935 Sept 30 Von Kamp Vaughan Gerald 45151 E E Bell 1369 Rhoads Pillman 26345 David Rothschild and Company 20768 E E Bell 2 00 Oct 31 Howett Warner Co 2264 J T McTeer Clo Co 1000 The Thread Agency 15995 Dairymans Sup Co 3667 Geo D Witt Shoe Co 1595 Lumpkin Co 1321 Joseph Dry Goods Co 14125 The Lumpkin Co 36151 Union Dry Goods Co 33325 Stembridge Dry Goods Company g83 Brown Perryman Greene Co 413 H C Godman Shoe Company 14750 Date To Whom Paid Amount J R Freid 23 United Cotton Wool en Co 74 E E Bell 133925 The Brown Shoe Co 12784 Burden Smith Co 103076 Carson Pirie Scott Co 14601 W A Zoody Co 111235 The Dannenberg Co 98687 Edelstein Baron 3902 Gans Bros Lipman 4837 J W Hicks 3900 Happ Bros Co 9960 Von Kamp Vaughan Gerald 72 35 M C Kiser Co 15211 Michael Bros Co 4761 McElwee Thomas Dry Goods Co 48805 J K Orr Shoe Co 3298 Phoenix Supply Co 7630 Quinn Marshall Co 1637 David Rothschild Co 2100 J Rosenheim Shoe Co 11113 Rhoads Fillman 103824 Stovall Pace Co 9318 E A Waxelbaum Bro Co 14402 Nov 30 Michael Bros Co 16741 McElwee Thomas Dry Goods Co 96526 J K Orr Shoe Co 72060 E A Waxelbaum Bro Co 22164 Gans Bros Lipman 2250 David Rothschild 19477 Union Dry Goods Co 559 Howett Warner Co 11424 Von Kamp Vaughan Gerald Co 84082 Gans Bros Lipman 4500 The Dannenberg Co 25244 Quinn Marshall Co 51742 Rhoads Fillman 201360 J B White Co 39420 R C Kingsbery Agt 23000 Happ Bros Co 32804 66 SIXTYSEVENTH ANNUAL REPORT Abstract C Continued Date To Whom Paid Amount Stovall Pace Co 216989 Burden Smith Co 1114 72 Nov 30 E E Bell 40256 J B White Co 91185 Carson Pirie Scott Company 11199 Lumpkin Company 13500 The Dannenberg Co 138583 Dec 31 Visor Knitting Mills 3150 Rhoads Fillman 113750 E A Waxelbaum Bro Co 13500 Date To Whom Paid Amount Von Kamp Vaughan Gerald 20530 Cans Bros Lipman 2250 E C Kingsbery Agt 13541 The Concord Woolen Mis 76883 The Dannenberg Co 59461 B E Bell 3021 Goodman Wootten 3330 Quinn Marshall Co 771 Total6145798 ABSTRACT D Shows the expenditures on account of Fuel and Transportation Date To Whom Paid Amount Jan 31 Sou Express Co 1587 Continental Coal Cor poration 139147 C C Hurt 17600 Continental Coal Cor poration 130574 T G Thomas 900 W P Overman 13000 Central of Ga R R 10751 Georgia Railroad Co 6564 Southern Express Co 22 11 Feb 2S Continental Coal Cor poration 47538 Georgia Railroad Co 3027 Southern Express Co 1191 Georgia Railroad Co 1127 Central of Ga R R 13508 Southern Express Co 826 Southern Express Co 621 March 31 McCurry Inman Co 7500 Continental Coal Cor poration 21817 J W McLane Agt 1322 Georgia Railroad Co 10071 Central of Ga R R 5128 Date To Whom Paid Georgia Railroad Co Southern Express Co April 30 Bernd Co Continental Coal Cor poration Continental Coal Cor poration Georgia Railroad Co Central of Ga R R Southern Express Co May 31 Central of Ga R R Central of Ga R R The Georgia Railroad Company Southern Express Co Holmes Johnson Fuel Company Continental Coal Cor poration Brushy Mountain Coal Mines Central of Ga R R Georgia Railroad Co June 30 Central of Ga R R Southern Express Co Amount 12497 815 968 314929 95597 12871 10426 2075 3177 364 160 414 1390 112568 35668 1240 1498 327 3GEORGIA STATE SANITARIUM 67 Abstract D Continued Date To Whom Paid Centra of Ga R R Company Georgia Railroad Co Southern Express Co Brushy Mountain Coal Mines Central of Ga R R Company Southern Express Co Georgia Railroad Co July 31 Georgia Railroad Co Central of Ga R R Southern Express Co Central of Ga R R Company Georgia Railroad Co Brushy Mountain Coal Mines Brushy Mountain Coal Mines Central of Ga R R Company Georgia Railroad Co Aug 31 Southern Express Co Brushy Mountain Coal Mines Brushy Mountain Coal Mines Georgia Railroad Co Central of Ga R R Company Central of Ga R R Company Georgia Railroad Co Sept 30 Southern Express Co Central of Ga R R Company Central of Ga R R Company Southern Express Co 1350 8045 944 135511 1028 2949 5456 4662 2970 1724 1577 940 135022 324481 17210 2001 2165 171990 182733 2446 973 14703 714 17721 9800 476 900 Amount Date To Whom Paid Sept 30 Crane Company Brushy Mountain Coal Mines Brushy Mountain Coal Mines Brushy Mountain Coal Mines Georgia Railroad Co Central of Ga R R Company Oct 31 Southern Express Co Georgia Railroad Co Central of Ga R R Company Southern Railway Co Brushy Mountain Coal Mines Central of Ga R R Company Georgia Railroad Co Nov 30 Holmes Johnson Fuel Company Central of Ga R R Company Georgia Railroad Co Georgia Railroad Co Dec 31 Central of Ga R R Company Southern Express Co Brushy Mountain Coal Mines Central of Ga R R Company Georgia Railroad Co Central of Ga R R Company Georgia Railroad Co Southern Express Co Amount 112 278755 219652 23481 3909 1078 1688 20811 16117 10230 44640 4056 3310 1390 5696 24786 lM 247 4975 26504 9448 6145 2591 2591 2701 Total27914876S SIXTYSEVENTH ANNUAL REPORT ABSTRACT E Shows amount of salaries paid officers per month together with the aggregate amount from January 1 1910 to January 1 1911 Feb 1Payroll 296680 Mob lPayroll 296680 April 1Payroll 296680 May 31Payroll 2675 64 June 2nPayroll 273476 July 5Payroll 281492 Aug 9Payroll 284528 Sept 7Payroll 283609 Oet 4Payroll 285449 Nov 4Payroll 260708 Dec 4Payroll 283626 Total3110492 ABSTRACT F Shows amount of wages paid to employees per month together with the aggregate amount from January 1 1910 to January 1 1911 Date To Whom Paid Amount Feby 7Payroll 1012765 Men 8Payroll 1016570 April 8Payroll 1028160 May 10iPayroll 1058775 June 11Payroll 1052767 July 12Payroll 1061117 Aug 10Payroll 1018671 Sept 12Payroll 1022409 Oct 10Payroll 1045996 Nov 5Payroll 1045490 Dec 6Payroll 1070244 Total 11432964 ABSTRACT G Shows expenditures on account of Incidental Expenses from Jan uary 1st 1910 to January 1st 1911 Date To Whom Paid Amount Date Jan 19 R H Wootten 4423 G D Case 4347 Dr T R Wright 9268 Milledgeville Tel Co 1065 HenryBanks 1916 J B Wight 900 115400 Oconee River Hills ate To Whom Paid Amount n 22 James B Clow Sons 11550 King Hardware Co 2625 Keystone Lubricating Company 375 Underwood Typewriter Company 700 Pittsburg Plate GlassGEORGIA STATE SANITARIUM 69 Abstract G Continued Date To Whom Paid Company Proctor Gamble Co Hercules Mon Co J N Jackson Burkenroad Wilcox Co Standard Oil Co Hightower Graves Company Cotton States Belting Supply Co Hightower Graves Company Beck Gregg Hard ware Co Merritt Hardware Co Ahrens Ott Manu facturing Co Merritt Hardware Co American Radiator Co S S White Dfental Mfg Co E J p D Wil lingham Lester Book Sta tionery Co Cuyler Mohler McClure Ten Cent Co Pittsburg Plate Glass Company MoClure Ten Cent Co R W Hatcher West Disinfecting Co J Prank Harris John H Press Dixon Williams Milledgeville Hwd Co Union Recorder Atlanta Journal Co Byington Carswell E B Block L M Millan S Co E Becker Augusta Broom Works Chandler Bros Gin nery Co Singer Sewing Machine Company Milledgeville News Andrew Jergens Co Amount Date To Whom Paid Amount 650 Ch S Dry Cell Bat 3106 tery Co 3 26 900 Phoneix Supply Co 6520 535 G Bernd Co 878 10125 Garlock Packing Co 1146 7069 Miller Graham 13800 Platt Iron Works 808 305 Sumter T M Co J S Schofields Sons 2700 9600 Company 5125 Armour Co 13395 1440 Litchfleld L M Co 690 The Bashlin Co 600 5996 Vale Towne Manu 14662 facturing Co 15604 Gulf Refining Co 919 4761 Lombard Iron W and 2040 Supply Company 585 4589 T C Burke 12400 Merchants Evans Co 7082 94 F J Cooledge Sons Feb 17 2550 3750 G D Case Savannah Morning 610 9250 News 13 05 3451 Ashford Park N 4050 1225 S S White Dental Mfg Co 1160 6108 Caldwell Ins Co 213 370 McClure Ten Cent Co 2100 12692 Foote Da vies Co 3175 15625 E J P D Wil 4780 lingham 90 15 200 J W McMillan 10500 400 G D Case 305 115 The Fred W Wolf Co 8980 1750 Hightower Graves 540 Company 1620 25775 T C Burke 2205 16084 L W Loomis 21600 5425 Camden Phil S Co 5250 22525 M S D A Byck 270 86 John Van Range Co S S White Dental 5124 687 Mfg Co 4 25 H G Hastings Co 560 3520 Ahrens Ott Mfg Co 20275 10250 Tripod Paint Co 9722 4800 Platt Iron Works 948 70 SIXTYSEVENTH ANNUAL REPORT Abstract GContinued Date To Whom Paid J A Roeblings Sons and Co Morning News Mallary MS Co Phoenix Supply Co Lombard Iron Wks and Supply Co C P Stone Co Southern Spring Bed Company Oconee River Mills Swatt P T W Co Columbus Iron Works Merritt Hdw Co Garlock Packing Co Cotton States Belting and Supply Co Andrew Jerngens Co I P Davis Co U S Cast Iron and Foundry Co Bramhall Deane Co Gulf Refining Co E J P D Wil lingham R W Hatcher R H Wootten Merritt Hdw Co N P Bowsher Standard Oil Co Western Electric Co Standard Oil Co S H French Co Dow Iron Works American Radiator Co Ahrens Ott Mfg Co Cotton States Belting and Supply Co Lester B S Co King Hardware Co J L Moore Sons King Hardware Co Chandler Bros Gin nery Co Quinn Marshall Co Keffel Esser Co AM Curry Fielder Allen Co 696 5350 4900 13075 1290 145 10000 63520 700 100 3500 287 29867 4800 17500 3240 400 1003 7290 6927 3762 3080 6061 7564 62 350 947 9500 140 492i3 2799 1468 10500 160 4400 267 525 872 4036 1740 Amount Date To WhomPaid American Medical As sociation Stembridge Lmbr Yds John Van Range Co R W Hatcher Burkenroad Wilcox Co Barnes Richter Oconee River Mills Feb 17 F W Mann Co W H Guild Co Carson Pirie Scott Co L W Loomis March 18 Western Electric Co Atlanta Journal Co Savannah Press Constitution Publishing Co Augusta Chronicle Macon Telegraph Pub lishing Co Milledgeville News April 30 Milledgeville Telephone Co Burkenroad Wilcox Co R H Wootten S S White Dental Mfg Co G D Case L J Lamar Steward Augusta Broom Works P H Gambrell Morning News J W Burke Co King Hardware Co Merritt Hardware Co McClure Ten Cent Co J P Davies Co Milledgeville News Pittsburg Plate Glass Co Augusta Chronicle Barnes Richter Union Carbide Sales Co Amount 600 1200 5967 1670 10125 4750 72122 1840 5800 1620 9000 2095 150 500 60 69 600 300 1280 10130 8543 1191 2131 7123 14500 7150 7472 5676 8990 17965 7271 18125 1700 14783 6750 4750 3750GEORGIA STATE SANITARIUM 71 Abstract G Continued Date To Whom Paid Amount Southern Broom Mfg Co 152 Jones Hopkins Mfg Co 583 Orr Stationery Co 2073 Psychological Review 400 W W Moran 24733 West Disinfecting Co 18275 MowerHobart Co 1350 Sumpter Telephone Mfg Co 2539 Stevens Bros Co 1800 R W Hatcher 10268 Phoenix Supply Co 464 Andrews Jergens Co 4800 Dana Bragg Stationery Co 350 Cuyler Mohler 16770 Harrison Brothers Company 137201 General Fire Ex Co 6283 Lombard Iron Works Supply Co 2764 Bfamhall Deane Co 11197 Union Recorder 800 Constitution Publishing Co 3C J A Fay Eagen Co 675 Conklin Tin Plate Metal Company 5675 General Electric Co 3483 T C Burke 15250 Ahrens Ott Mfg Co 1960i0 Yale Towne Mfg Co 22634 Cotton States Belting Supply Co 14618 M S D A Byck Co 4793 J S Schofields Sons Co 6372 Keystone Lubricating Co 4294 E J P E Wil lingham 5775 Byington Carswell 124843 H S Storr 5125 John Van Range Co 5798 Date To Whom Paid Amount Oconee River Mills 61916 L M Jones Supt 20000 Cordesman Rechlin Co 1285 John Roeblings Sons Co 524 Southern Spring Bed Co 1320 Standard Oil Co 14974 American Laundry Ma chinery Co 3425 Perkins Mfg Co 60748 April 30 L J Lamar Stew ard 13780 May 31 H S Storr 5125 L J Lamar Steward 33069 J W Burke Co 19500 Lester Book Sta tionery Co 3200 S S White Dental Mfg Co 292 Cotton States Belting Supply Co 460 G D Case 875 R W Hatcher 4450 R H Wootten 1000 Cuyler Mohler 4190 J S Schofleld Sons Co 57i Merritt Hardware Co 12500 Milledgeville News 10250 Maoon Telegraph Pub Co 600 Savannah Press 500 Augusta Broom Works 10250 Continental Clay Co 6000 Oconee River Mills Electric Dept 54525 J C Jarnegan 9010 J C Ivey 10186 Milledgeville Brick Works ioo James B Clow Sons 785 Fowler Flemister Coal Co 6010 The Augusta Chronicle 1375 The Enquirer Sun 60072 SIXTYSEVENTH ANNUAL REPORT Abstract GContinued Date To Whom Paid Dow Wire Iron Wks Barnes Richter Western Union Tele graph Co Southern Express Co Milledgeville Telephone Co S CCooper C P A L J Lamar Steward The Milledgeville News June 30 Milledgeville Telephone Co H S Storr Constitution Publishing Co Augusta Broom Wks W J Sloane The Macon Telegraph Publishing Co The Savannah Press F J Cooledge Sons Lamox Studio Cotton States Belting Supply Co The Fred W Wolff Co J S Schoflelds Sons Co American Laundry Ma chinery Co T C Burke Geo S Ixwndes Milledgeville Brick Works G D Case Richard Johnson R W Hatcher R H Wooten S S White Dental Mfg Co H Mueller Mfg Co Morning News Oconee River Mills Electric Dept Standard Oil Co The Texas Co E J P D Willing ham The Union Recorder Amount 15225 4750 1652 392 1005 14045 30099 750 865 5125 480 10250 10645 600 500 1832 8328 509 11820 3480 1700 11625 10974 13550 1050 24726 13330 355 5 29 24 06 21 75 567 11 36 14 15 90 52 6 44 50 Date To Whom Paid The Augusta Chronicle The Enquirer Sun The Sandersville Geor gian Ewell W Ross Byington Carswell The J W Burke Co Milledgeville Hardware Co King Hardware Co Southern Spring Bed Co J P Davies Co June 30th The Bashling Co L J Lamar Steward Morning News L J Lamar Steward July 31 L J Lamar Steward H S Storr Culver Kidd Dobbs Wey Co Fulton Bag Cotton Mills G Bernd Co The Willingham Sash Door Co Hightower Hdw Co Fowler Flemister Coal Company General Fire Extin guisher Co Conklin Tin Plate Metal Co Oconee River Mills Electric Dept Thos C Basshor Co R D Wood Co Dow Wire Iron Wks The Dunn Machinery Company The Lumiere North American Co The F W Cameron Corporation Richard Johnson The McCIure Ten Cent Co Amount 469 600 75 1800 29908 1460 1000 1050 13080 18485 1900 63218 33632 51947 84582 5126 1348 900 5010 945 750 12775 4065 13053 350 51400 2460 300 28216 720 1597 1200 1436 2922GEORGIA STATE SANITARIUM 73 Abstract GContinued Date To Whom Paid J C Jarnegan The Foy Paint Glass Co P J Cooledge Sons T R Wright Carter White Lead Co P H Gambrell The Sumter Telephone Co Henry Banks The Andrew Jergens Co Crane Co Southern Belting Co E Becker Fenton Label Co W W Moran W H Bangs G D Case Interstate Electric Co Cotton States Belting Supply Co Standard Oil Co The Augusta Broom Works Merritt Hardware Co The Texas Company T C Burke P D Willingham Fur niture Co S S White Dental Mfg Co Moncrief Furnace Co Anderson Hdw Co R W Hatcher Lombard Iron Works Supply Co R H Wooten Pittsburg Plate Glass Co L J Lamar Steward Aug 31 L J Lamar Steward Luthr H Wightman Co Lewis Mfg Co Moran Wilkinson Harrison Bros Co Amount 1640 7605 4295 12268 14960 7070 1500 2178 4800 2480 18606 595 590 8796 7874 2423 2640 7059 3740 11643 223S3 2855 25298 60175 16954 6831 1182 21164 12366 305 800 67246 33109 580 1113 1085 68601 72 00 2 00 1 09 17 43 Date To Whom Paid Amount Chas F Barrett 2920 The Platt Iron Works Co 426 Eureka Fire Hose Mfg Co 18900 National Carbon Co 2225 The Camden Phila delphia Soap Co 5250 The J P Davies Co 18125 Augusta Broom Works 9625 Savannah Wden Ware Co 3500 The Morris Eckles Co The Lumiere Co The Lumiere North American Co Arthur H Thomas Co The West Disinfecting Co 15625 E H Stafford Mfg Co 1200 Byington Carswell 14022 Crane Co 425 Aug 31 Cotton States Belting Supply Co 5017 Lombard Iron Works Supply Co 5100 The Texas Co 795 The Schieffelin Co 1275 Burkenroad Wilcox Co 5237 S S White Dental Mfg Co 605 Moncrief Furnace Co 5080 Dow Wire Iron Wks 8754 The Ahrens Ott Mfg Co 1222 Fielder Allen Co 2250 Phillip Cook 500 L J Lamar Steward 23450 Sept 7 Lester Book Station ery Co 4115 Foote Davies Co 6710 R W Hatcher 2855 G D Case 690 Dow Wire Iron Wks 6900074 SIXTSEVENTH ANNUAL REPORT Abstract GContinued Date To Whom Paid Oconee River Mills Electric Dept P D Willingham Fur niture Co McClure Ten Cent Co Merritt Hardware Co Anderson Hardware Co L J Lamar Steward L J Lamar Steward L W Loomis The Andrew Jergens Co Augusta Chronicle Harrison Bros Co Columbus Iron Works The Kny Schreerer Burkenroad Wilcov Co Stevens Bros Co The Phenix Supply Co Lombard Iron Works Supply Co Union Recorder M S D A Byck The Savannah Press Morning News Fielder Allen Co Pittsburg Plate Glass Co Henry R Worthington T C Burke Macon Telegraph Pub lishing Co R H Wooten Kewanee Boiler Co Mflledgeville Brick Works Milledgeville Ice Wks Augusta Broom Works The Constitution Pub Co Oconee River Mills Electric Dept Cotton States Belting Supply Co Savannah Wden Ware Co Milledgeville News Amount Date To Whom Paid Amount S S White Dental 78380 Mfg Co Fowler Flemister Coal 300 37251 Co 4000 8711 The Texas Co 1590 1050 P D Willingham Fur niture Co 500 1800 G D Case 555 27468 Van Horn Sawtell 5490 25298 R W Hatcher 15188 18000 R W Hatcher 30801 Byington Cars well 29545 4800 The Lumlere North 850 American Co 158 6860 Milledgeville News 600 20046 G D Case 840 2450 R H Wooten 40 3021 The Fred W Wolf Co 9006 360 Dr E M Green 5644 14600 W H Troutman Lum ber Co 7900 270 Byington Carswell 5826 650 Fowler Flemister Coal 1500 Co 300 500 Oct 31 5850 L J Lamar Steward 32559 114 The Macy Company 485 MdClure Ten Cent Co 2520 594 Savannah Wden Ware 182 Co 3150 6750 James B Clow Sons 8019 Burkenroad Wilcox Co 231 1400 Troy Laundry Machin 3378 ery Co 600 11623 Clark Wooden Ware Co 322 280 Kewanee Boiler Co 1080 6500 Stevens Brothers Co 1800 9626 Carter White Lead Co General Fire Extin 14960 420 guisher Co 1179 Foote Davies Co 935 55844 Dow Wire Iron Wks Chattanooga Roofing 22949 1529 Foundrv Co 9869 Standard Oil Company 3265 975 G Bernd Company 900 1250 The Macy Company 1390 GEORGIA STATE SANITARIUM 75 Abstract G Continued Date To Whom Paid Burkenroad Wilcox Co The Yancey Hardware Company P H Gambrell Knoxville Tinware Mfg Co Union Recorder J C Jarnegan King Hardware Co Gulf Refining Company The Texas Company T C Burke The John Van Range Co Underwood Typewriter Co The Morning News Miss A V Cross P D Willingham Fur niture Co Byington Carswell The Kny Scheerer Co Poy Paint Glass Co Lewis Mfg Co Southern Laundry Mfg Co The Atlanta Journal Co Lumiere North Ameri can Co The Bashlin Company E Becker H J Blood worth The Enquirer Sun American Radiator Co George D Case Samuel H French Co R W Hatcher R W Hatcher Lombard Iron Works Supply Co Merritt Hardware Co Oconee River Mills Electric Dept Pittsburg Plate Glass Co Amount Date To Whom Paid J S Schofields Sons 1850 Co S S White Dental 636 Mfg Co 2920 R H Wootten Hotel Hospital Sup 145 ply Co 750 L J Lamar iSteward 2755 Nov 30 1050 L J Lamar Steward 1747 J G Harrison 795 Yancey Hardware Co 2425 Merritt Hardware Co Jno T Brantley 4498 The Bashlin Company L W Loomis 700 W C Hillhouse 3500 The Milledgeville News 12741 The American Laundry Machinery Co 425 West Disinfecting Co 14400 Lombard Iron Works 12048 Supply Co 8774 Andrew Jergens Co 4350 J S Schofields Sons Co 6150 The John Van Range Company 720 The Dairy Supply Co Nov 30 228 Standard Oil Co 3480 P H p M Roots 300 The Milledgeville News 150 Dunn Machinery Co 600 King Hardware Co 3640 The Morning News 2140 G D Case Oconee River Mills 18718 Electric Dept 10768i Underwood Typewriter 1845 Co Conklin Tin Plate 8748 Metal Co 11561 Atlanta Journal Co G Bernd Co 59000 Cuyler Mohler The Ahrens Ott Mfg 9156 Co Amount 19618 1540 449 24904 20956 29472 15000 25800 468 30356 1029 10800 3600 600 2300 15625 1856 4800 2451 16661 175 770 570 1250 205 1050 3500 1115 67700 700 43200 158 200 6652 9221 SIXTYSEVENTH ANNUAL REPORT Abstract GContinued Date To Whom Paid Amount Date To Whom Paid Amount Milledgeville Buggy Pittsburg Plate Glass 600 Co 6900 C H Bonner 100 OiO The Andrew Jergens R W Hatcher 7492 40 Co 4750 R H Wootten Geo L Lowndes 9480 Byington Carswell 30304 Wolverine Brass Wks 628 Simplex Valve Meter 9320 Co 100 The Dublin Courier Union Carbide Co 4000 136 Tolhust Machine Wks 2704 Fowler Flemister Coal Texas Co 795 996 Company Dixon Williams 600 The Kny Scheerer Co 60 1750 Milledgeville Buggy J A Fay Eagan Co 2457 Furniture Co 100 100 P H Gambrell 2895 H Waterman Sr 76000 Milledgeville Brick L J Lamar Steward 23974 Works 3800 Dec 31 Max Wocher Sons 2477 Co 650 Supply Co The W H Troutman Henry R Wothington 1560 Lumber Co 14000 The Texas Company 1432 The Kny Scheerer Co 750 Oconee River Mills Iron Clad Mfg Co 2760 Electric Dept 82328 American Laundry Ma The Fred W Wolf Co 13132 chinery Co 511 S S White Dental The Constitution Pub Mfg Co 3079 Co 4 80 R W Hatcher 5256 The J W Burke Co 6300 R W Hatcher 2666 The Ahrens Ott Mfg Union Recorder 650 Co 203 R H Wootten 465 3 Orr Stationery Co 86 G D Case 3455 The Milledgeville News 950 L J Lamar Steward 46148 Fielder Allen Co 4550 L J Lamar Steward 63050 The Milledgeville News 1475 E Becker 460 15000 Merchant E Evans Co Henry Banks 3 75 Macon Telegraph Pub The Savannah Press 500 lishing Co 800 The Augusta Chronicle 375 Stevens Brothers Co 512 General Fire Extin H H Dean 17955 guisher Co 5283 Byington Carswell 77292 J P Davies Co 27547 James B Clow Sons 11550 Richard Johnson 24284 4972389 GEORGIA STATE SANITARIUM 77 ABSTRACT H Shows the expenditures on account of Medical Supplies from Jan uary 1st 1910 to January 1st 1911 Date To Whom Paid Jan 20 Colbuni Birks Co West Disinfecting Go Parke Davis Co Schieffelin Co Armour Company Henry Weinheyan Seabury Johnson Sharpe Dohme Lamar Taylor Riley Drug Co McKesson Robbins Lamar Taylor Riley Drug Co Sharpe Dohme Parke Davis Co McKesson Robbins Chesterman Streeter Schieffelin Co Green River Distilling Co West Distilling Co March 19 Lamar Taylor Riley Drug Co E R Squibb Sons Armour Co Schieffelin Co Green River Distilling Co Van Horn Sawtell West Disinfecting Co Sharpe Dohme McKesson Robbins Colburn Birks Co April 30 H J Lamar Co Becton Dickinson Co Seabury Johnson John B Daniel Obesterman Streeter Sharpe Dohme Parke Davis Co Lamar Taylor Riley Drug Co Amount 28 42 4770 3121 1170 2050 6150 7000 12379 S338 7750 Date 9 61 19 12 4 22 108 48 59 30 21 22 107 100 27 207 182 28 To Whom Paid McKesson Robbins May 31 Lamar Taylor Riley Drug Co H K Mulford Co Chas F Barrett Lamar Taylor Riley Drug Co June 30 Schieffelin Co Max Wocher Sons Co West Disinfecting Co July 31 Henry J Lamar Co James T Dougherty W B Saunders Co The Green River Dis tilling Co Watters Laboratory Seabury Johnson West Disinfecting Co Sharpe Dohme Lamar Taylor Riley Drug Co Parke Davis Co McKesson Robbins Aug 31 Colburn Birks Co E R Squibb Sons Leabury Johnson Lamar Taylor Riley Drug Co Parke Davis Co Sharpe Dohme Lamar Taylor Riley Drug Co McKesson Robbins Max Wocher Sons Co Lamar Taylor Riley Drug Co Colburn Birks Co Sept 30 Seabury Johnson 12057 W B Saunders Co 1688 7 81 78 72 3 05 33 03 104 18 128 27 Amount 348 06 16 90 7 57 2 50 5884 1800 456 15625 3600 200 300 10597 4470 3000 4860 14919 11900 2760 3499 2812 7450 7000 3339 3813 13855 6990 16080 3550 1950 2842 14780 7875SIXTYSEVENTH ANNUAL REPORT Abstract HContinued Date To Whom Paid Southern Label Box Co Sharpe Dohme W J Cranston Eimer Amend H J Lamar Co McKesson Robbins E R Squibb Sons Oct 31 Lamar Taylor Riley Drug Co W B Saunders McKesson Robbins S S White Dental Mfg Co Parke Davis Sons Lamar Taylor Riley Drug Co Amount 21 25 78 95 24 02 54 77 92 73 213 19 38 05 4 00 27 00 62 6S 15 12 36 Date To Whom Paid G P Putnams Sons Bramhall Deans Co Colburn Birks Co Cook Bernheimer Co McKesson Robbins Parke Davis Co Dec 31 Lamar Taylor Riley Drug Co Sharpe Dohme International I nstru ment Co Schieffelin Co Amount 7392 400 2855 3587 5000 14411 10055 11438 270 2700 1860 549088 ABSTRACT I iainShWT expenditures on account of Contingencies from January 1st 1910 to January 1st 1911 Date To Whom Paid Feb 2 Western Union Tele graph Co Central of Ga R R Co Eeby 16 W M Booze Manager Central of Ga R R March 2 Western Union Tele graph Co April 2 Central of Ga R R Co Western Union Tele graph Co Central of Ga R R Co A D Nesbit Agent June 30 Western Union Tele graph Co Western Union Tele graph Co Amount Date To Whom Paid July 31 Milledgeville Telephone Amount 903 Co 1100 Am MedicoPsycholo 393 gical Assn 500 Sou Photo Material Co 724 1070 The Max Wocher Son 470 Co 700 75 A R Phillips Mgr James Telfair 200 1663 Aug 31 Western Union Tele graph Co 1477 470 Milledgeville Telephone Co 1110 1370 Sept 30 Western Union Tele 470 graph Co 1365 600 484 Union Recorder R H Wootten 50 Milledgeville News 500 1317 Milledgeville Phone Co 1475 200 13770 James Telfair GEORGIA STATE SANITARIUM 79 Abstract IContinued Date To Whom Paid Oct 31 Western Union Telegraph Co Amount 1396 15000 350 3750 8750 1260 1000 500 15000 2500 2500 1465 Date To Whom Paid Ries Armstrong Milledgeville Telephone Amount 625 1230 Hartford B J Ins Co Dec 31 Western Union Telegraph Co P W Brown Home Ins Co 1247 Hartford Fire Ins Co Royal Ins Co Milledgeville Telephone phone Co 965 Milledgeville Telephone Co B J Reese Vaughans Seed Store Wm H Guild Co The Gorham Press Joseph Schlagheck Emmett Rayford 840 American Medical Association 2123 5800 Dr T R Wright Dr T M Hall Dr H D Allen Nov 30 900 335 450 Western Union Telegraph Co 87458 ABSTRACT J Shows expenditures on account of Stationery and Postage from January 1st 1910 to January 1st 1911 Date To Who m Paid Amount Date To Whom Paid Amount Jan 19 J L Sibley P M 7748 J I Sibley P M 3562 Aug 8 Feb 3 J L Sibley P M 1062 J L Sibley P M 3562 J L Sibley P M 1062 J L Sibley P M 4748 J L Sibley P M 3062 J L Sibley P M 3562 Sept 2 March 7 J L Sibley P M 7073 J L Sibley P M 3562 Oct 10 J L Sibley P M 6748 J L Sibley P M 2062 April 2 J L Sibley P M 6248 J L Sibley P M 3962 Nov 1 J L Sibley P M 3990 J L Sibley P M 2124 May 18 J L Sibley P M 3562 J L Sibley P M 4686 J L Sibley P M 3562 J L Sibley P M 7748 Dec 9 June 13 J L J T J L Sibley Sibley Sibley P P P M M M 4652 3862 7324 J J J L L L Sibley Sibley Sibley P P P M M M 4248 3562 3887 J iL Sibley P M 3397 J T Sibley P M 1562 July 4 J L Sibley P M 31 24 119313 80 SIXTYSEVENTH ANNUAL REPORT ABSTRACT K Shows expenditures of Special Appropriation for erecting and con structing a system of waterworks from January 1st 1910 to Janu ary 24th 1911 Dr 1910 Jan 1To Balance 9135 1910 Jany Cr 26By General Electric Coi General Fire Extinguisher Co Western Electric Co J L Sibley P M 9135 704 3577 4474 380 9135 ABSTRACT L Shows Requisitions drawn on State Treasurer for support and maintenance Jan 11Requisition 3536850 Feb 5Requisition 3536850 March aRequisition 3536850 April 2Requisition 35t36850 May 2Requisition 3536850 June 1Requisition 3536850 July 1Requisition 3536850 Aug 1Requisition 3536850 18Requisition 1250000 Sept 1Requisition 3536850 17Requisition 350000 27Requisition 804146 Oct 1Requisition 35 36850 24Requisition 300000 Nov 1Requisition 3536850 17Requisition 300000 Dec 1Requisition 351368 50 21Requisition 3 i 00000 45746346 ABSTRACT M Shows the average number of patients together with the cost of maintaining same Average Number Patients 3276 Annual Per Capita 13748 Monthly Per Capita 1146 Average Monthly Expenses 3753235 Daily Expenses t 23394 Daily Per Capita 37665 Weewiy Per Capita 264GEORGIA STATE SANITARIUM Btavekupn a Import Mr L J Lamar Steward Dear SirHerewith I hand you my report for fiscal year ending ecember 31st 1910 This report embraces three months of the old system of bookkeeping and nine months to the new Stock on hand January 1st 1911 1446620 Respectfully yours W H HUNTER Store KeeperIssues of Bedding Clothing Hats Shoes Notions etc from Januar 1st 1910 to April 1st 1910 N O o OS X O a o CD a CD M 4 White Male Dept White Female Dept Colored Male Dept Colored Female Dept Stewards Dept Engineers Dept Transportation Dept Colony Dept Kitchen Dept Garden Dept Laundry Dept Superintendents Dept Matrons Dept Asst Physicians Dept Dairy Dept Medical Dept Officers Employes sales Total 2o 193 80 348 25 CD CO 2 p 6 292 407 370 400 30 482 393 48 204 1469 OJ H u CD o a a a tc a 3 a CD a t o a p S m a 147 256 45 150 1145 598 25 226 226 99 66 17 668 301 4 174 43 9 13 39 67 12 92 34 30 12 48 85 186 4 132 16 56 W 277 2574 14 23r ISSUES OF BEDDING CLOTHING HATS SHOES NOTIONS ETC FROM JANUARY 1 1910 TO APRIL 1 1910Continued White Male Dept White Female Dept Colored Male Dept Colored Female Dept Stewards Dept Superintendents Dept Engineers Dept Matrons Dept Asst Physicians Dept Colony Dept Kitchen Dept Garden Dept Officers Employees sis Total 180 M 7200 233 189 10300 1000 2000 6 180 20922 13 0 13 200 2100 2100 1 on 500 713 118 831i 2939 132 57 158 10 602 M S o O aj Q a w T ti o c CQ 8 03 M 50 12 ISISSUES OF BEDDING CLOTHING HATS SHOES NOTIONS ETC FROM JANUARY 1 1910 TO APRIL 1 1910Continued cT a a K ti 2r S GO M o I C r V 0 Laundry Dept White Male Dept White Female Dept Colored Male Dept Colored Female Dept Matrons Dept Stewards Dept Kitchen Dept Dairy Dept Laundry Dept Officers Employees sales 1 39 13 11 2 1 165 6 24 30 a zt o a a 12 148 341 162 424 QQ 3 be t a 0 r3 QQ 3 a a a eg a o s a 3 C GO of a a 0 p 0 QQ A O b s 0 0 o a u U w J w 172 441 93 276 3 985 6 144 276 26 18 90 324 12 456 60 2 1 2 132 945 440 12 S4 24 12 24 4S 3 111 22 12 12 1300 208 280 1580 i 212 231i4 20 545 60 10 4 2 8502 1 20 4 5452ISSUES OF BEDDING CLOTHING HATS SHOES NOTIONS ETC FROM JANUARY 1 1910 TO APRIL 1 1910Continued a Co CO 3 7 ft co t ej 3 U O of 3 0 O s s 5 U 05 u 05 o 5 a A a a o u CO 3 OS 3 a 13 CD CD CO a S CD to O i a 3 o ri M CD a 3 j a 0 o CO o a 3 M a o u w to to cu to CO a 05 a 5 05 0 05 3 U 05 3 si 05 CO u XI 75 s to CD a o ja CO cy CO to CD 3 S ad a M CO CD CO CO Q Li OJ X3 SJ T a Q s B a S a a a a CO 4 CO CO CD Q 73 D tc 03 M o ft a Q CO a tB a a sVsst Physicians Dept 48 2 Transportation Dept 1 12 Colony Dept 2 18 1 4 8 2 Kitchen Dept i i Garden Dept Laundry Dept 1 2 147 140 54 84 1 1 12 1 3 447 White Male Dept 61 58 949 11 905 107 6 6 4 10 White Female Dept 28 729 39 1 1 300 2 Colored Male Dept Colored Female Dept 2 315 2 Stewards Dept Engineers Dept Matrons Dept 4466 Medical Dept 119 1 2 44 300 2 2 Officers Employes sales 48 2 8 118 13 14 343 731 1 12 2 18 1 4 8 1 Total 1865 4466 fISSUES OF BEDDING CLOTHING HATS SHOES NOTIONS ETC FROM JANUARY 1 1910 TO APRIL 1 1910 Corit nued B5 a M a DO o Z a V O a3 z EG M c 11 3 X 71 c 5 3 a O 53 v 2 3 M 5 GO 3 be ti 5 c DQ o 5 BQ a 3 o 71 o a o 00 5 oa s s Si d 2 Matrons Dept White Male Dept White Female Dept Colored Male Dept Colored Female Dept Stewards Dept Superintendents Dept Asst Physicians Dept Medical Dept 653 434 122 122 558 1 i 6 6 1 182 219 6 2 l 3 1 1 3 6 500 1 2 7 2 7 1 30 1507 300 2 1 3 1 1 1000U 10000 4 l 2000 Colony Dept 5 22 1 26 1010 4 2990 1 2 32 1 Officers Employes sales 1514 1 54 i 653 415 9 500 11 1 30 6 Total 7J 1 1807 6 9241 y2 5557 23000 i ISSUES OF BEDDING CLOTHING HATS SHOES NOTIONS ETC FROM JANUARY 1 1910 TO APRIL 1 1910Continued r 5 15 1 60 24 u H 12 0 03 6 oa a BO 58 09 0 5 O c AS 5 05 8 O X O 3 43 3 0 3 a 3 1 a M 7 c 5 03 3D 09 0 3 03 5 O a 5 r x 03 3 Stewardss Dept Engineers Dept Transportation Dept Colony Dept Garden Dept 64 5 144 6 1 3 2 5 1 1 2 10000 I 72 1 1 20 5 15 3 7 22 87350 24 White Male Dept 32 152 6 4 1 1230 6 12 White Female Dept Asst Physicians Dept 24 1 2 5 1 7 5 1 2 3 40 5 1 20 24 53 Colored Male Dept 24 Officers Employes sales 1 14 144 1 25 15 85 12 1 2 97350 1 96 1 258 1 24 30 12 Total 123014 1 ISSUES OF BEDDING CLOTHING HATS SHOES NOTIONS ETC FROM JANUARY 1 1910 TO APRIL 1 1910Continued 2 a CC M p 0 03 I n 0 X o ad 0 h DO 0 c c ej s 120 CO a H C 1 s U au a a a o 0 o Eft r 61 0 a B S c m d ft a Q ed cj a O a en 61 3 a a C B to S a w a ed ft to s c CO T c c S o E 00 0 a a e B s GO s a S3 E B a K E 5 6 264 106 48 1772 226 S64 72 336 72 ITS 1 i 1 2S 0 192 612 6 36 168 36 276 24 White Male Dept 10 Q 498 22 372 24 2 2 101 82 5S9 512 541 65 83 195 2 60 10 2 2 IS 12 32 48 2 1 2 25 5 4S 144 Colored Male Dept 90 6 144 12 2 1 i 2 2 226 12 1130 96 372 1267 380 150 12 228 36 Officers Employees sales 1 1 5 6 120 4034 2 2 1 80 i 10 28 883 2022 493 74 41 744 Total 3 i 3 ISSUES OF BEDDING CLOTHING HATS SHOES NOTIONS ETC FROM JANUARY 1 1910 TO APRL 1 1910Continued d A White Male Dept y White Female Dept 3 Colored Male Dept 5 Colored Female Dept 5 Stewards Dept A Superintendents Dept f Engineers Dept y Matrons Dept Asst Physicians Dept Transportation Dept j Colony Dept a t a a rt 2 a Q a Kitchen Dept Garden Dept Laundry Dept Officers Employees sales 396 8S 2 12 24 183 54 Total 966 553 7 Cm 13 284 K br it a c C3 EC 9 c B a C 197 27 14 72 564 24 192 319 488 432 28 1284 32 60 510 60 36 38 CO 3D X M ai A z o K c O CCj L ti ft 5P fl a ad a 36 550 20 36 550 20 10 11 30 u 30 152 45ISSUES OF BEDDING CLOTHING HATS SHOES NOTIONS ETC FROM JANUARY 1 1910 TO APRIL 1 1910Continued Kitchen Dept Dairy Dept White Male Dept White Female Dept Colored Male Dept Colored Female Dept Stewards Dept Superintendents Dept Engineers Dept Assst Physicians Dept Transportation Dept Colony Dept Matrons Dept Officers Empls sales Total 14 ZVi 4 17 I0V4 1 44 ce v 0 JZ a c t 0 u a tr 0 a W si 0 0 X y U2 4 10 1172 425 225 289 23 1187 960 3111 f69 759 445 314 2147 2 2189 2412 882 540 55 12 444 162 192 372 3295 1 596 174 186 26 7 1182 1 394 102SSUES OF BEDDING CLOTHING HATS SHOES NOTIONS ETC FROM JANUARY 1 1910 TO APRIL 1 1910Continued Vhite Male Dept tVhite Female Dept Colored Male Dept Colored Femal Dept stewards Dept Superintendents Dept Matrons Dept Transportation Dept Colony Dept Jarden Dept airy Dept ledical Dept bn p c s JZ o c u K V V2 X Total U B W i u rt tt T EC J3 K a o S p G Vi m Tfl a5 2b 4 288 43 17 2 I 1 QJ X 0 c x t cc t K t K bx g bc ej B 1 d a 92 t so SO 51 8022 10517 1432 1432 1 2 24 23099 17430 50529 1 12 10ISSUES OF BEDDING CLOTHING HATS SHOES NOTIONS ETC FROM JANUARY 1 1910 TO APRIL 1 1910Continued 7 7 73 j a a In aa BQ H O 32 5 s a a 5 73 be CD U 0 73 Squilgres Seed garden lbs Seed garden bus I 7 A o o 73 A a Eh 71 as i o EH m u o 3 a a EH o 7 a n Eh OS 3 o a m S3 H to a a a a a o eg Eh Thread ball lbs DQ 03 Eh j 73 60 Qi O EH SQ si c 1 i DO O 7 m 33 a E K M to a a u B0 Ml H White Male Dept I 11 350 117 48 64 66 139 48 81 26 10 33 151 372 360 5 45 2 368 12 Colored Female Dept I Colony Dept 52 78 5 O 6 6 12 119 11 55 1 2 1 30 6 31 36 i 27 10000 10 24 8 7 1 1 2 24 12 18 9 63 253 156 2160 18 2 Officers Employees sales 125 3168 52 5 6 6 12 119 11 5S 5 446 68 38 i 27 10000 Total 10 45 10 ISSUES OF BEDDING CLOTHING HATS SHOES NOTIONS ETC FROMJANUARY 1 1910 TO APRIL 1 1910Continued Superintendents Dept Engineers Dept Matrons Dept Colony Dept Garden Dept White Male Dept White Female Dept Colored Male Dept Colored Female Dept Stewards Dept Transportation Dept Kitchen Dept Dairy Dept tfl 0 CO Q a G 00 t a 3 100 Total Ml 8 c 0 O 0J 03 a ja CO 1 a tH E DO 0 IB v 1 c 0 an 5J 05 71 0 03 4 h 0 H H p P P f s E 1 100 I 6018 I 1 132 2 13J 344 2 470 25 140 83 1679 165 84 IH 12 12 650 4 650Issue of Provisions from Jarnuary 1st to April 1st 1910 D9 DD 00 w 4J OJ O QJ fc at ft H 1 ffl U CJ M j a Ch n 73 44 CQ sj 44 r S s c a o Oh h K t rf X5 J c W 75 Si a Q Center Building Kitchen Bakery Twin Building Kitchen Colored Building Kitchen Green Building Kitchen Convalescent Male Kitchen Convalescent Female Kitchen Hospital Kitchen Colony Kitchen White Male Department White Female Department Colored Male Department Colored Female Department Specialto Laborers Engineers Department Dairy Department Medical Department Superintendents Dining Room Stewards Dining Room Officers Employees sales Total 43981 7234 8842 13800 4692 1618 1627 1571 4025 2U 3481 34011 300 Mini 700 7CI0 400 30600 28800 32850 90U0 5850 6300 3600 1250 178 305 919 1245 10 277 105 lOlliA 120897 9568 1890 1800 2700 540 620 630 450 682 5550 8775 13645 a670 1776 1560 1164 11711 144 41 76 358 1600 269 2136 450 845 60 715 520 2000 2000 200 645 444 355 418 106 58 301 6 10 wy2 13932 4515 80 50 8800 10800 4975 85 60 8750 23376 4975 86 50 1500 63011 2180 21 15 1520 3150 970 14 20 1216 3160 070 17 10 912 3155 760 8 20 924 4608 11 20 1400 24 100 40 2H0 61 48 120 193 67 284 884 4 60 1226 567 4 A 311 15918 71816 21989 320 251 634 ISO 15 ISO B0 60 45 35 20 50 20 ion 645 1691 630 711 168 232 899 116 1769 5135 8735 1817 2704 185 BSD 101 280 996 668 120 1428 1404 284 118 185 185 H 31M 1462 f85 490 405 175 52 120 A 62 78 975 1300 180i I 89 260 195 130 250 1280 1826 1317 1228 692 683 359 13 883 83 886 2340 91552 31950 901 111 7660 460 4500 8499 4900 196 588 1286ISSUES OF PROVISIONS FROM JAN 1 1910 TO APRIL 1 1910 White Male Department White Female Department Colored Male Department Colored Female Department Stewards Department Superintendents Department Engineers Department Matrons Department Assistant Physicians Department Colony Department Larndry Department Medical Department Kitchen Department Dairy Department Superintendents Dining Room Stewards Dining Room Officers Employees sales VI JB a o a 8 a o o c 61 O J H ao K rt X r a a s ll o 4 j 2 OJ Q a ft Bj 3 c fc s O 02 aj a M o a a o 3 O c P s eg 013 Lll 812 14 536 so S4 118 716 4292 51 1521 109 765 14 1030 12 235 nOO 85 290u 4310 375 37 1 36H 19 28 323 5 6 37 215 140 V 182 603 25 2fi 169 3 18 24 3 2 8 12 96 4 13 8 11 3 86 80 16 3 6 7 6 81 66 450 455 21 172 10 1400 4115 1400 54 4 6 14 1 198 25 2 11 4 183 608 10 24 565 80 uy2 52 4 SitH 1 68 12 25 32J4 28 6 48 339 12 2 1967 in 115 i9 1401 159 2009 330 854 941 3760 11207 511 4115 1515 2632 1200 10 241 78 19 93 5 3ISSUES OF PROVISIONS FROM JAN 1 1910 TO APRIL 1 1910 If E 03 03 a M M a o A o QQ a c sj 03 1 of CO c 3 si CJ to T GO 03 03 s 03 a oi N O 0 A3 Q o 0 CJ 03 03 M i of o a BB be h t 5 EC o 03 0 01 ft J ii 03 s to 03 CO Si C3 cj io qa 03 c a o O 6 03 81 V a KJ o C 5 12 2 s o 7 o O 6 8 03 C D E O 0J s p J w C CQ 5 2 5 Supts Dining Room 1032 y2 17 1 V4 8 6 1 1 5 1 4 4 1 1 Stewds Ding Room 1032 12 2 d 2 9 36 4 8 y2 17 1 14 8 6 1 I 75 1 4 4 1 9 Total 1 ISSUES OF PROVISIONS FROM JAN 1 1910 TO APRIL 1 1910 e 33 03 w 03 U fl 00 73 C3 a 03 OS 03 3 0 ffiS 3 ft rr 05 cu y W 1Q CO r Dh o Supts Dining Room 2 3 2 Stewards Dining Room 2 36 39 2 36 36 72 72 12 12 17 17 10 10 33 JO 12 Total 12 GEORGIA STATE SANITARIUM il RECEIPTS AND ISSUES FROM APRIL 1st 1910 TO JAN 1st 1911 To total amount merchandise received19951532 By total amount merchandise issued 18461982 By amount stock on hand Jan 1st 1911 1446620 Shrinkage 42930 19951532 W H HUNTER Storekeeper98 SIXTYSEVENTH ANNUAL REPORT SUpnrt of item ttuaro Near Milledgeville Ga January 2nd 1911 Dr L M Jones Superintendent Georgia State Sanitarium Dear SirI herewith hand you my report as Farm Stew ard for the year 1910 of the dairy garden farm pork and transportation also statement of stock wagons etc on hand January 2nd 1911 We have lost since the last report 3 milk cows and 17 calves from what was thought to be Anthra or black leg We have received from the chicken yards during the year 3098 dozen eggs at market price would amount to 61960 and 320 pounds of turkeys 5120 Very respectfully GEO W HOLLINSHEAD Farm Steward DAIRY Cr By Sweet Milk 80062 gals 30c240187 Beef 7128 lbs 568c 44870 Hides 823M lbs 06 4940 Hides 201 lbs 6 1306 Empty Sacks No 923 03 2769 Empty Sacks No 700 03 14 2275 Bull Calves No 6 100 600 Bull Calf No 1 1000 1000 Total2459535 DAIRY Dr To Wages Mr Russell 64000 Wages and Board of Hands 213180 C S Meal 318 tons 872820 S Hulls 415580 lbs 182061 Cow Peed from Colony 69313 lbs 116360 Barb Wire and Staples 1393 lbs 6787 Cotton Rope 16 14 lbs 312 Lard 10 lbs 153 Washing Soda 6 lbs 12 CheeseCloth 129 yds 645 Corn Meal 168 bu 11844GEORGIA STATE SANITARIUM Hose 75 ft 9 q0 Lantern Wick 1 doz 04 Dairy Suits 1 13 doz 3777 Grass Blads No 2 1 0 Salt Sacks No 36 16 92 Lanterns Xo 3 j gg Galvanized Buckets No 4 gg Lantern Globes No 2 10 Milk Cans No 5 15 25 Pitchforks No 3 2 40 Whitewash Brushes No 2 1 00 Soap Bars No 58 187 Mattocks No 1 7r Scrub Brushes No 9 973 Churn Top No 1 i 75 Axe Helves No 5 50 Axe No 1 r T 54 Injector Pump No 1 g gg Pick Helve No 1 21 Pad Locks No 4 12o Ensilage 754 tons 2 262 00 Total1705249 By Balance in favor of Dairy 7 543 86 GARDEN Cr By Cabbage 23697 heads 05 11S4 85 Collards 14845 heads 05 742 25 Sheaf Oats 21439 lbs 75 160 79 Hay Mixed 83657 lbs 50 41828 Oat Straw 80000 lbs 60 48000 Ensilage 754 tons 300 226200 Corn Green 5084 12 doz 10 50845 Cantaloupes No 20531 05 102655 Peaches 17 crates 100 17 00 Corn Seed Mexican June 24 bu 100 24 00 Corn Seed Marlsboro 76 14 bu 00 76 25 Beets 827 bu 50 41350 Beans Butter 125 ibu 100 12soO Beans Snap 713 12 bu 75 53512 Cucumbers 85 bu 100 85 00 Figs 7 12 bu 100 750 Kale 65 bu 20 13 00 Lettuce 94 bu 20 18 SO Onions 916 bu 90 824 40 Okra 58 12 bu 100 58 50 Oats Shelled 1364 12 bu 75 1 02337 Pepper 8 12 bu 50 425 Peas Mixed 13 14 bu 200 2650 Peas White 2 34 bu 250 687100 SIXTYSEVENTH ANNUAL REPORT Potatoes Sweet 805 12 bu 60 48330 Potatoes Irish 248 bu 100 24800 Rape 1180 bu 20 23600 Radish 45 12 bu 50 2275 Scuppernongs 4 34 bu 100 475 Squash 793 bu 50 39650 Turnips Rough 1315 bu 30 39450 Turnips Rutabaga 301 bu 60 18060 Turnip Greens 1290 bu 20 25800 Tomatoes 388 bu 50 19400 Total1246063 GARDEN Dr 55950 45000 45000 45000 To Wages and Board Mr Simpson Wages and Board Mr Hobby Wages and Board Mr Bateman Wages and Board Mr Leonard Wages and Board of Hands 193795 Farm Implements 9748 Garden Seed 13906 Seed Irish Potatoes 13000 Onion Sets 5330 Fertilizers 144733 Paris Green 475 Soda 10 Time Book 10 Binders Twine 1050 Buckets and Dippers 36 Feed Wear and Tear Mules 100000 Total 673043 Cr By Balance in favor Garden 573020 COLONY By Peaches 1232 crates 100 Peaches No 10 5659 cans 25 Peaches No 3 650 cans 08 Cabbage 1103 head 05 Collards 155 head 05 Sweet Milk 255a 34 gals 30 Syrup 570 gals 35 Corn Green 181 doz 10 Eggs 141 14 doz 25 Watermelons No 15663 05 Chickens No 132 30 Kid 509 lbs 06 Turkeys 125 lbs 16 Cr 1232 00 1414 75 52 00 55 15 7 75 765 52 199 50 18 10 35 31 783 15 39 00 30 51 20 00 IHORGIA STATE SANITARIUM 101 Hay Peavine 92165 lbs 100 92165 Grapes 1170 lbs 05 5850 Pork 17694 lbs 10 176940 Lard 260 lbs 12 38 3217 Fodder 78313 lbs 75 58735 Oat Straw 100000 lbs 60 60000 Cotton Sold 28512 lbs 405699 Cotton Seed Sold 1337 13 bu 40 53495 Cotton Seed Saved 276 12 bu 40 11060 Corn 7910 bu 90 711900 Beets 34 Wu 50 38 Beans Snap 8 12 bu 75 637 Kale 25 bu 20 500 Onions 21 bu 90 1890 Okra 15 34 bu 100 1575 Potatoes Sweet 4851 12 bu 60 291090 Potatoes Irish 47 12 bu 100 4750 Peas Mixed 673 bu 200 134600 Rye 70 bu 200 14000 Radish 4 bu 50 200 Squash 31 bu 50 1550 Scuppernongs 10 bu 100 1000 Turnips Rough 34 bu 30 1020 Turnip Greens 280 bu 20 5600 Tomatoes 63 14 bu 50 3162 Wheat 25 Mi 150 3750 Blackberries 25 bu 160 4000 Sale of Goat Hides 50 2513810 COLONY Dr To Wages and Board Mr Massey 57600 Wages and Board Mr Combes 36000 Wages and Board of Cook 28100 Wages and Board of Hands 300240 Farm Implements 42656 Fertilizers 412772 Seed Irish Potatoes 1625 Velvet Beans 2347 Onion Sets 400 Paris Green 200 Watermelon Seed 1170 Peaeh Crates 3600 Wire Fencing and Staples 8064 Peach Baskets 400 1 doz Buckets 375 Kettle 100 354 lbs Sugar 1908 217 gals Gasoline 3304 6 Aprons 60102 SIXTYSEVENTH ANNUAL REPORT 6 Towels gP 5 gals Machine Oil 89 1 Churn 7f 8 Balls Twine 170 32 Balls Binders Twine 1600 2 Pairs Pruning Shears 150 1 lb Tomatoe Seed j 70 10 bu Cotton Seed 1 00 700 Burlap Bags 50 10 6 Baskets o 18 Bundles Hay Wire 18 60 Ginning Bagging and Ties tor 1 Bale Cotton 267 Peed Wear and Tear of Mules and Horse 210000 Total11221 54 COLONY Cr By Balance in favor of Colony13 91656 PORK Cr By Pork 18938 lbs 10 189380 TRANSPORTATION Dr To Corn 2615 12 bu 90235395 Oats Shelled 1326 12 bu 75 994 88 Oats Sheaf 21439 lbs 75 16079 Hay Mixed 83657 lbs 50 418 28 C S Hulls 10000 lbs 46 14 46 25 C S Hulls 10000 lbs 40 40 00 C S Meal 2 Tons 3040 6080 C S Meal 2 Tons 2625 5250 Stock Powders 45 pkgs 20 9 00 Number of head of stock fed at stables for year 1910 No head 36 showing cost of feed for one head of stock for one year one month one week and one day For One ear 11490 For One Month 9 571 For One Week 2 39 For One Day 34 By Total Credit Dairy Garden Farm and Pork6408888 To Total Debit Dairy Garden Farm and Pork3500446 By Total Balance in favor Dairy Garden Farm Pork 2908442GEORGIA STATE SANITARIUM 103 Inventory of Stock Wagons etc on Hand Jan 6th 1911 Mules 46 Horses 5 Carriages and Harness 3 Buggies and Harness 1 Two Horse Wagons and Harness 9 One Horse Wagon and Harness 2 Dray Wagon 1 Dump Carts and Harness 6 Hearse Wagon 1 Ox Carts 6 Ox Wagons 2 Plow Stocks and Gear 30 Dixie Plow Stocks 16 Two Horse Plows 10 Road Plow 1 Pea Huller 1 Mowers 3 Horse Rakes 2 Roller 1 Tooth Harrows 2 Wheelbarrows 6 Grain Separator 1 Reapers and Binders 3 Seed Drill 1 Cultivators 2 Shredder 1 Hay Press old 1 Oil Tank 1 Gasoline Engine 1 Saddles and Bridles 2 Axes 22 Lanterns 6 Grind Stone 1 Canning Obtfit 1 Milk Cans 24 Acme Harrows 8 Drag Harrow 1 Double Stocks 6 Lawn Mowers 2 Ensilage Cutter 1 Milk Separator 1 Small Boiler at airy 1 Milk Cooler 1 Milk Buckets 12 Peed Carriers 2 Manure Carriers 2 Pitchforks 10 Hand Rakes 6 Spades 2 Shovels 10 Weeding Hoes 25 Picks 6 Mattocks 6 Stretchers pairs 3 Hand Saws 2 Hammers 2 Squares 2 Brace and Bits 2 Grass Blades 6 Grain Cradles 9 Cotton Planters 4 Stump Puller 1 Syrup Mill and Pan 1 Grist Mill 1 Peed Grinder 1 Corn Sheller 1 Spray Pumps 2 Pruning Shears 2 Milch Cows 164 Calves 64 Heifers 34 Steers 16 Work Oxen 17 Bulls 5 Goats 72 Hogs and Pigs 259104 SIXTYSEVENTH ANNUAL REPORT Milledgeville Georgia Jan ist 1911 Dr L M Jones Superintendent Dear SirI have the honor to submit herewith my re port of the workings of this department from January ist 1910 to January ist 1911 Respectfully T H DeSAUSSURE Engineer Improvements The most important improvement of the past year was the building of four open pavilion wards for the accommoda tion of tubercular patients one for the white females in the west yard of the T O Powell building another for white males in the grove near the Hospital and two for male and female negroes in the grove south of the Negro Building Each pavilion is entirely separated from the main building and is surrounded by a yard enclosed with a large mesh chicken wire fence that around the negro wards being ten feet high The pavilions are all alike and accommodate twenty patients each The body of each building is one hundred and two feet long and twenty wide with a three foot overhang of roof all around The central part or that portion devoted to beds is weatherboarded and ceiled up to a height of three feet from the floor Sash are provided which may be raised from pock ets in the space between the weatherboarding and ceiling when necessary for protection in inclement weather but they can not be raised more than three feet above the top of the boarding thus ensuring ample space between the top of the sash and the boxing line for ventilation On one end of each building there are four rooms two for nurses bedrooms and two for bath and toilets and on the other end a clothes room a dining room and a diet kitchen The pavilions for whites are supplied with hot water from the nearest main building but those for the negroes being too far away to admit of thisGEORGIA STATE SANITARIUM 105 they were placed near to each other and a Tobasco water heater in a small house between them serves both The side walls of all rooms and overhead are all ceiled with wood and all woodwork is dressed painted and finished in enamel white Every part is screened against flies and all openings on three of the buildings have the additional protection of heavy wire guards of open mesh Since using electricity as an illuminant and the discon tinuance of the gas works we have added a gasoline gas ma chine to the equipment of the laundry This supplies gas for the ironing machine and also for heating the coffee parcher in the bakery Twentyseven of the direct radiators in the Negro Build ing have been made over and all of the radiator guards through out the institution have been furnished with wrought iron hooks cemented in the brick walls on which they may be se curely hung Two radiators have been put in the examina tion rooms of the negro building and the rooms thoroughly overhauled and painted A radiator has been added on both the ninth and tenth male negro wards Three improved adamantose water closets have been put in the negro building and three in the Powell building the lat ter are in one of the day rooms and fill a long felt want in that direction The fire fighting equipment has been improved by the ad dition of 600 feet of 2 12 inch fabric hose to replace that quan tity rendered defective by age Two shower baths have been put in during the year one at the male convalescent building and the other in the Whittle Both are supplied with hot and cold water and mixing valves The wooden floors have been taken from these rooms and re inforced concrete ones put in with a central drain making the whole floor waterproof and sanitary the floor itself acting as a receptor A fifteen horsepower electric motor has been bought for cutting ensilage at the dairy and a truck built on which the motor is mounted This enables it to be carried from place to place with ease and dispatch The following wards have been screened against flies106 SIXTYSEVENTH ANNUAL REPORT A part of the 21st white female ward The Infirmary ward of female negro building Infirmary ward of male negro building and two wards on Cabiniss Building A new roof has been put on the pathological laboratory building the interior walls have been done over and all of the wood work painted The room below the autopsy room has been filled in one foot and a concrete floor with a cement top dressing put in This room has been fitted with shelving on three sides and wired for electric lights A 10 K W trans former has been put on a pole near by and the building wired in conduit for current to the various pieces of appartus used therein A sheet iron hood 12 x 16 feet has been put up over the bakers oven in the kitchen of the Twin Building as a protec tion against fire A new shingle roof has been put on one of the old tubercu lar wards at the Negro Building The defective lime plastered ceiling has been taken down from two dining rooms and one pantry in the Powell Build ing and from two dining rooms in the West Detached Build ing and replaced with wood ceiling and painted A small house for storing gasoline has been built in the back yard away from all other buildings Five thousand three hundred and eighty three square feet of flooring has been laid on various wards during the year The exterior woodwork of three cottages has been painted and the interior work done over in paint and alabastine The interior woodwork and walls of the white female infirmary have been painted and enameled and the floors gone over with floor varnish and wax The following painting has been clone also Eight cement rooms The wood work of the 18th and 19th female wards The entire second floor of the Center Building with the exception of one room Three silos painted inside One room on third floor of Center Building First and second floors of Male Convalescent Center Build ing and front porchGEORGIA STATE SANITARIUM 107 First and second floors of Female Convalescent Building and front porch The machinery and part of the woodwork of the water works and such new work as was done by carpenters and mentioned elsewhere in this report Besides the ordinary repair work of the institution the following articles have been made and repaired in the several shops Carpenter Shop 432 Coffins 177 Boxes for shipping cof fins 2 Wagon bolsters 6 Coupling poles 1 Wagon crate 4 Wagon bodies 15 Flights steps 1 Oil house 17 Electric light crossarms 20 Wire guards 2 Plain cabinets 2 Double China cabinets 9 Paper boxes 15 Meat boxes 1 Medicine case 2 Sand screens 4 Bread paddles 2 Boat paddles 7 Hominy paddles 1 Electric switch box 2 Flower boxes 3 Lounge boxes 1 Bed on axle 3 Cart shafts 2 Double trees 18 Single trees 1 art body 2 Tool chests 67 Benches 36 Lattice benches 285 Mop handles 6 Dipper handles 2 Hoe handles 1 Hammer handle 4 Plugs 5 Sink tables 7 Dining tables 14 Writing tables 16 Large tables 208 Double table legs 70 Table legs 1 Keyboard 9 Sets shelves 360 Feet lineal shelving 38 Commodes 1 Ice dump 13 Sewing machine crates 200 Space blocks 41 Trays 1 Lever for hay press 4 Door frames 1 Plow beam 1 Long handle shovel 1 Pike pole 3 iStep ladders 1 Pair wagon hounds 2 Table tops 28 Lattice frames 1 Wagon tongue 24 Bed frames 1 Trap door 3 Tops for expansion jts 250 Feet lineal gutter 4 Doors 2 Door frames 1 Coal frame 8 Water gates 5 Mop caps 1 Coat rack 4 Files 2 Cone rims 1 Book case 5383 Sq ft of flooring 1 Room 12 x 25 ft ceiled 1 Room 60 x 40 ft ceiled 1 Room 12 x 12 ft ceiled108 SIXTYSEVENTH ANNUAL REPORT Tin Shop 24 1 gallon dippers 1 1 pint dipper I Feed cup 5 Strainers 1 Quart cup 10 Milk shakers 2 Cracker boxes 2 Boxes for watchmen 24 Lunch boxes 2 12 gal buckets 4 1 gal buckets 3 2 gal buckets 2 3 gal buckets 2 Buckets for watchmen 4 qt coffee pots 2 2 t coffee pots 2 3 qt coffee pots 1 1 gal coffee pot 1 Boiler 1 Lining for boat top II Linings for flushing tks 1 Lining for sink 12 Horns galvanized 2 Horns made 3 5 gal sterilizng cans 1 1 gal can 2 2 qt cans 11 3 t oil cans 1 1 gal oil can 2 1 qt oil cans 1 3 qt milk can 2 Clothes cans 3 Cracker cans 13 50 lb lard cans 118 Tin pitchers 60 12 gal pitchers 3 Clothes sprinklers 378 Ft of 6 in eave trough 305 Ft of 3 in conductor pipe Zy2 Ft of 5 in conductor pipe 44 Milk pans 78 Dish pans 18 Square pans 3 Drip pans 3 Extra large pans 3 Ash pans 4 Squares of roofing put on 15 Ft of valley tin 37 Joints 6 in stove pipe 2 Joints 7 in stove pipe 12 Ft of stove pipe 9 Small cups 6 Milk cups 1 12 in funnel 20 Flushing tank covers Furniture Repair Shop 1603 Chairs repaired 112 Cane seats put in 539 Wooden seats put in 122 New springs put in bed steads 14 Bedsteads repaired 179 Springs repaired 73 Leather seats put in chairs 223 Shades repaired 7 Shades taken down 208 Shades put up 2 Sewing machines repd 8 Safes repaired 64 Dressers repaired 10 Dressers varnished 16 Sets of harness repaired 94 Hame strings made 2 Breastyoke straps made 2 Breastyoke straps sew ed 2 Mangle aprons made 2 Mangle aprons put on 2 Bills repaired 1 Night watch case sewed 6 Carpets taken up 10 Carpets put down 2 Carpets stretched 17 Chairs upholstered 10 Chairs varnished IS Tables varnished 18 Prs lines repaired 36 Backstraps made 9 Breechings repaired 32 Glasses put in dressers 1 Step ladder repaired 4 Cane backs put in chairs 1 Screen canvassed 8 Lounges repaired 3 Lounges varnished 40 Brass knobs put onGEORGIA STATE SANITARIUM 109 3 Bellybands repaired 4 Shaft straps made 4 Singletree straps made 13 Pairs traces repaired 1 Trunk repaired 1 Trunk varnished 2 Mattings repaired 1 Stretcher made 4 Stretchers canvassed 2 Tie reins made 3 Clothes racks put up 22 Reaper aprons made 33 Reaper shafts repaired 9 Sets of shelves put up 3 Art squares put in 12 Straps made for fire dept 1 Pair bridle reins repd 7 Collars repaired 6 Iron bedsteads repaired 2 Brackets and poles put up 18 Bridles repaired 2 Wardrobes repaired 1 Set of harness repaired 1 Wooden back put on 1 Halter made 5 Washstands repaired110 SIXTYSEVENTH ANNUAL REPORT KppmhiK At a recent meeting of the Board of Trustees of the State Sanitarium it was deemed best to have the report upon the care and training of the imbecile feeble minded children and youth farther elaborated with the hope of bringing this im portant subject to the attention of the people of Georgia It is a well known fact that for many years attention has been called to this subject and appeal after appeal made for this un fortunate class o four citizens by the various Boards of Trus tees of this institution to say nothing of the untiring efforts of the late Dr T O Powell to have something done for the care and teaching of the class that was and is now being sadly neglected in so far as their physical development and men tal training is concerned The feeling of those interested in so great a work as this after so many appeals have been pre sented by those in a position to know the needs of the situa tion is almost one of resentment but when it is realized how little the public at large as well as those having the power of appropriation know of the subject and how much education is required in matters of this character in order that its impor tance be appreciated we become more lenient and are willing to present the subject again hoping that the day is not far off when the State of Georgia will provide for rather than banish into utter hopelessness those who have the right to demand from her a place where they could be rightly and properly cared for Does it not seem strange that there are but two Southern States Kentucky and Virginia which maintain separate insti tutions in which their imbecile feeble minded defective children and youth may be properly taught and cared for outside of and independently of their hospitals for the insane Be it said to the credit of twentyfive other states of the Union that they have institutions and schools whose special object is to care for this class of people and whose reports will show are doing good work The time is one in which the endeavor is to uplift and raise humanity to a higher plane this is noticeable in the cur rent literature of today for there is scarcely a magazineGEORGIA STATE SANITARIUM 111 which does not contain an article relative to title better ing of mankind as for instance articles on prison reform reformatory methods child labor and juvenile courts as well as man others along the same line too numerous to mention whose object and hope is to upbuild and help those needing care and protection The State of Georgia has done nobly and is abreast of many of her sister states in her charitable institutions as shown by the State Sanitarium and her schools for the deaf dumb and blind In her educational institutions she is also doing well and maintaining a high standard In view of these facts then why should the poor unfortunate de fective children already referred to be neglected and their ap peal for help fall upon deaf ears especially when we find such good and noble work in their behalf in other states It is a matter of surprise to see how even those in whom there is not a ray of intelligence are being brought from the creature to the being by the patience and tact of their teachers And those more fortunate and so more capable of mental development are taught and advanced to a wonderful degree One has but to read the wonderful article by Josephine Tozier in Mc Clures for May upon Maria Montessoris work in the Mind straightening school to see what results have been and can be obtained For a clearer understanding of the subject it might be well to define the conditions of which we are speaking by the term idiot is meant one deprived of higher mental power who may be taught or developed but whose mental capacity is only that of a child the feebleminded are those defective in judgment though not to the same degree as the idiot or im becile The definitions here given are of the older class the more modern ideas could be stated to be without understand ing destitute of ordinary intellectual power Mentally weak or feeble of mind which may be congenital or acquired For or dinary purposes and without dealing in technicalities which may be confusing let us use the term feebleminded in its broadest sense as applicable to the class of whom we are speaking Just here let it be understood and that most em phatically that children of this class are not insane and should not by any means be sent to or confined in insane hospitals for112 SIXTYSEVENTH ANNUAL REPORT in the language of Dr W A Fernald of Waverly Mass an able worker and teacher in this line It is unjust to the insane and most unfair to the feebleminded never proving successful but detrimental to both classes of patients Two incidents occurring at the State Sanitarium may be of use in illustrating some of the truths just stated relative to putting both classes in the same institution In the one instance a female patient enters the asylum at the age of twelve years feeble of mind but capable of mental and physical development after spending sixtyfour years in the institution is a child still not in body but in mind the State merely having cared for her without giving her such advan tages as might have developed her mental faculties to the point of making her self supporting The other a girl of nine years of rather pleasing appearance with a show of intelli gence in her face is sent to the Sanitarium and by force of circumstances is placed among the insane Those in a position to know stated that this child was ca pable of considerable development the facilities for which however the State does not provide In three months the girl from association with those much worse off than she be comes insane and so hopeless as to any future benefit and so becomes a care on the State for the rest of her life The object of an institution of this kind cannot be better stated than the following which I have taken the liberty of using verbatim and is from the Superintendent of Ohios insti tutions at Columbus Ohio Dr E J Emerick Its object is to furnish special means of improvement to that portion of our youth who are so deficient in mind or have such marked pecularities and eccentricities of intellect as to de prive them of the benefits of other educational institutionsand ordinary methods of instruction The education proposed will not only include the simple elements of instruction taught in common schools where that is practicable but will embrace a course of training in the more practical matters of everyday life the cultivation of habits of cleanliness propriety selfmanagement selfreliance and the development and enlargement of a capacity for useful occupation As promotive of these objects pupils will receiveGEORGIA STATE SANITARIUM 113 They are wanting in muscular and nervous nower H mg and phyS1cal development will therefore be es e t aT tc permanent mental improvement and hence ri essentlal u anValistLc exci rreh xr r cal influence of the body over the mind and ti reC1Pro body must be carefully studied ndpHed Th d energies of the body must be roused to action by ev ypbbl means i he wayward muscles are to be tauriitZ obedience to the dim spark of will that nay extt wh M must be strengthened and developed Theory Llj owe of attention must be cultivated and increased by the most at ractve means The affections must be nursedthe scki nses rained and educatedvicious habits are to be co re r and m Some feebleminded youth who are merely backward aA reman undeveloped from being misunderstood n g7e d 0 abused can by special means be brought out nd fee Id Others can be arrested on their downward course and mad orderly obedient affectionate docile and industrious and nearly a 1 can be materially improved in their general cond ton and habits But in order to secure the realifation of these blessings to this afflicted class they must have that special car treatment and instruction which cannot be obtained ir he famiry home or n private medical practice or by any oi the ordinary methods of instruction but only in some welt Greeted institution arranged furnished and organized Jthe accomplishment of these special objects and HHe CnCeSUS f Pinion bei that the feebleminded and the insane do not belong to the same class and should not voutl mSe T inStitUtion mea that the defective youth and children of our state must be cared for independ ently n an mstitution or colony entirelv their own It is well recogmzed that the colony or cottage system is by far the best means of accomplishing the best results for herein is com bined the physical development as well as the mental train ing for we know both the physical and the mental need to be114 SIXTYSEVENTH ANNUAL REPORT such physical education and such medical moral and hygienic treatment as their peculiar and varied conditions demand Idiocy and mental imbecility depend upon some abnormal or imperfectly developed condition of the physical systema condition in which the nervous organization is especially de fectivepreventing the harmonious and natural development of the mental powers Idiots and imbeciles are feeble in body as well as in mind caught and developed at the same time Needed grounds and buildings for this work should not be expensive for such is not at all necessary comfortable cottages is really all that is re quired with land enough to allow of such labor as may be deemed best by those in charge For a colony of this kind a competent Superintendent who should be a physician and if possible one already trained in the work with such teachers and attendants as in his judgment might be necessary Quot ing again from Dr Fernald I have never found it possible to employ teachers already trained for teaching the feeblemind ed We have always employed bright young women with kindergarten or normal training who have had some experi ence in primary teaching The cost of the buildings on the cottage plan for a plant such as the State of Georgia should have plainly but substan tially built should cost about 15000 dollars independently of the land which might be taken from that already owned by the State at Milledgeville The per capita cost should not be over two hundred to two hundred and twentyfive dollars a year which with the present number of seventy at the State Sanitarium would cost the State to maintain them 15750 1 year a sum which seems too small to be denied the children for whom we are appealing The subject with which we are dealing is a vital one demanding careful attention and thought for it deals not only with the present but with generations vet to come Allow me to quote from Dr Kerlin another able authority upon this line whose statement although made some years ago is as true and applicable today as when first expressed There is no field of political economy which can be worked to better advantage for the diminution of crime panGEORGIA STATE SANITARIUM 115 perism and insanity than that of idiocy The early recogni tion of some of its special and more dangerous forms should be followed by their withdrawal from unwholesome environ ments and their permanent sequestration before they are pro nounced criminals and have by the tuition of the slums ac quired a precocity that deceives even experts Only a small percentage should ever be returned to the community and then only under conditions that would preclude the proba bility of their assuming social relations under marriage or becoming sowers of moral and physical disease under the garb of professional tramps and degraded prostitutes How many of your criminals inebriates and prostitutes are con genital imbeciles How many of your insane are really feeble minded or imbecile persons wayward or neglected in their early training and at last conveniently housed in hospitals after having wrought mischief entered social relations repro duced their kind antagonized experts and lawyers puzzled philanthropists and in every possible manner retaliated on their progenitors for their origin and on the community for their misapprehension How many of your incorrigible boys lodged in the houses of refuge to be half educated in letters and wholly unreached in morals are sent into the community the moral idiots they were at the beginning only more pow erfully armed for mischief And pauperism breeding other paupers what is it but imbecility let free to do its mischief The subject and its importance cannot be more plainly and truthfully stated than the quotation just used It is to be hoped that all classes of citizens may become interested in this subject in fact we believe now the matter is interesting some of the noble women of the state To whom could we better appeal for that intelligent aid that should lead to a fruitful outcome in the establishment of a school for the feebleminded in the State of Georgia than her medical profes sion Lend us your aid my brothers and there can be no doubt as to the outcome The clergy of the State ever mindful of that which is good and elevating and who appeal to the best element of mankind we covet your help and assistance Our brethren of the law who come in intimate contact in the criminal116 SIXTYSEVENTH ANNUAL REPORT courts of the State with that which is known to be the direct outcome of the acts and crimes of the class we are trying to protect we beg your assistance In fact there is not a citizen of this State who is interested in the cause of humanity and the upbuilding of the race but to whom we appeal and with the combined efforts of them all the State of Georgia shall not be behind her sister states in caring for her defective childrenQf OR QIA QTA TE SANITARIUM ASlllt OqiVltLi ISA FH DiSAuaaute ENGINEER Proposed Buhoinq on Acute Insane at georgia state sanitarium MliLEUQElltE rA T H DtSAuasuEtr A flDBH PLAN Qf AirCiN AfQ SQUffiROOM AT AGHQ 3l0AG GORGA Srr SANfAilM MCLOGyLl QA rtDSAUQdUtf CMf A NQNVh VISixtyEighth Annual Report OF THE BOARD OF TRUSTEES OF THE Georgia State Sanitarium FOR THE YEAR ENDING December 31 st 1911 5 lje iHormmj eton PRINTERS AND BOOK BINDERS SAVAsNAH GEORGIAImtro of trustees Georgia State Sanitarium President JOHN T BRANTLEYBlackshear Ga VicePresident HENRY BANKS LaGrange Secretary RICHARD JOHNSONGray Ga THOMAS R WRIGHT M DAugusta Ga GEORGE S LOWNDESAtlanta Ga H H DEANGainesville Ga P H GAMBRELLMacon Ga J C JARNAGINWarrenton Ga N PETERSON M D Tifton Ga H M SMITHRome GaHommtttpea of Utaard of rusifpa Georgia State Sanitarium Executive Committee Henry Banks Chairman Richard Johnson Geo S Lowndes P H Gambrell Dr J C Jarnagin Finance Committee George S Lowndes Chairman P H Gambrell Henry Banks Dr J C Jarnagin Richard Johnson Committee on Medical Service Dr T R Wright Chairman H H Dean Dr N Peterson Committee on Buildings and Grounds H M Smith Chairman George S Lowndes H H Dean Committee on Outside Business Dr J C Jarnagin Chairman Dr N Peterson H M SmithExeruttup Mtrera of amtarium L M Jones M DSuperintendent and Resident Physician J M Whitaker M DFirst Assistant Physician J W Mobley M D from Nov 1st 1911 First Assistant Physician E M Green M DClinical Director N P Walker M D Assistant Physician R C Swint M DAssistant Physician Y A Little M DAssistant Physician L P Longino M DAssistant Physician Y H Yarbrough M DAssistant Physician W J Cranston M DAssistant Physician B McH Cline M DAssistant Physician Geo L Echols M DAssistant Physician J I Garrard M D from Nov 1st 1911Assistant Physician W F Tanner M Dfrom Nov 1st 1911Assistant Physician Geo H Green D D SDentist D S Carrington Pharmacist L J LamarSteward G W Hollinshead Farm Steward Homer BivinsAssistant Steward W H Hunter Storekeeper H S Jones Secretary T H DeSaussureEngineer Mrs J M DarnellMatron L H AndrewsTreasurer Rev J F SingletonChaplainBtxtijt0ltij Annual Uppnri of tljf loarii nf ntstpea of tlje geargta UU Santtartum Milledgeville Ga Jany 1st 1912 To His Excellency Jno M Slaton President of the Senate and Acting Governor SirThe Board of Trustees of the Georgia State Sanitari um respectfully submits herewith for your consideration the Sixtyeighth Annual Report of the institution covering its con duct and management for the year ending Dec 31 1911 The annual report of the Superintendent to the Board and of junior officers to him in turn are attached as part of this report They furnish full details of the years work Due credit is given to Superintendent Jones and his corps of loyal assistants for the excellence of this report Every effort has been made by him and them to promote the well being and happiness of the stricken ones in their care and to guard well the interests of the State The various reports will show how well this has been done From the Superintendents report is condensed a few facts of general interest which now follow The number of patients now in the Sanitarium is 3119 The new patients received during the year number 1064 being the largest years reception in the history of the institu tion The total number of patients receiving treatment during the year was 4411 the daily average being 3383 which is a gain of 107 over 1910 The percentage of patients discharged as restored or im proved based on the number received during the year was 33 610 The cost of each patient to the State per day was 03846 SIXTYEIGHTH ANNUAL REPORT The recommendations with which this report is closed have been carefully considered by the Board and in its judgment merit the attention of your Excellency and the Gen eral Assembly Business and Finance The report of steward Lamar is the first to be made for an entire year under the new system of accounting and pre sents an interesting statement of the business operations of the Sanitarium Under this system all supplies bought which do not at once go into consumption are handled in theory as the property of the State and do not reach the various ex pense accounts until issued for consumption Under the system formerly in use they were charged at once into such account as soon as bought It can readily be seen wherein the new gains in accuracy over the old The products of the farm gardens and dairy garnered by the Farm Steward in the successful operation of this department are taken into con sumption at a fair valuation and make a substantial contribu tion to the support of the Sanitarium Such items are fully set out in the report of this officer From the various Ex hibits and Schedules making up the Stewards report is con densed the following statement for the year Operating Income for 1911 State appropriations 46599200 Surplus in cash and supplies from 1910 4997455 Farm products in consumption 5196950 Farm products sold forcash 423891 Board of officers etc 250301 Sundry sales 113953 Live stock increase 152463 Total income to account for 57734213 Operating Expenses for 1911 Supplies consumed 30205153 Salaries and wages 16993135 Farm products consumed 3677980 Total expense 50876268 Surplus of income over expense 6857945GEORGIA STATE SANITARIUM T This surplus of income over expenses is held in the following forms Live stock etc1930041 Farm products 1518970 Farm supplies 271921 Subsistence supplies 1777743 Engineers supplies 938386 Fuel 850997 Cash and cash items 2065581 Total 9353639 Less reserved for deposits due patients accrued salaries and wages for supplies etc 2495694 leaving balance as above 6857945 The excellent business management for the year is shown in the growth in the surplus of 1911 over that of 1910 of 1860490 The actual cost to the State for each patient was as follows 0384 per day 269 per week 1154 per month and 13988 per year in which are included all expenses con nected with the management of the Sanitarium The differ ence in the cash balances reported by the Steward and Treas urer is accounted for by outstanding vouchers and by funds from the State accounted for by the Steward in 1910 and by the Treasurer in this years report Work of the Medical Department Chief interest in the Sanitarium centers naturally in the work of its Medical Department Here the Board Superin tendent Clinical Director and assistants meet in one common effort to advance its efficiency Handicapped by lack of suit able equipment and funds a gratifying years work has never theless been done The admirable report of the Clinical Director sets this out in detail It is of more than passing interest to note that in the routine work of this department all of the 1064 patients received during the year with but fewSIXTYEIGHTH ANNUAL REPORT exceptions were passed before the Medical Staff once many twice and a few three times in order to arrive at a correct understanding of the condition and need of each individual case As tending to promote the interest and efficiency of the Medical Staff monthly meetings are held in which papers bearing on the work in hand are read and discussed It is the intention to preserve such papers for publication in bulletin form at the close of the year The medical library is kept well supplied with valuable books of reference and scientific periodicals for the use of the officers In their work these officers have shown commendable zeal and the Board has nothing but praise for them The people of the State may rest assured their afflicted ones are in conscientious hands earnestly striving to help them Perhaps no need presses more sorely upon the medical officers than the lack of a suitably equipped hospital for the recent and acute cases of insanity in which alone rests a hope of recovery So long as a hope of restoring such cases remains it is of vital importance they be kept separated from the hopeless chronic insane less the depressing influence of such destroy all possibility of cure The crowded condition of the Sanitarium precludes any possibility of adapting any one of the present buildings for this use even were it suitably located Apart from the nobler motive such a building would appear a good investment to the State from the standpoint of economy since each patient the Sanitarium can discharge restored represents a substantial saving to it The estimate of the Engineer of the cost of such building suitably furnished is 13500000 The Nurses Training School which is under the care of the Medical Department is proving a valuable adjunct to its work The first class will graduate from it in 1912 It has served to attract to the employ of the Sanitarium for the first time in years a sufficient number of white female nurses for its work In this connection the Board would once again call your Excellencys attention to the importance of making pro vision for the comfort and well being of these faithful women They are now without place of recreation when off duty in which to gather for social pleasure They must obtain restGEORGIA STATE SANITARIUM 9 and sleep on the wards in which they are employed and it may readily be appreciated that there are frequent times when either is difficult to obtain The Sanitarium equipment should include a Nurses Hall for their use as a home It should be supplied with a sufficient number of bed rooms bath rooms etc and such sitting and reading rooms as are required It is estimated that such a hall can be built for 4000000 Better service might reasonably be expected when this need is supplied Plans are under way to be carried into execution as soon as the means are available looking to furnishing other means of useful employment to such of the patients as are capable of taking it The mental diversion given by such employment is recognized as a valuable agent in the treatment of insanity The attention of your Excellency is again directed to the large number of senile imbeciles harmless paralytics and harmless idiots found among the patients committed to the Sanitarium Neither of these classes can be benefitted by Sanitarium treatment and they would appear to be proper subjects for county care The Board deems the time at hand when for the better pro tection of society and State a sterilization law should be enact ed by the General Assembly It should apply to certain types of the insane defectives epileptics and criminals its purpose being to prevent the procreation of their kind The Board is advised that the operation involved entails no mutilation and is practically painless The value of such a law has led to its adoption by several of the States in which its execution is placed in the hands of a body of scientific men The San itarium might well be authorized to apply such a law to such patients as may be discharged from its custody but who in the judgment of its officers having due regard to the laws of heredity should be prevented from having offspring to be come in their turn a burden to society and the State Sane Epileptics and Feebleminded Children The laws of the State permit the commitment to the Sanitarium of epileptics who are not insane and of feebleio SIXTYEIGHTH ANNUAL REPORT minded children It is eminently right that both should have the protecting arm of the State about them but they ought not to be placed in her hospital for the insane It needs no argument to show that such a hospital is not the place for a sane person even though afflicted with epilespy and just as little is it a suitable place for the feebleminded child The Sanitarium has no separate or special equipment for their accommodation and the sane epileptic must associate with the insane to the detriment of both The feebleminded child can be fed clothed housed and oiven medical treatment when sick but this is all and for him all hope departs when he enters These children constitute thesaddest of the many sad spectacles to be seen within the walls of the Sanitarium and their pathetic condition wrings the heart of every humane visitor For the proper care and treatment of the epileptic the medical world appears agreed that the farm colony where plen ty of hard work in the air and sunshine may be had supplies the ideal equipment The initial investment for such a colony need not be large Simple farm buildings for both races and sexes should be provided together with a home for the Super intendent and the necessary farm buildings The selfhelpful labor of the inmates will contribute both to their health and support The necesssity upon the State of making some such provision for these sorely afflicted ones is strongly evident No disease is so repugnant in its outward manifestations as epi lepsy and to no one is the door of home school or church sooner closed Unless given proper care and treatment in the incipiency of the disease it progresses rapidly towards insanity and a burden is thus placed on the State for the re mainder of their lives For the feebleminded children not only a home but a school is required in which they may not only receive phy sical care but such mental and manual training as they may be capable of receiving As this training progresses useful employment can be found for them and they made in this way to contribute to their support It does not appear that expensive buildings are required to begin such a home and school and no doubt there are communities that would donateGEORGIA STATE SANITARIUM the land for such an institution if located in their midst The duty of the State to make suitable provision for these defective is not less strong than is her duty to the blind deaf and dumb The best ends of society are certainly served by such pro vision and it should be promptly made The law governing the Sanitarium should be amended so as to prohibit the further commitment of these classes to it Convict and Criminal Insane In 1904 the General Assembly enacted a law placing the care and treatment of the convict insane in the hands of the Prison Commission the Superintendent of the Sanitarium be ing directed to turn over to the Prison Commission all patients of this class then in the Sanitarium as soon as the required provisions were made for them These provisions have never been made or if made the Superintendent has never been noti fied The attention of your Excellency is called to this failure of the Prison Commission to comply with the law and so re lieve the Sanitarium of the care of such patients In connection with the foregoing your attention is call ed to the number of criminal insane nowin the Sanitarium By criminal insane is meant those cases which by plea of and trial for lunacy escape a trial for crime by commitment to the Sanitarium until restored The Sanitarium is not a prison and has no means of securely confining such cases so that they may be prevented from escaping It not infre quently happens that insanity is feigned with the express purpose of escaping from the Sanitarium It would appear wise to place such cases in the custody of the Prison Com mission requiring it to make the same provisions for them as for the convict insane The injury and injustice of forc ing the innocent insane in the Sanitarium into association with convicts and criminals of debased minds and instincts is so real as to demand quick remedy Notice of Trial for Lunacy The law now requires ten days notice to be given the three nearest adult relatives of the person to be tried forI2 SIXTYEIGHTH ANNUAL REPORT lunacy before such trial can be held but in consequence many such persons are placed in jail and held there as common felons until the required time has expired The report of the Super intendent again calls attention to the hardship imposed by this law and urges that it be so amended as to allow the notice of the trial when approved by the Ordinary to be waived by the relatives due record being made of such waiver In re cent and acute cases of insanity especially this jail confine ment is greatly to be deplored Crowded Negro Building The report of the Superintendent again calls attention to the necessity of providing more room for negro patients The present buildings contain 1012 patients and are crowded to the danger line Their sanitary condition thus crowded can readily be surmised Under the direction of the Board the Engineer has made careful study and it is his opinion that more room can be most economically provided by an an nex to the larger of the two buildings now used for this purpose since it can be served from the present kitchen and heating plant In this opinion the Board fully concurs It also be lieves that such an annex when built should carry a chapel or amusement hall for the use of these patients No such provision has heretofore been made for them and they are entitled to whatever happiness or comfort such a possession can give them The Engineer estimates that the cost of such an annex will be 9500000 Brass Band for Patients The officers of the Sanitarium asked and received the sanction of the Board to an effort to raise a sufficient sum of money by popular subscription for the purchase of the needed instruments and the employment of a competent in structor with which to equip a brass band to be organized among the attendants The response to their unselfish ap peal has been generous and within a short time it is expected to have the band under full headwav Tust what its musicGEORGIA STATE SANITARIUM 13 will mean to the patients whose happiness and pleasure is sought only those with some knowledge of institution life can fully know The Board takes this occasion to express its warmest appreciation of the interest thus manifested by the officers and by those contributing to the fund Engineers Report The upkeep of the great physical plant of the Sanitarium is in the hands of the Engineer and his report indicates an un usually busy year in that department The report of the Superintendent calls attention to many needed repairs which the Board has thus far been unable to reach The two ad ditional tubercular wards will soon be completed and fully occupied Boilers with which to replace those condemned in the Negro Building have been bought and are being in stalled Materials with which to enlarge the negro kitchen have been bought and this sorely needed improvement will soon be under way This kitchen now feeds about 1400 peo ple and in its present size is utterly inadequate to meet the very heavy demands on it hence this enlargement Materials with which to build a long needed storage res ervior for water have been bought but work on it has not yet begun owing to the pressure of other matters on the En gineer The demand on the white laundry has so far out grown its capacity that its early enlargement has become a vital necessity and for this work more than 600000 will be required The operating room in the Powell Building has been re built and is now in splendid condition for its purposes Fire drills are held at regular intervals under the direc tion of the Engineer The outside fire escapes of the Kirker Bender type would add greatly to the safety of the inmates in case of fire All fire escapes are now on the inside of the buildings and while apparently ample greater safety would be had by the addition of outside ones Death of Dr J M Whitaker The Board regrets to report the death of Dr J M Whit aker for many years the First Assistant Physician of the14 SIXTYEIGHTH ANNUAL REPORT Sanitarium His ability and devotion to his work made his services of great value to the institution A memorial ser vice was held by the Board in his honor Planning for the Future In the past 20 years the number of patients in the Sani tarium has grown from 1665 to 3419 At this ratio of in crease the future size of the Sanitarium can readily be seen It is already crowded with negro patients far beyond its ac commodations for them and more room must be provided at once The accommodations for white female patients will soon be taxed to their utmost capacity making more room for them an early necessity In view of these facts it would ap pear the part of wisdom to begin planning now for the fu ture In 1892 the Board recommended the establishment by the State of a separate hospital for the negro insane to be located elsewhere in the State in order to relieve the congest ed condition of the Sanitarium If this step could now be carried into effect the room here would be ample for some years to come The importance of this matter is so plain that the Board earnestly hopes it will have prompt and serious con sideration Several years at best will be required to carry such a plan into execution and in the meantime the need for more room for patients in the Sanitarium is already become urgent Recommendations In the discharge of the duty resting upon it the Board makes the following recommendations As to Laws 1st Amended so as to prohibit the commit ment to the Sanitarium of epileptics not insane fee bleminded children senile imbeciles and harmless paralytics 2nd Amended so that the three nearest adult relatives may with the approval of the OrdinaryGEORGIA STATE SANITARIUM waive the present required ten days notice of trial for lunacy 3rd Amended so that any person who shall abandon a patient on the Sanitarium Grounds with out the consent of the Superintendent shall be arrest ed and tried in the Courts of Baldwin County having jurisdiction in criminal cases and on conviction be punished as for a misdemeanor 4th Amended so that the Board may have the right to procure the services of an attorney at law as a legal adviser as occasion may require 5th Amended so as to change the name of the Georgia State Sanitarium to the Georgia State Hos pital for the Insane 6th Amended so that nine members shall con stitute the Board of Trustees of the Sanitarium that at the first appointment three shall be appointed for two years three for four years and three for six years and thereafter three shall be appointed every two years 7th The enactment of a sterilization law model ed after recently enacted similar laws in New Jersey Indiana and other states 8th Amended so as to abolish the office of Treasurer and to authorize the Board of Trustees with the approval of the Governor to nominate a Bank of Deposit as the custodian of the Sanitarium funds 9th Amended so as to require the Prison Com mission to assume the care and treatment of persons under trial for the commission of crime who by plea and trial for lunacy escape such trial until restored to sound mind again As to Appropriations 15 1st The appropriation of the sum of 95000 for the building of an annex to the negro building16 SIXTYEIGHTH ANNUAL REPORT 2nd The appropriation of the sum of 40000 to build a Nurses Hall 3rd The appropriation of the sum of 135000 to build and furnish a hospital for the recent and acute insane 4th The appropriation of the sum of 6000 for enlargement of laundry In Conclusion The thanks of the Board are due and now tendered your Excellency for the consideration shown in the discharge of its duties and to the General Assembly for its increased lib erality in the appropriations for 1912 and 1913 Respectfully submitted JOHN T BRANTLEY RICHARD JOHNSON President SecretaryGEORGIA STATE SANITARIUM i7 import of itpmttttrint For the Year Beginning Jan 1st 1911 and Ending Dec 31st 1911 Georgia State Sanitarium Jan 1 1912 To the Honorable Board Trustees Georgia State Sanitarium GentlemenI respectfully submit for your official con sideration the sixtyeighth annual report of this institution for the year ending Dec 31 1911 On Jan 1 1911 there were white patients on hand 2292 and colored 1055 There have been received since 646 whites and 418 colored making a total reception of 1064 There have been discharaged removed eloped and died 992 leaving in the institution 3419 on Jan 1 1912 of whom there were 132 whites and 41 colored on furlough not discharged The average number of patients under treatment during the year was 3383 while the total number receiving treatment was 4411 It will be seen that the average number receiving treatment was 209 more than last year Our net increase for the year is 72 Our per capita has been as follows Annual 13988 monthly 1165 weekly 269 daily 3840 average monthly expenses for institution 3897660 Our appropriation for the year 1911 was 46599200 We have a balance on hand after salaries and wages for the month of December shall have been paid which will be done on the 5th and 12th of January respectively of 26290 You will ob serve that our per capita was slightly above that of last year owing to increased cost of living Endeavoring to live within our appropriation and have no deficit we were unable to make the repairs and improve18 SIXTYEIGHTH ANNUAL REPORT merits so much needed Some of this work has been post poned so long until it cannot be put off any longer Take the negro kitchen for instance which was built when there were not more than onethird the number of patients we now have to cook for The size is inadequate the floor is worn out the cooking utensils too small and worn the boilers for cooking and heating the building have been in use so long that the insurance companies consider them unsafe and refuse to insure them any longer I am glad to say you have ordered this work done and we are now getting the material on the ground We have long been in need of more storage room for water as the storage capacity is very small only enough to last a few hours in case the water works should become disabled It is a pressing necessity The Legislature has been asked repeatedly for an extra appropriation to do this work but it has never been made I am glad to say that this work has also been ordered to be done and a good quantity of the material is now on hand I feel it my duty to mention other improvements that are very much needed It will be a reiteration of our report of last year but it should be agitated until the State sees its duty toward this institution and makes the necessary appro priations to carry on the work here as it should be done In the white laundry some of the washing machines have been in use for thirty years or more They were installed when the institution had less than one thousand inmates They are too small for the work and almost uselessso often getting out of order Besides the new machines needed other improvements such as additions to the boiler room a new brick chimney new steam boiler ironers hydroextractors etc are very much needed The estimated cost is 624000 We also mentioned the necessity of enlarging the general storehouse estimated cost 265100 concrete floor in 134 bath rooms 788500 wood ceiling in place of old plaster that is rotten and constantly falling thereby endangering the lives of the patients in the Powell Building back detach ed buildings and parts of the negro building 900500 finish ing one wine of the Twin Building 800000 additions toGEORGIA STATE SANITARIUM 19 the negro building to accommodate 300 patients this is a pressing need 10000000 erection and equipment of a build ing for the acute insane additions or new buildings for the children 3500000 a nurses hall etc If the institution is expected to do first class work and keep up with the progress of the times it will be necessary for these improvements to be made They cannot be made out of the present appropriation Our appropriation for this and next year will be a few cents per capita more than we had last year but with the increase in our pay roll amounting to twenty or more thousand dollars and the increased num ber of patients to be cared for will require economy and strict business principles to enable us to carry on the work and not have a deficit To increase the pay roll is a matter of neces sity For the last few years we have been greatly embar rassed most of the time for the lack of a sufficient number of nurses to properly attend the sick The character of the work and the meagre pay would not hold the help we could get This has been more noticeable in the white female depart ment than anywhere else At times we have had as many as thirty vacancies in this department alone frequently having as many as eight or ten notices to quit at one time I am glad to say that nearly all vacancies are now filled and the work is moving along very satisfactorily Training School While on the subject of nurses I wish to say that I am inclined to the opinion that the training school has been a great help to us in securing more help We now have a se nior and a junior class the former numbering 10 and the lat ter 15 Great interest is being taken by both classes and we have some good material from which to make good nurses Some of them have been with the institution so long that we will greatly regret to give them up if they decide to leave after graduation Miss A V Cross who has been connected with the institution as superintendent of nurses and training them as best she could with the opportunities afforded for the last 15 years was the leading spirit in organizing the trainSIXTYEIGHTH ANNUAL REPORT ing school and it was with great regret that we had to lose her valued services She was married to Dr N P Walker last June and resigned her position but kindly consented to serve until we could get someone else to fill the vacancy Before school opened its second term last October we were fortunate enough to secure the services of Miss Mae Miesse of Columbus Ohio as superintendent of nurses She came to us very highly recommended and her services have been very satisfactory We have also secured Miss Sara May as as assistant to Miss Miesse She is from the same city and state and renders good service in the surgical and sick ward Last summer Miss Alma Snipes one of the faithful few who has been nurse and assistant to the matron for quite a number of years was sent to Philadelphia to take a course in massage and hydrotherapy She finished the course within three months doing credit to herself and our institution in making the second best mark in the graduating class She is still a member of the senior class in our training school but is rendering valuable service in giving treatments to patients needing massage and hydrotherapy and instructing other members of the class in this line of work While we are put ting in some equipment for continuous baths it would be hard to estimate the good that would be derived from the in stallation of a full hydrotherapeutic outfit Miss Alice Vaughn was sent to Chicago where she took a sixweeks course in handicraft calisthenics games etc and is now equipped for instructing the patients in this line of work She has been engaged in this since returning until the school opened in October when she had to give it up on ac count of her studies We hope this work entertainment etc will be resumed as soon as school closes In every an nual report we have made we have stressed the importance of employment and entertainment for the mentally afflicted Being subject to morbid thoughts and selfintrospection they are sure to deteriorate in both body and mind if left in con stant idleness As mentioned in previous reports quite a number of pa tients are employed in the garden in the kitchen laundry dairy grading sewing and on the farm If we had industrialGEORGIA STATE SANITARIUM shops a good many more could be employed with profit not only to themselves but the institution Not as much for amusements and entertainments has been done as would be profitable The weekly dances are kept up some baseball during the spring and summer we have had some musicals and President Reynolds of the Geor gia Military College of Milledgeville with some local talent gave us a very enjoyable show Belle of Kentucky This kindness was highly appreciated by patients and officers A Victor Victrola has recently been bought with a number of records which no doubt will be greatly enjoyed by the pa tients The officers of the institution have formed a band association with the approval of the Board and are soliciting contributions from the public with which to buy instruments and pay an instructor that we may have a band of music for entertainments Subscriptions have been right liberal and we hope the project will be successful if so it will no doubt be the means of cheering many a melancholy spirit and a source of great pleasure to all The reports of the officers at the head of the different departments are so complete and show so thoroughly what has been done in these different lines I feel that it is hardly necessary for me to mention them save to call your attention to them The Clinical Directors report will give full details of the workings of the Medical Department In some of his monthly reports your attention has been called to the progress that has been made within the last two years I cannot commend too highly the work that he and the Medical Staff are doing Besides the clinics and staff meet ings daily in which every patient received in the Sanitarium is thoroughly examined and discussed an association has been formed and every member of the staff alphabetically will pre pare a paper to be read and discussed at the monthly meet ings and at the close of the year we hope to publish these papers in bulletin form The Stewards report shows in detail the receipts and dis bursements of all funds I am sure this department has been conducted in a businesslike manner and with a strict view22 SIXTYEIGHTH ANNUAL REPORT to economy Supplies are bought quarterly under competi tive bids the lowest bidder getting the contract quality be ing considered These purchases are made by your Execu tive Committee and they can testify as to the wisdom of buy ing goods in this manner The Farm Stewards report no doubt will be one of much interest to you It is not necessary for me to go into detail as to the good work done in this department as the report shows for itself The seasons were not favorable for garden ing being too dry in spring and summer but we had some vegetables most of the time It seemed too dry on the farm to make corn but with good cultivation more was gathered than was ever gathered in any previous year The oat crop and cotton were all that could be hoped for This farm as you know is known as the Colony and is cultivated by col ored male patients principally having about one hired man to every ten patients to work with them and take care of them The water supply at the Colony came so near failing dur ing the long dry weather in the latter part of the summer and fall of the year 1910 it was determined to raise the dam at the pond two feet and nine inches hoping thereby to get the pond full and have enough to carry us through the summer of this year but the weather continued so dry that the pond did not fill and by the middle of the summer was so low that it failed to work the automatic ram The spring some dis tance above the pond which was its main dependence during dry weather failed to reach the pond with its stream and the water that remained having no inlet became stagnant and unfit for use By developing this spring wemade a reservoir large enough to supply our needs and by connecting it with the main line of pipes and putting a pump into it we had no further trouble It is excellent water and we feel safe for the future as this spring was never known to fail However since the fall rains have been so abundant the pond has filled and we have a bountiful supply of excellent water without the expense of pumping from the spring At this Colony we have a grist mill run by a twentyhorse gasoline engine It makes splendid meal and for the last three months we have not bought a bushel of meal for theGEORGIA STATE SANITARIUM 23 institution making all that we have used from the corn grown on the farm We hope to be able to keep the mill going for the next three months and perhaps longer if we have good prospects for a good oat and corn crop the coming year Since the farm was established we have never had to buy any corn or forage for the stock and by improved methods and better fertilization with good seasons we hope soon to pro duce corn enough to not only feed all the stock of the insti tution but to supply all the meal we need We also have a cannery Last year the fruit crop was small and not having any in excess of what could be readily eaten while fresh none was canned but a nice supply of to matoes were put upabout four thousand 3pound and three thousand 10pound cans The Engineers report will show all improvements re pairs etc Were it not that he is so very modest and timid I would say some complimentary things about our Engineer but he needs no introduction to you gentlemen who know him and his worth to the institution He is not only a civil en gineer of the first quality but an architect and builder elec trician and anything else that you want him to be The Matrons report will show what has been done in the way of cutting and making garments mending etc Miss Miesse will make report on the training school from Oct 1st at which time her services commenced The report of the Pathologist will necessarily be a limit ed one as he has only been at work for a few months of the latter part of the year Religious services were conducted by Rev D W Brannen until Mr J F Singleton the new pastor of the Baptist church was elected to fill the unexpired term of Rev Lamar Sims who resigned to accept a call to the Albany Baptist church All of the dead who were buried here were given a Christian burial by the chaplain and preaching was had regularly every Sunday afternoon in the chapel Rev Elam Dempsey of the Methodist church was elected chaplain at the October elec tions for one year as it is the custom to alternate every year with the different denominations These religious services24 SIXTYEIGHTH ANNUAL REPORT are very much appreciated by our people and I am sure they lo a great and lasting good The library is looked after by Mr D E Kibbee in the Male Convalescent Building and is a source of great pleasure to a great number of the inmates I take this method of pub licly acknowledging thanks to the many friends who have con tributed magazines books and daily and weekly newspapers I feel like I would be derelict in my duty if I did not again urge you to recommend an amendment to the law which re quires ten days notice to be given to three of the nearest adult relatives before people can be committed here No one knows of the distress all over the State caused so frequently by this ten days delay unless one could be here and know of the many urgent pleas to allow the relatives to waive this notice that patients who are raving violent and dangerous may at once be received Frequently they have to guard such cases day and night and keep them tied down or send them to jail to keep them from destroying themselves or others This is in humane Relatives should be allowed to waive this ten days notice and send them immediately to the institution where they can be properly cared for Another very important recommendation made in your last report was to amend the law so as to prohibit the com mitment of senile harmless imbeciles and helpless paralytics To this might be added feebleminded children and harmless idiots These classes are rapidly filling up the institution and they cannot possibly be benefited by any treatment they can get here If this practice is kept up many more buildings will have to be erected on these grounds and prove a great burden on the State The law provides that if a patient is out of the institu tion either by parole elopement or discharge over ninety days a new commitment becomes necessary before one can be returned Frequently this is too short a time to determine whether one can be kept out or not I should like to see this amended so as to allow one six months trial before having to be recommited as new commitments mean more expense to the counties or relatives If this could be done we would be enabled to parole more without fear of this extra expenseGEORGIA STATE SANITARIUM 25 As you know Dr J M Whitaker who had been first assistant physician for nearly thirty years gave up his work on account of ill health and died Aug 11 1911 He had given the best work of his life to this institution and it sustained a great loss when his health failed I have heard the late la mented superintendent Dr T O Powell say that he never saw a better first assistant physician than Dr Whitaker He was ever kind and gentle toward his patients and saw that they were not mistreated or imposed upon and his loyalty to the institution was unquestioned Dr J W Mobley has been elected first assistant physi cian Dr R C Swint resigned last January to accept a position with Dr Rawlings in Sandersville but after a few months stay there decided he loved our Sanitarium better and came back to us Dr L P Longino resigned on the first of June to accept a very flattering partnership with his uncle in Atlanta and he too returned to his first love Drs J I Garrard and W F Tanner stood satisfactory examinations before Drs Thomas R Wright T M Hall and H D Allen and were elected to the staff in October Dr P H Weeks one of the internes appointed by the Augusta College stood examination at the same time and is now eli gible for a position on the staff should a vacancy occur Dr Kelly selected by the Atlanta College of Physicians and Surgeons served as interne from June to January and resigned to go to the Macon Hospital Dr A R Rozar was appointed by the Atlanta School of Medicine to an interne ship under resolution of your Board offering an interneship to the three Medical Schools to be selected from their honor rolls but failed to accept We were without a pathologist from January to October but finally secured the services of Dr S S Hindman who has been connected with the government at Washington D C in this line of work These I believe are all the changes that have been made all the other old officers being reelected in October26 SIXTYEIGHTH ANNUAL REPORT In closing I desire to express my indebtedness to all of the officers and employees for their cooperation and faith ful service to duty without which the affairs of the institution could not successfully be conducted and to thank you gen tlemen for your never failing interest and wise administra tion Very respectfully submitted L M JONES SuperintendentGEORGIA STATE SANITARIUM 27 Srport of tbe Elttwal lirwtur Dr L M Jones Supt Dear SirI beg to offer the following report of the Medi cal Department of the Sanitarium for the year ending Dec ember 31st 1911 Admissions During the past year 1064 patients were admitted this being the largest number received in any one year since the institution was established and shows an increase of 68 over the admissions for 1910 Of this number 165 had formerly been committed to this hospital or to others of like character There seems to have been an actual increase of insanity during the past few years as well as an increase in numbers due to the growing population of the State As shown by the cen sus report for 1903 there was in Georgia one insane person to every 835 of the general population while at the close of the present year there was in this institution alone one in sane person for every 733 of the general population of the State As will be seen by table No Ill only 25 of the number admitted were foreign born Among the admissions were an unusually large number who had committed criminal acts and were sent to the Sani tarium by order of court to be returned to their respective counties when restored These individuals were under indict ment for the following crimes Assault with intent to murder 1 Murder 6 Assault with intent to rape 1 Rape 2 Assault 3 Burglary 328 SIXTYEIGHTH ANNUAL REPORT Cheating and swindling 1 Issuing worthless checks 1 Horse stealing 1 Embezzlement 1 Misdemeanor 2 Theft 1 Of the number there were white males 11 negro males 10 negro females 2 Five of these individuals were not insane The following forms of insanity were noted in the re maining cases Constitutional inferiority S Constitutional psychopathic state 3 Epilepsy 2 Imbecility 1 Imbecility with epilepsy 1 Dementia praecox 3 Manicdepressive psychosis 1 Drug psychosis 1 Unclassified 1 Staff Meetings Since the inauguration of Staff Meetings two years ago it has been the custom to present each patient for diagnosis as soon after examination as practicable If the diagnosis was unquestioned the patient was not presented for a second time unless the course of the psychosis manifested some unusual phase but the cases in which there existed doubt as to its ac curacy were brought before the Staff for a second time after they had been under observation for two or three months Especially obscure cases were presented for a third time The time allowed for presentation of these patients is necessarily limited and discussion of doubtful cases cannot be gone into thoroughly owing to the large number admitted Consequently it has been thought best to present no doubtful case until it has been under observation for several weeks that advantage may be taken of the additional information so obtained During the past year 1033 of the 1064 patients admittedGEORGIA STATE SANITARIUM 29 were brought before the Staff The remaining 31 died or were removed before this could be done Many of the number were presented twice and a few three times In the latter group there were several criminals in regard to whose in sanity some doubt existed while others were brought up for consideration of the advisability of their discharge The benefit derived from these meetings by both the phy sicians and the patients can only be appreciated by those who have some knowledge of such conferences They result in increased interest in insanity abstractly and in a more intelli gent understanding of the individual patient Anamneses As mentioned in our last report great difficulty is ex perienced in securing reliable information in regard to the family and personal history of our patients The history blanks sent by the county ordinaries are carelessly filled out the data being usually inaccurate and frequently misleading In an attempt to remedy this matter rather elaborate forms are sent to the relatives whom we have been unable to see per sonally These forms when properly filled out give us quite a good part of the information desired but even these requests for information are frequently ignored and are seldom care fully complied with The assigned causes of insanity obtained from relatives or from acquaintances are often misleadng and can rarely be accepted with any degree of confidence therefore we are in the majority of cases left without reliable infor mation as to the factors bringing about the psychosis This inability to secure the facts desired is in part responsible for the unsatisfactory table No X in which are given the etiologi cal factors other than heredity Discharges Comparatively few of our patients are discharged as res tored The insistence of relatives is responsible in great part for the discharge of many patients before recovery while the applications for admission are pressing and room is needed to30 SIXTYEIGHTH ANNUAL REPORT accommodate acute cases and to relieve the jails of their care Whenever a convalescent patient is not considered dangerous to himself or to others and it appears that a return to his home will not prove harmful he is allowed to leave the insti tution in custody of his relatives on a furlough of ninety days if they desire to remove him In many cases recovery is com pleted before the expiration of the furlough but no report is made to the institution therefore the patients condition on discharge is recorded as noted at the time of furlough During the past year the condition of patients discharged is given as follows Restored 79 Improved 279 Unimproved 83 Not insane 9 Total450 The percentage of those restored and improved based on the years admissions is 336 that of the restored alone being 74 Those discharged as restored and improved based on the whole number under treatment is 80 As in past years quite a large number of those admitted suffered from psychoses from which recovery could not be hoped for This condition is more noticeable in Georgia than in many other states as here no provision is made for the epi leptic or the feebleminded while many of the counties do not maintain almshouses in which a number of the harmless senile patients might be kept Our percentage of recovery is much reduced by reason of the large number of such cases 544 of our admissions for the year being afflicted with incurable psychoses of which might be mentioned Senile phychoses 123 General paralysis 69 Phychosis with nervous or brain disease 44 Dementia praecox 146 Paranoic condition IS Epilepsy 80GEORGIA STATE SANITARIUM 31 Constitutional inferiority 35 Imbecility and idiocy 67 Total579 Physical Diseases During the past twelve months 2772 cases of acute ill ness were reported This does not include all such cases treated as many ill patients reported during the previous year were still under treatment while report of many cases was not made through oversight or because of their trivial or transi tory character it was not considered to be necessary An epidemic of measles occurred during the early part of the year No cases developed in the negroes and only four white males were affected Later an epidemic of parotitis was confined almost ex clusively to the white males and the negro females only one white female and two negro males being affected Eleven cases of typhoid fever were reported five of whom were attend ants There were recorded during the year 157 cases of tuber culosis Of these cases 109 or 694 gave evidence of the dis ease on admission while in 38 additional cases tuberculosis was suspected though the symptoms were not clear enough to admit of a positive diagnosis being made Of the total admissions 152 patients acknowledged the presence of tuberculosis in one or more of their immediate relatives 311 individuals being affected In 285 instances a tubercular heredity was denied In the cases therefore of whom it was possible to obtain a family history tuberculosis was noted in 347 All of the seven pavilions for tubercular patients are filled while the one for white males cannot ac commodate all the cases occurring in that department The larage pavilion for white females now in process of erection should provide all the room needed for some years The year has shown no diminution in the number of cases of pellagra 169 having been reported Of this number 75 or about 45 gave evidence of that disease on admission and 26 additional cases appeared within sixty days after entering the Sanitarium32 SIXTYEIGHTH ANNUAL REPORT On initial examination valvular disease of the heart was found in 164 patients while other cardiac disease was discov ered in 19 additional cases We find therefore the presence of cardiac disease in 172 of all admissions Arteriosclerosis was noted in 137 cases Surgery By referenceto table No XVI it will be seen that in ad dition to 476 minor surgical procedures 43 major operations and 87 operations of less gravity were performed Geneal anaesthesia was required in 96 instances All of these operations were performed by the members of the Staff unassisted by surgeons from without the insti tution except in one instance in which a trachelorrhaphy with suspension of the uterus was done by Dr Wright of the Board of Trustees The results achieved compare favorably with those of general hospitals and should be gratifying to everyone con nected with the institution and especially so as many of the patients did not cooperate in the after treatment some being in so excited a condition as to necessitate the use of force to keep them in bed while others removed dressings and left their beds whenever the vigilance of the nurses was for any reason temporarily relaxed One white female died on the third day following a double oophorectomy On autopsy an intestinal paralysis was found One white male between 70 and 80 years of age was oper ated upon for strangulated hernia Some days afterward a periurethral abscess developed Several weeks later an acute cystitis appeared causing his death six weeks after the oper ation With these two exceptions recovery followed every opera tion Deaths As will be seen by table No XVII quite a large number of deaths have occurred during the year Many of the pa tients committed to the institution have some serious organicGEORGIA STATE SANITARIUM 33 disease and are only brought to us in its latter stages or when their condition becomes so precarious that they can no longet be properly cared for at home Occasionally patients arc brought to the Sanitarium practically moribund and die within a few hours Of the deaths reported 512 occurred in those who had been in the institution for less than twelve months and of this number 295 died within thirty days after their admission Two patients one white male and one white female com mitted suicide by hanging Both unfortunate occurrences took place at meal time while the patients were alone in their rooms The largest number of deaths is attributed to pellagra this disease being responsible for 106 deaths or 195 of the whole number To tuberculosis is attributed 19 of the deaths The cause of death in 17 instances was undetermined The greater number occurred suddenly without previous ill ness others died shortly after entering the institution and be fore thorough examination could be made In all of these cases autopsy was refused Training School Our Training School for nurses has entered upon its second year of successful operation under the supervision of Miss Mae Miesse Superintendent of Nurses The Senior class numbers 10 the Junior class 16 All pupils of the school seem to take an enthusiastic interest in the work and as a re sult the service is better than it has been at any time in the past The establishment of the school has attracted notice throughout the State consequently we have for the first time in several years a full nursing force and applications for posi tions are still being received Each member of the Medical Staff lectures to one of the classes and the pupils are receiving as high a grade of in struction as is given in the school of any similar hospital The accompanying tables show the diagnostic grouping of the patients received and the percentatge of each group34 SIXTYEIGHTH ANNUAL REPORT based upon the whole number of admissions as well as that by race based upon their respective admissions TABLE I Form of Psychosis of Patients Admitted During the Year 1911 Traumatic psychoses Senile psychoses Dementia paralytica Psychoses with other brain or nervous disease Alcoholic psychoses Drug and other toxic psychoses Infectiveexhaustive and autotoxic psychoses Allied to infectiveexhaustive psychoses Psychoses accompanying pellagra Involution melancholia Depressions undifferentiated Dementia praecox Allied to dementia praecox Paranoic conditions Manicdepressive psychosis Allied to manicpsychosis Epileptic psychoses Hysterical psychasthenic and neurasthenic psychoses Other constitutional disorders and inferiori ties Imbecility and idiocy Not insane Unclassified White M 2 37 23 21 26 9 4 Total 14 4 2 51 5 8 29 10 32 21 23 6 12 365 Colored M F 29 2 11 8 7 2 31 3 7 26 17 4 56 21 15 5 20 13 281 39 27 8 3 2 5 1 5 31 10 2 16 6 22 18 17 4 1 1 6 1 20 38 8 1 47 11 11 2 123 69 44 3 30 22 4 7o 7 9 146 5 15 148 47 80 10 3 35 9 67 1 9 8 45 206 1064 IGEORGIA STATE SANITARIUM TABLE II 35 Percentage Ratio Traumatic psychoses Senile psychoses Dementia paralytica Psychoses with other brain or nervous disease Alcoholic psychoses Drug and other toxic psychoses Infectiveexhaustive and autotoxic psychoses Allied to infectiveexhaustive psychoses Psychoses accompanying pellagra Involution melancholia Depressions undifferentiated Dementia praecox Allied to dementia praecox Paranoic conditions Manicdepressive psychosis Allied to manicdepressive psychosis Epileptic psychoses Hysterical psychasthenic and neurasthenic psy choses Other constitutional disorders and inferiorities Imbecility and idiocy Not insane Unclassified 03 102 3S 49 41 41 17 03 69 1 13 119 49 18 131 47 72 13 4 06 09 3 o 13 0 10 5 28 09 07 26 04 59 165 43 07 15 4 78 02 21 57 07 47 01 115 04 41 29 28 03 65 00 08 137 4 7 1 4 139 45 75 09 32 62 08 42 Traumatic Psychoses This group is composed of only two cases both white males neither of whom had a former hospital residence No family history was obtainable in either case The psychoses followed severe head injury and was manifested in one case as posttraumatic constitution and in the other as traumatic defect condition Senile Psychoses The number of cases assigned to this group is somewhat in excess of that for the year 1910 being 123 or 115 of the whole number received Only four of these patients had a for mer hospital residence all four having been discharged from this institution as improve No family history bearing on the presence or absence of nervous or mental diseases could36 SIXTYEIGHTH ANNUAL REPORT be secured in 62 instances In 28 cases such history was acknowledged in 33 it was denied Where the facts could be obtained it was found that 459 of the cases showed the presence of such etiological factors The following clinical types were represented Deterioration 87 Excitement 3 Presbyophrenia 4 Depressed and agitated states 7 Delirious and confused states 10 Paranoid states 12 Total123 Dementia Paralytica With our improved methods of diagnosis and the more frequent use of lumbar puncture as a diagnostic measure the number of patients assigned to this group has grown larger As stated in the report for 1910 however our admissions do not show the high proportion of cases of general paralysis found in those institutions which draw extensively from the cities As shown by table No VIII 584 of our admissions for 1911 were from the rural districts and 201 from the villages of less than 8000 population leaving only 252 or 236 who came from the larger towns and the cities The proportion of cases of general paralysis is much high er in the negro than in the white race being 105 for the former as contrasted with 38 for the latter The reasons for this condition can be readily understood when the preva lence of syphilis in the negro race is recognized in conjunc tion with the fact that only in extremely rare instances is treatment for the disease continued longer than a few weeks or months During the year 1911 general paralysis was found in 69 individuals admitted to this institution 3 of whom had spent some months in private hospitals from which they were trans ferred to us A family history of nervous or mental diseaseGEORGTA STATE SANITARIUM 37 was obtained in 21 of the 41 patients concerning whom reliable information could be secured Of these 69 patients a history of syphilitic infection was acknowledged by 39 while in 11 addi tional cases a probable infection was admitted In 5 instances such a history was denied No information could be secur ed concerning the 14 remaining cases Accepting the statements in regard to the probable pres ence of syphilis we find that 909 of the patients of whom we have information had contracted syphilis at some previous date The following types of the psychosis were observed Cerebral type 55 Tabetic type14 Total 69 Psychoses with Other Brain or Nervous Disease Of the 44 cases assigned to this group 2 had been in the Sanitarium formerly One of them a white male whose con dition was due to cerebral syphilis was committed twice dur ing theyear having been taken home on furlough and not re turned to the institution until after its expiration A satisfactory family history was obtained in only 24 of the 44 cases and showed the presence of nervous or mental disease in 416 of the number The following nervous disorders were met with Acute chorea 1 Anterior poliomyelitis 1 Brain tumor 1 Cerebral arteriosclerosis 15 Cerebral hemorrhage 6 Cerebral softening following hemorrhage or embolism 7 Cerebral syphilis 6 J hmtingtons chorea 1 Tabes dorsalis 3 Tubercular meningitis 1 Undetermined 2 Total44bS SIXTYEIGHTH ANNUAL REPORT Alcoholic Psychosis Psychoses resulting from the prolonged use of alcohol are found in only a small proportion of the patients admitted to this institution The difficulty with which alcoholic bever ages can be secured in the country and in the villages of this State is in part responsible for this condition The limited consumption of alcohol is further due to the fact as stated in table No IX that only 233 of the 1064 patients admitted are recorded as being in affluent circumstances The greater portion of our population especially those of the negro race nearly all of whom use alcohol when it can be had are finan cially unable to obtain it in quantity or with any degree of regularity This group is composed of only 31 individuals 4 of whom had been formerly committed to this institution Of the num ber 59 gave a family history of nervous or mental disease while in 68 one or more of the immediate relatives were habitual users of alcohol The clinical forms presented were as follows Acute hallucinosis S Chronic alcoholism 8 Delirium tremens 5 Deterioration 8 Korsakows disease 2 Paranoid state 2 Pathological intoxication 1 Total31 Drug and Other Toxic Psychoses This group is composed of 30 patients 3 of whom had formerly been in the institution A family history of alco holism was obtained in 50 of the number while in 357 one or more relatives were found to have been insane or to have suffered from some nervous disease The psychosis of one patient a negro male seems to have followed his taking at one time almost a full bottle of some drug which his physician prescribed in teaspoonful dosesGEORGIA STATE SANITARIUM 39 It appeared to have been a hallucinatory excitement of only a few days duration from which he was recovering when ad mitted In a second case also a negro male an attack quite similar to the one just mentioned seems to have been pro duced by large doses of quinine The psychoses resulted from the use of the following drugs Morphine 8 Morphine and alcohol 2 Morphine and cocain II Morphine alcohol and cocain 3 Cocain 2 Bromoseltzer 1 Paregoric I Quinine 1 Drug undetermined I Total30 InfectiveExhaustive Psychoses This group is composed of 22 patients a much smaller number than was shown byour last report The separation of the cases due to pellagra which were formerly included here is accountable for this reduction Family histories of the 13 patients regarding whom information could be ob tained show the presence of nervous or mental diseases in 769 None of the 22 patients had a former hospital residence The following etiological factors were noted Influenza I Pneumonia 2 Puerperal toxemia 2 Frequent pregnancies with prolonged nursing 1 Pulmonary tuberculosis 3 Pulmonary tuberculosis with valvular heart disease 2 Valvular heart disease with purulent endometritis I Syphilis 2 Typhoid fever 5 Thyreogenous disorder 1 Chronic nephritis with pulmonary gangrene I Chronic nephritis tuberculosis and valvular disease 1 Total224o SIXTYEIGHTH ANNUAL REPORT Allied to InfectiveExhaustive Psychoses The 4 cases composing this group all showed the gen eral features of infectiveexhaustive psychosis but etiological factors which would account for the conditions could not be discovered and in 2 of them additional symptoms not belonging to that psychosis were present None of the 4 patients had a previous hospital residence and all of them gave a family history of nervous or brain disease Psychoses Accompanying Pellagra It has been thought best to form a separate group of the psychoses in which pellagra seems to be the causative factor or at least the chief factor in their development Formerly these psychoses were grouped according to their symptoms with the forms recognized in our scheme of classification It appears however that quite a large proportion of physicians who are familiar with pellagra believe that this disease is directly responsible for a psychosis which manifests itself in a variety of symptoms combinations of which in given cases approach if they do not closely follow those of the accepted forms of mental disorder As the disease pellagra is of such general interest at present especially in this section of the United States and as our knowledge of its cause course and sequelae is still far from complete we have on the advice of Dr Adolf Meyer tentatively adopted the group of Psychoses accompanying pellagra Under this general heading are placed all cases of insanity in which pellagra seems to be the exciting cause the group being subdivided into types as the symptoms ap proach more closely one or another of the groups mentioned Psychoses of some months or years standing in which pel lagra develops are not included here Of the 70 cases comprising this group 2 were formerly in this institution One of them a white female had pellagra shortly before her first commitment One also a white fe male admitted in 1904 was discharged after seven monthsGEORGIA STATE SANITARIUM 4i as restored the diagnosis being manicdepressive psychosis One white male had a former hospital residence but we were unable to secure any information concerning him The females of both races seem to be more susceptible to this form of psychosis than are the males Of our 70 cases mentioned above 703 were females Fiftyone of the 487 females admitted during the year were assigned to this group while only 19 of the 577 males received were so classified A family history of nervous or mental disease was ob tained in 681 of the 44 cases in which information on this point could be secured According to the clinical manifestations the following types were noted Infectiveexhaustive type 38 Dementia praecox type 9 Manicdepressive type g General paralysis type g Involution melancholia type 2 Senile type 2 Type undetermined 5 Total70 Involution Melancholia Under this heading were placed 7 cases 4 white males 3 white females Two of the number had previously been in this institution from which they were discharged after a residence of eleven months one as restored one as improved An additional patient had been committed to three different hospitals for the insane in all of which a diagnosis of melan cholia was made and from each of them he was discharged as improved Three of the 7 patients gave a history of insanity in one or more members of their families Undifferentiated Depression This group is made up of those cases in which depression is the most prominent feature and in which the accompany42 STXTYEIGHTH ANNUAL REPORT ing symptoms are too few or too vague to justify their being included in more clearly defined groups It is composed of only 9 individuals all of whom belong to the white race None of them had previous hospital res idence and 8 of the number gave a family history of insanity or nervous disease Dementia Praecox This group is comprised of 146 patients or 137 of the whole number admitted and in point of numbers is slightly below the manicdepressive group Only 19 of these patients had a former hospital residence 17 of them being discharged from this or other institutions as improved or unim proved Two cases are recorded as restored a marked and prolonged remission being mistaken probably for re covery In the case of 69 individuals of this group a family history of mental or nervous disease was obtained while in 44 no information could be secured The 103 giving reliable information for at least two generations showed such heredi tary factors in 67 The ratio of negroes classified as de mentia praecox is larger than that in any other one of our recognized groups though it is somewhat lower than was shown in our records for 1910 The decrease in numbers may be due to the fact that pellagrous patients presenting the symptoms of dementia praecox have been classed with the former disease as has been mentioned above According to the clinical manifestations this group is divided into the following forms Hebephrenic form including simple deterioration 38 Katatonic form 31 Paranoid form 4 Form undetermined 13 Total146 Allied to Dementia Praecox Of the 50 patients included in this group 43 had never previously been committed to a hospital for the insane Five of the 7 remaining cases had been in this institution once oneGEORGIA STATE SANITARIUM 43 twice and one three times previously Four of the number had been discharged as restored two as improved one as un improved One of those discharged as restored was said to have had four previous attacks but the anamesis was so un satisfactory that considerable doubt was raised as to whether these were separate attacks or merely exacerbations in the course of the same attack For the past twenty months this patient has been inattentive indifferent negative and apparent ly deteriorated In 14 instances the presence of mental or nervous diseas es in relatives for at least two generations is denied while in 31 it is acknowledged Such hereditary factors were noted in 688 of patients giving information relative to this point Paranoic Condition Of the 15 individuals assigned to this group 7 had form erly been committed to hospitals for the insane from which they were discharged as improved or as unimproved One of the number had been sent to this institution on eight pre vious occasions He has shown no disposition to be violent at any time and as his behavior while in the Sanitarium is usually good his relatives have repeatedly been allowed to remove him after a few months residence In 60 of these cases a family history of nervous or men tal disease was obtained ManicDepressive Psychosis Of the 148 patients assigned to this group 63 had form erly been admitted to this institution or to other hospitals for the insane 85 had no previous hospital residence During the past year there was a notable decrease from former years in the number of males both white and colored who suffered from this form of mental disorder while there was a marked though less striking increase in the number of females so classified To manicdepressive psychosis as shown by our percentage table is attributed only 130 of the admissions for the year 1911 or 13 less than for the year 1910 Eighty of the patients in this group gave a history of insanity or ner44 SIXTYEIGHTH ANNUAL REPORT vous disease in one or more members of the family this be ing 54 of the whole number Such a history for at least two generations was denied in 36 instances while in 32 no information in regard to this point was obtained Of the 116 cases therefore in which reliable family histories could be secured a neuropathic or psychopathic hereditywas acknowl edged in 689 The psychosis presented the fololwing forms White Colored Total Manic attack 48 45 93 Depressive attack 20 11 31 Circular form 4 5 9 Mixed form 13 2 15 85 63 148 Of these 148 patients 89 gave a history of former attacks as follows One previous attack47 Two previous attacks 11 Three previous attacks 11 Four previous attacks 7 Five previous attacks 2 Six previous attacks 4 Seven previous attacks 1 Eight previous attacks 1 Ten previous attacks 1 Several previous attacks 1 Many previous attacks 2 Total89 Allied to ManicDepressive Psychosis The cases included under this heading present the general features of manicdepressive insanity though in some instanc es one or more of the cardinal symptoms of this psychosis are wanting while in some additional symptoms belonging to other groups are presentGEORGIA STATE SANITARIUM 45 Of the 47 patients so classified 14 had previous hospital residence A family history showing the presence of nervous or mental disease was obtained in 574 of the number Epilepsy The number of epileptics admitted to the instution during the year 1911 was much smaller than that for the previous year being 75 of the whole number received Nine of the number had formerly been confined in hospitals for the insane from which they were discharged 4 as improved 4 as unim proved One escaped from this institution and was discharg ed at the expiration of 90 days Of the 55 patients of whom we have information insani ty or nervous disease in one or more relatives was acknowl edged in 581 A history of paternal alcoholism was given in 622 Maternal epilepsy was noted in 5 cases paternal epilepsy in 1 while other relatives of 8 additional cases suf fered from this disease We find therefore a family history of epilepsy in 254 of these patients the number of relatives so afflicted being 22 According to the clinical manifestations the following conditions were noted Deterioration 62 Excitement simple 8 Excitement hallucinatory 6 Dazed state 2 No mental change noted 2 Total80 Hysterical Psychasthenic and Neurasthenic Psychoses Ten cases were grouped under this heading One of the number had a previous hospital residence of four months at the expiration of which time she was discharged as improved n one instance no family history could be secured but in 666 of the 9 remaining cases the occurrence of nervous or mental disease was noted46 SIXTYEIGHTH ANNUAL REPORT The form of psychosis was as follows Hysterical 2 Psychasthenic 3 Neurasthenic 5 Total10 Other Constitutional Disorders and Inferiorities To this group were assigned 35 individuals of whom 4 had formerly been in the institution 2 having been discharged as improved 2 as unimproved A family history of alcoholism was obtained in 24 of the number Of the 33 cases in which information could be obtained the occurrence of mental or nervous disease was noted in 606 A further classification of these patients was made as follows Constitutional psychopathic state 10 Constitutional inferiority 25 The former group was comprised of 5 white males 1 white female 3 negro males and 1 negro female The white males showed no intellectual deterioration On the contrary two of them appeared to be exceptionally bright but all man ifested an instability of character were incapable of steady application evinced a preference for the companionship of their social inferiors and had been for years sources of an xiety and mortification to their relatives All of them showed criminal tendencies one sexual perversion Three were prone to exhibit ungovernable outbursts of temper on small provo cation Two expressed paranoid ideas and in two halluci natory episodes were noted The white female manifested emotional instability un controllable rage impulsive acts became excited or depressed with insufficient reason and was suspected of sexual irregu larities The three negro males brothers gave evidence of weak ness of judgment and lack of emotional balance They were subject to periods of extreme religious excitement and a mildGEORGIA STATE SANITARIUM 47 paranoid trend was apparent One of them acknowledged a hallucinatory episode The negro female was an especially bright girl 16 years of age but was uncontrollable given to ungovernable rages in which she became homicidal She was also guilty of im moral actions All individuals composing the second group showed mild intellectual defect Most of them gave a childhood history of being hard to control obstinate disobedient cruel un truthful Irritability excitability unaccountable depressions were noted and immoral practices were early acquired Later in life the emotional instability and defects of character be came more noticeable criminal tendencies appeared in some and in some sexual perversions Hallucinatory episodes were noted in several cases while paranoid trends were not infre quent In one case hysterical tantrums were present occa sional Imbecility and Idiocy Of the admissions for the year 60 individuals were classi fied as imbeciles 7 as idiots Six of the imbeciles and two of the idiots also suffered from epilepsy which appeared in child hood Seven of these patients had a former hospital resi dence having in every instance been discharged as unim proved In 34 instances no family history was obtained Of the remaining 33 cases nervous or mental disease was present in the relatives of 848 while a family history of alcohol ism was acknowledged in 698 Not Insane Nine of the patients admitted during the year gave no evidence of insanity One of them a negro male had been in the institution on two previous occasions Before his last commitment he had been confined in jail for some months where he presumably had an attack of excitement from which he had recovered before being returned to the Sanitarium48 SIXTYEIGHTH ANNUAL REPORT Five of the number were criminals who either feigned insanity or were committed through the efforts of relatives in the hope of escaping punishment for their acts The three remaining patients probably had psychoses of short duration from which they recovered before admission Three of the nine cases gave a family history of nervous or mental disease Unclassified The number of unclassified cases is somewhat larger than that given in our last report In the case of many of the patients admitted it was impossible to secure trustworthy information regarding the onset duration and manifestation of the psychosis In other cases inaccessibility of the patient to examination the presence of obscure symptoms or unusual combinations of the symptoms exhibited served to render the diagnosis uncertain An effort has been made not to force our grouping but rather to leave these doubtful cases unclassified temporarily at least in the hope that subsequent observation will allow them to be more accurately assigned Ten of the patients of whose disorder no diagnosis was made had a former residence in this or other similar institu tion from which 4 were discharged as restored 3 as improv ed while the condition on discharge was not given in 3 in stances No family history was obtained in 14 of the number but of the remaining 31 cases a neuropatic or psychopathic hered ity was admitted in 516 In the following tables will be found more detailed in formation in regard to the patients admitted during the yearGEORGIA STATE SANITARIUM 49 TABLE III NATIVITY OF PATIENTS ADMITTED DURING YEAR 1911 Alabama 20 Arkansas Colorado Connecticut Florida Georgia Illinois Kansas 1 1 1 8 904 1 1 Kentucky 2 2 1 6 1 1 18 2 1 South Carolina 52 Louisiana Maryland Mississippi New Mexico New York North Carolina Ohio Pennsylvania Tennessee Texas Virginia Austria Canada China England France Germany Greece India Ireland Poland Russia Scotland Sweden Switzerland Unascertained Total1064 TABLE IV Civil Condition of Patients Admitted During the Year ign Wl M lite F 85 131 48 4 13 Cole M 74 96 23 19 red F 45 72 50 38 r 206 0 H Unmarried 153 58 28 3 23 357 457 149 7 93 1 Married Widowed Divorced Unascertained Total 365 281 212 1064 TABLE V DEGREE OF EDUCATION OF PATIENTS ADMITTED DURING THE YEAR 1911 Read print 44 Read and write 326 Common school 321 High school 46 College 23 None 240 Unascertained 59 Total10645 SIXTYEIGHTH ANNUAL REPORT TABLE VI Occupation of Patients Admitted During the Year 1911 Agricultural Pursuits Farmer Farmers wife Farmers son Farmers daughter Farm laborer Farm laborers wife Farm laborers daughter Dairyman Gardener Stock raisers wife Wood cutter Tie cutter Turpentine distiller Turpentine distillers daughter Turpentine dipper Turpentine dippers wife box chipper Professional Service Actor Architects daughter Draftsman Clergyman Electrician Electricians wife Lawyer Lawyers wife Physician Physicians wife Physicians daughter Physicians son Teacher Teachers wife Veterinarys wife Domestic and Personal Service Larber Boarding house keeper H ouse keeper House wife Hotel keeper 11 otel keepers wife Laborer Laborers wife Laborers son Launderer Laundress Nurse Saloon keeper Seryant Waiter White Colored M F 125 9 22 M 1 87 27 6 4 40 F 13 72 25 66 11 3 38 41 23 o 166 100 9 28 166 15 3 1 4 3 6 1 1 1 3 1 4 1 1 2 1 1 2 1 4 3 3 2 9 2 1 1 1 3 8 1 1 34 5 1 1 39 4 3 27 2GEORGIA STATE SANITARIUM 5i TABLE VIContinued Occupation of Patients Admitted During the Year 1911 Prostitute Soldier Watchman Watchmans wife Policeman Policemans wife Janitor Clothes presser Butler Trade and Transportation Agent real estate Agents wife Bankers wife Bookkeeper Bookkeepers daughter Broker Clerk Stenographer Commercial traveler Commercial travelers wife Commercial travelers daughter Draymans wife Hackmans son Teamster Teamsters wife Peddler Merchant Merchants wife Merchants daughter Porter Railroad employee Engineer Flagman Hostler Porter Yard Master Coach cleaner News boy Porters wife Section foremans wife Section hand Section hands wife Salesman Salesmans wife Saleswoman Telephone linesman Telegraph operator Undertaker Undertakers wife Insurance solicitor Wlnte Colored M 14 H M F 19 3 1 1 12 1 1 3 4 5 1 1 1 J 2 3 5 8 3 4 2 4 1 1 1 1 t 1 2 5 1 1 4 I 3 1 1 252 SIXTYEIGHTH ANNUAL REPORT TABLE VIContinued Occupation of Patients Admitted During the Year 1911 White Colored 3 M F M 1 F 22 0 H t 1 I 1 1 1 1 1 2 9 2 1 1 2 1 2 4 2 1 1 2 1 6 1 Building Trades 8 9 1 3 1 3 7 5 1 Glass and Stone Products 2 1 1 1 5 1 1 1 1 3 1 2 1 2 Fishing and Mining Miner 3 3 Food and Kindred Products Baker 27 Miller Pickle maker 1 I Iron Steel and Their Products 1 3 8 1 8 Mechanic 1 5 Wheelwright 2 1 1 1 2 Scissors grinder 1 Leather and its Finished Products 2 Tanners daughter 1 GEORGIA STATE SANITARIUM 53 TABLE VIConcluded Occupation of Patients Admitted During the Year 1911 Beverages and Liquors Bottler Lumber and its Manufacture Cabinet makers wife Cooper Saw mill employees wife Lumber inspector Metal and Metal Products Locksmith Jeweller Paper and Printing Printers wife Pressman Textiles Cotton Mill Operatives Carder Drawer Folder Spinner Spooler Sweeper Weaver Welter Cotton mill operatives wife Dress maker Seamstress Tailor Tailoress Unascertained None White M Total F Colored M 21 il 2 6 F o I I 2 3 1 4 7 1 2 1 6 1 1 22 53 365 2S 212 206 I06454 SIXTYEIGHTH ANNUAL REPORT TABLE VII RELIGIOUS BELIEF OF PATIENTS ADMITTED DURING THE YEAR 1911 Adventist 1 Baptist 466 Christian 24 Episcopal 9 Greek church 2 Hebrew 9 Holiness 3 Lutheran 3 Methodist 229 Mohammedan 1 Presbyterian 27 Protestant independent 224 Roman Catholic 26 Santification 1 Unitarian 1 None 20 Unknown 18 Total1064 TABLE VIII ENVIRONMENT OF PATIENTS ADMITTED DURING THE YEAR 1911 City 252 Village 201 Rural S84 Unknown 27 Total1064 TABLE IX Financial Circumstances of Patients Admitted During the year 1911 Poverty Comfort Affluence Unascertained Total White Colored M F M K 92 5 66 67 184 97 105 98 72 107 28 26 17 26 3 15 35 281 212 206 276 484 233 78 1064GEORGIA STATE SANITARIUM 55 TABLE X Ftiological factors other than heredity in psychoses of patients admitted during year 1911 rork domestic Mental Factors Mental stress worry over unhappiness Emotional shock death of relatives dis appointment in love Religious excitement Physical Factors Advanced age with failing health Advanced age with vascular degeneration Alcoholic excess Alcoholic excess with drug addiction Alcoholic excess with viceral and general disease Alcoholic excess with advanced age Alcoholic excess with service in tropics Alcoholic and sexual excess Arteriosclerosis Cerebral hemorrhage Drug intoxication Epilepsy Head trauma Incident to pregnancy and parturition Menopause Metrorrhagia Pellaera Physical injury Sexual excess Surgical operation Svohilis Viceral and general diseases not speci fied above Physical and Mental Factors Alcoholic excess with grief business or domestic worry Viceral and general disease with grief business or domestic worry No Ascertained Factor Not Insane Total White M Colored M 4 23 32 6 10 2 1 2 4 9 1 19 5 144 6 365 23 18 3 19 1 3 4 8 11 6 1 1 34 11 113 26 6 2 3 3 10 2 26 12 7 17 4 1 2 87 2 5 1 23 10 17 0 51 36 15 85 43 8 1 2 9 16 30 46 7 11 2 1 78 2 2 4 5i 61 2S1 98 1 206 18 442 9 106456 SIXTYEIGHTH ANNUAL REPORT TABLE XI Ages of Patients Admitted During the Year 1911 Under 10 years 10 to IS years 15 to 20 years 20 to 25 years 25 to 30 years 30 to 35 years 35 to 40 years 40 to 45 years 45 years to 50 years 50 to 55 years 55 to 60 years 60 to 65 years 65 to 70 years 70 to 80 years Over 80 years Unascertained Total 365 White Colored M F M F 3 1 1 9 5 5 5 34 17 9 7 49 35 36 29 43 44 24 37 39 27 21 26 29 32 19 26 26 5 9 15 21 24 14 17 3 23 12 4 18 15 9 5 27 16 14 4 12 11 10 4 19 14 16 11 5 1 2 1 2 1 4 365 281 212 206 5 24 37 149 148 113 106 65 76 70 47 61 37 60 8 1064 TABLE XII Duration of Insanity Before Admission Under one month 1 to 3 months 3 to 6 months 6 to 9 months 9 to 12 months 12 to 18 months 18 to 24 months Several months 2 to 3 years 3 to 4 years 4 to 5 years 5 to 6 years 6 to 8 years 8 to 10 years 10 to 15 years 15 to 20 years 20 to 30 years Over 30 years Several years Congenital Unascertained ot insane Total White M 34 59 33 17 22 11 30 4 25 7 9 8 9 2I 8 1 4 I 4 47 19 6 365 7 72 32 20 15 8 13 3 15 3 6 7 6 3 4 3 3 1 6 26 iS 281 Colored M 17 55 16 6 20 10 9 2 8 4 3 1 3 3 1 25 63 22 7 8 4 10 3 12 8 3 4 1 2 4 o 93 249 ioi 50 65 33 62 12 60 22 21 20 9 10 17 4 8 2 13 108 79 9 2121 206 I r 64GEORGIA STATE SANITARIUM TABLE XIII 57 DischargesWhite Traumatic psychoses Psychoses accompanying nervous or brain disease Senile psychoses General paralysis Alcoholic psychoses Drug and other toxic psychoses Infective exhaustive psychoses Involution melancholia Depression undifferentiated Dementia praecox Allied to dementia praecox Paranoic conditions Manicdepressive psychoses Allied to manicdepressive psy choses Epileptic psychoses Hysterical neurasthenic and psy chasthenic psychoses Constitutional inferiority Imbecility and idiocy Not insane Unclassified Male I U Female 31 9 5 Total33 45 6 1 9 11 4 3 29 13 U 101 23 7 12 6 18 19 15 8 15 34 6 4 22 17 7 21 18 4 14 1 332 RRecovered IImproved UUnimproved SNot insane TABLE XIV DischargesColored Senile psychoses General paralysis Alcoholic psychoses Infectiveexhaustive psychoses Allied to infectiveexhaustive psy choses Drug and other toxic psychoses Paranoic conditions Dementia praecox Allied to dementia praecox Manicdepressive psychoses Allied to manicdepressive psy choses Epileptic psychoses Psychasthenic psychosis Constitutional inferiority Imbecility and idiocy Xot insane Unclassified Male Total 14 I 40 U Female I 19 25 U 4 4 3 5 1 1 20 4 43 RRecovered IImproved UUnimproved SNot insane58 SIXTYEIGHTH ANNUAL REPORT TABLE XV Physical Diseases Reported During the Year 1911 White I Colored M 26 6 3 1 2 14 II General Diseases A Epidemic diseases Dysentery 21 Erysipelas 3 Influenza 19 Malarial fever 20 Measles 4 Parotitis 95 Pertussis Tonsilitis 17 Typhoid fever 5 B Other General Diseases Anemia Carcinoma of breast Carcinoma of prostate Carcinoma of uterus Diabetes Epithelioma of face Exopthalmic goitre Pellagra Rheumatism acute articular Rheumatism chronic Septicemia Syphilis secondary Syphilis tertiary Tuberculosis general Tuberculosis of glands Tuberculosis of intestines Tuberculosis of meninges Tuberculosis of peritoneum Tuberculosis of pleura Tuberculosis of lungs Tuberculosis acute miliary Diseases of the Nervous System and Or gans of Special Sense Cerebral hemorrhage Cerebral syphilis Chorea Facial Paralysis Meningitis Multiple neuritis Neuralgia Neuritis Neuropathic decubitus Sciatica Status epilepticus 9 Tabes dorsalis j 3 Conjunctivitis IO Corneal ulcer 1 Hypopyon I Iritis 2 Otitis media 8 iS 8 16 10 39 1 1 1 47 8 5 1 29 M 2 1 27 2 4 1 49 1 P 65 17 1 1 38 o H 68 11 49 37 43 163 1 85 1 1 1 1 7 2 1 169 8 12 7 4 47 3 6 1 1 2 1 141 25 2 2 1 1 3 10 2 2 1 28 3 36 2 1 J9 2GEORGIA STATE SANITARIUM 59 TABLE XVContinued Physical Diseases Reported During the Year 1911 White Colored M M 18 17 6 6 1 20 III Diseases of the Circulatory System Aneurysm of aorta Aneurysm of carotid Anasarca Asthma cardiac Cardiac valvular disease Cardiac disease other organic Edema of feet and legs Gangrene of feet General arteriosclerosis Hemorrhoids Myocarditis Pericarditis i 2 Phlebitis Varicocele 11 IV Diseases of the Respiratory System Bronchitis acute 15 Bronchitis chronic Bronchial asthma Bronchopneumonia Coryza acute Croup spasmodic Emphysema Gangrene of lung Goitre Hemorrhage of lungs Hypostatic pneumonia Laryngitis acute Lobar pneumonia Ozcna Pleurisy Pharyngitis acute Pulmonary edema Pulmonao congestion V Diseases of the Digestive System Appendicitis Catarrhal gastritis Catarrhal jaundice Cholecystitis Cholelithiasis Cholera morbus Cirrhosis of liver Enteritis acute Enterocolitis Gastritis acute Gastritis chronic Gastric ulcer Gastroenteritis Illeocolitis 58 1 3 4 1 I 14 3 16 7 1 1 2 18 2 1 1 12 6 1 3 10 5 2 2 18 1 2 13 2 2 1 3 17 4 2 1 1 5 2 3 2 1 23 2 2 12 16I 8 1 1 10 1 33 2 2 2 3 4 3 67 11 4 1 58 46 10 4 6 40 18 9 3 39 1 S 14 1 1 5 23 2 20 12 4 3 18 2 15 6 1 5 2 117 3 9 66o SIXTYETGHTH AXXUAL REPORT TABLE XVContinued Physical Diseases Repotted During the Year 1911 White Colored 2 2 6 35 F 6 6 1 4 65 M F 1 2 0 V Diseases of Digestive SystemCon Intestinal colic 9 Intestinal parasitism 5 9 28 I I I 7 Intestinal toxemia l9 145 2 3 Ptyalism 1 6 3 2 43 8 1 1 4 2 1 Stomatitis 17 2 58 VI Diseases of the Genitourinary System Amenorrhoea Dysmenorrhoea 1 2 2 2 T 18 5 3 2 24 4 6 1 12 Menorrhagia Metrorrhagia Leucorrhoea Endometritis 3 34 8 4 1 8 Chancroid To Epididymitis 5 I 14 2 I 7 Ovaritis Nephritis acute 2 16 1 8 2 3 fin Nephritis chronic Renal colic 3 Pyelonephrosis Prostatic hypertrophy 6 2 14 2 Prostatitis Salpingitis Hydrocecle 4 1 I 6 19 3 5 3 2 4 8 4 5 1 4 Hematuria Dysuria Vaginitis 11 1 5 9 12 1 2 15 56 VII Diseases c f the Skin Glands and Cellular TissueAbscess simple 14 2 5 5 2 3 6 1 9 11 2 5 3 Abscess palmar Abscess ischiorectal Cellulitis 7 Carbuncle I i 7 6 Furunculosis Scabies 4 1 8 2 Urticaria Tinea circinata 8 27 22 S Ulcer simple 5 2 1 2 1 1 1 Ulcer syphilitic Ulcer varicose Dermatitis 6 GEORGIA STATE SANITARIUM TABLE XVContinued Physical Diseases Reported During the Year 1911 White Colored VII Diseases of the Skin Glands and Cellu lar Tissue Eczema Pediculosis corporis Hordeolum Psoriasis Herpes labialis Herpes zoster Decubitus Adenitis Paronychia Eruption undetermined VIII Diseases of the Locomotor System Necrosis of bone syphilitic Rhumatoid arthritis Arthritis Myositis Lumbago Pleurodynia IX Accidental Traumatisms Burn Scald Fracture of clavicle Fracture of femur Fracture of humerus Fracture of metatarsal bone Fracture of nose Fracture of radius Fracture of rib Fractur of scapula Fracture of tibia Fracture of ulnar Fracture of skull Dislocation of ankle Dislocation of shoulder Sprain of ankle Sprain of wrist Wound contused Wound incised Wound lacerated Wound infected X Miscellaneous Undetermined fever Vaccinia Undiagnosed conditions M Total 14 14 931 2 5 2 19 M 23 2 I 2 13 792 I I 3 13 7 355 22 9 01 3 694 6 7 9 2 11 3 1 6 2 1 1 1 9 2 1 6 2 8 7 2 2 5 1 1 1 1 2 2 3 9 3 47 4 130 25 1 77 38 277262 SIXTYEIGHTH ANNUAL REPORT TABLE XVI SURGICAL OPERATIONS PERFORMED DURING THE YEAR 1911 Abscesses incised and drained carabuncles incised and curetted wounds repaired lumbar punctures etc476 Amputation of finger 3 Amputation of toe 1 Amputation of breast 1 Adenoidectomy 1 Appendectomy 9 Appendectomy with double salphingooophorectomy 1 Cellulitis multiple incisions with drainage 1 Circumcison 12 Cystotomy suprapubic 1 Dilatation of cervix 1 Dilatation and curettage IS Enucleation of eye 2 Eipthelioma of forehead excision 1 Fibroma of labia minora removal 1 Fibroma of scrotum removal 1 Fistulotomy 2 Ganglion removal 1 Hemorrhoidectomy 6 Herniotomy inguinal radical cure 7 Herniotomy inguinal double radical cure 3 Herniotomy umbilical radical cure 1 Hydrocele radical cure 1 Hysterectomy carcinoma 1 Hysterectomy fibroids 4 Hysterectomy retroversion with prolapse 1 Lipoma removal 4 Oophorectomy double 1 Oophorectomy with removal of fibroid 1 Oophorectomy double with suspension of uterus 1 Orchidectomy 1 Papilloma removal 4 Paracentesis thorax 4 Paracentesis abdomen 3 Paracentesis cornea 1 Phlebotomy 5 Perineorrhapy 5 Perineorrhaphy with trachelorrhaphy 1 Resection varicose veins of leg 1 Salphingooophorectomy 2 Salphingooophorectomy double 4 Sebaceous cysts removal 3 Skin graft 2GEORGIA STATE SANITARIUM 63 Tracrielorrhaphy 3 Trachelorrhaphy with suspension of uterus 1 Trephine of skull 2 Tonsilotomy Tumor of buttock removal Tumor of wrist removal Uterine polyp removal Varicocele excision Ventrosuspension of uterus 2 Total 60664 SIXTYEIGHTH ANNUAL REPORT TABLE XVII Cause of Death I General Diseases A Epidemic diseases Typhoid fever intestinal perforation Measles Measles with pneumonia Measles with enteritis Dysentery Erysipelas B Other general diseases Septicemia Septicemia with cystitis Pellagra Tuberculosis pulmonary Tuberculosis acute miliary Tuberculosis general Tubercular meningitis Turbercular pleurisy Tubercular enteritis Tubercular peritonitis Tubercular lymphadenitis Tuberculosis pulmonary with pellagra Syphilis cerebral Carcinoma of rectum Epithelioma of face Carcinoma of uterus Rheumatism chronic Anemia II Nervous Diseases Cerebral hemorrhage Brain tumor General paralysis of insane Cerebral softening Exhaustion from acute mental disease Exhaustion from chronic mental disease Multiple neuritis Chorea with exhaustion Epilepsy Epilepsy convulsions asphyxia Statue epilepticus Organic brain disease III Circulatory System Pericarditis Valvular disease of heart Other organic disease of heart Acute dilatation of heart Rupture of aorta Arteriosclerosis general Arteriosclerosis cerebral Hemorrhage intestinal Valvular disease with arteriosclerosis Valvular disease with pulmonary con gestion White II 5 29 9 Colored M 6 42 2 t 51 27 2 1 1 1 1 10 o 2 1 1 6 2 6 1 106 88 3 3 1 1 4 2 1 1 1 1 1 1 1 2 25 1 35 1 4 5 1 1 7 1 15 16 1 22 3 1 1 3 2 2 2GEORGIA STATE SANITARIUM 65 TABLE XVIIContinued Cause of Death IV V Respiratory System Bronchitis acute Bronchitis chronic Bronchopneumonia Lobar pneumonia Pulmonary edema Pulmonary gangrene with nephritis Emphysema with arteriosclerosis Pulmonary hemorrhage Pulmonary congestion Hypostatic pneumonia Digestive System Enteritis acute Enteritis chronic Colitis chronic Uncinariasis Obstruction of intestines Cholecystitis Genitourinary System Nephritis acute Nephritis Chronic Nephritis with valvular heart disease Cystitis acute Prostatitis suppurative Uremia Diseases of the Skin Carbuncle with valvular heart disease VIII Diseases of Old Age Senile exhaustion Senile exhaustion with convulsions Violence Fracture of femur Fracture of femur with exhaustion Suicide by hanging Illdefined Diseases Inanition Undetermined VI VII IX X XI Total White M 13 Colored M 131 no 146 155 542 13 1 1 2 6 9 2 1 1 1 1 18 1 1 1 1 54 1 1 2 4 1766 SIXTYEIGHTH AXXUAL REPORT TABLE XVIII Duration of Hospital Residence of those who died during the year 1911 Under 2 2 to 1 to 2to 3 to 7 to 8 to 9 to 10 to 9 10 11 to 12 11 12 to 15 IS to 18 18 to 24 to to to to to 8 to 10 to 10 15 IS to 20 20 to 30 30 to 40 Over 40 weeks weeks months months months months months months months months months months months months months months years years years years years years years years years years vears Total White M 13 Colored M 146 155 29 39 43 40 26 22 20 17 12 16 4 5 5 24 11 25 49 27 16 20 21 16 19 7 15 542 Respectfully submitted E M GREEN Clinical DirectorGEORGIA STATE SANITARIUM 67 jEeport of uperitttptttettt of Nuraea Dr L M Jones Supt Georgia Sanitarium Dear SirI have the honor of submitting the second annual report of the Training School During the year there were Applications for admissions 126 Probationers admitted 22 Probationers accepted 15 Probationers not accepted 7 Graduates on the staff 2 Number of pupil nurses 25 Plan of Instruction Instruction is given By lectures demonstrations and prac tical work on the wards Announcement of Course of Study First Year Hours Nursing 32 Dietetics lo Anatomy and Physiology 16 Bandaging Emergencies Materia Medica and Therapeutics 16 Hygiene and Bacteriology 16 Pharmacy 16 Second Year Medical nursing 16 Surgery 16 Surgical nursing 16 Laboratory 6 Nursing ethics 10 Hydrotherapy and massage 16 Diseases of the ear eye nose and throat 10 Nervous diseases 668 SIXTYEIGHTH ANNUAL REPORT Gynecology 10 Theory of obstetrics 6 Mental diseases 16 Nursing the insane 16 The nurses are sent to some general hospital in the state for their practical work in obstetrics We are very much in need of a nurses dormitory where the nurses can be away from the patients and work when they are off duty I do not know of anything they would appreciate more Grateful acknowledgment is made to the physicians for lectures and medical attendance upon members of the school Respectfully submitted MAE MIESSE Supt of NursesGEORGIA STATE SANITARIUM 69 Aporargs import Milledgeville Ga Jan 1 1912 Dr L M Jones Superintendent Dear SirI have the honor to submit to you my report of the Apothecary Department for the year 1911 It is the policy of this department to manufacture all pharmaceuticals and preparations used by the institution and we have done so at all times where it was economy to do so restricting pur chases to chemicals and such specialties as were required by the physicians Statement The following is a statement of all expenditures etc of Apothecary Department for the year 1911 Amount of drugs purchased including all druggists sun dries dental and laboratory supplies all preparations for fumigation disinfecting and sanitary purposes also all alcohol wines and whiskies 830134 Amount of drugs sold officers and employees 28188 Number of prescriptions filled 31766 Amount of disbursements 842015 Balance of stock on hand 230769 Amount of fixtures etc on hand 38550 Respectfully submitted D S CARRINGTON Apothecary7o SIXTYEIGHTH ANNUAL REPORT Senitafa Import Dr L M Jones Superintendent Dear SirThe following is an itemized statement of the work done in the Dental Department during the year 1911 Extractions 834 Gold fillings 23 Porcelain inlays 1 Amalgam fillings 576 Cement fillings 222 Guttapercha fillings 7 Enamel fillings 1 Nerve cappings 25 Nerve treatments 22 Nerves devitalized 56 Root treatments 139 Root fillings 78 Application of mummefying paste 7 Abscess treatments 59 Abscesses lanced 29 Lancing gums over 3rd molar 10 Treating gums about 3rd molar 4 Treatments for Pyorrhoea Alveolaris 9 Cleaning teeth number of patients 23 Applications of silver nitrate 7 Removing calcerous deposits number of patients 44 Treatments for facial neuralgia 18 Treatments for acute odontalgia 135 Treatments for pericementitis 6 Treating gums number of patients 24 Treatments for oral ulcers 12 Treatments for stomatitis 3 Plates made 3 Plates repaired 18 Porcelain crowns 2 Crowns reset 9 Bridges removed permanently 2 Bridges reset 2 Bridges repaired 1 Shaping up disfigured teeth number of patients 4GEORGIA STATE SANITARIUM 7 Setting screws in roots Operations for Ranula Removing sequestrum from soft palate 1 Treating open sinus in soft palate 2 Special calls to wards 123 Number of new patients examined 768 Total number of patients treated 1440 Total number of operations and treatmens 2393 Respectfully submitted GEORGE H GREEN Dentist72 SIXTYEIGHTH ANNUAL REPORT Report of PatljologiHt Milledgeville Ga Dr L M Jones Supt Georgia State Sanitarium Dear SirI have the honor to report on the following work performed in the Pathological Laboratory from Sept 26 1911 to Dec 31 1911 inclusive 199 specimens of urine have been examined for albumen glucose reaction color odor and specific gravity and the sedi ment from each examined microscopically for casts epithelial and blood cells etc 32 specimens of sputa have been examined for tubercle bacilli 15 specimens of feces have been examined for animal parasites 15 specimens of blood have been examined for malaria etc 6 tumors have been examined Miscellaneous examinations as follows 1 special urine and autogenous vaccine from same 1 spec imen of milk for tubercle bacilli 1 ascitic fluid for cell count and differentiation 1 chancre 5 modified Wasserman reac tions The largest portion of my time was devoted to the exam ination of 67 specimens of cerebrospinal fluid which was in most instances obtained from patients suffering with pella gra A detailed report of these is herewith appended In addition to the above 6 autopsies were performed and tissues from the same examined microscopically Of the 199 specimens of urine examined the following figures will show the results obtained 1809 contained albumen 301 only the slightest trace 653 albumen and castsGEORGIA STATE SAXITARIUM 73 402 351 251 653 phate hyaline casts hyaline and granular casts casts without albumen a reducing substance for copper sul Of the 13 specimens giving a positive test for glucose or rather a reducing substance for copper sulphate four were from patients that had been addicted to the use of drugs and recently admitted to the institution four others were doubt ful as future tests failed to reveal anything that would indicate the presence of glucose Possibly alkaptonuria although very rare may prove to be a factor in such cases as these and I hope to investigate and report on such cases at a later date The re maining five cases were undeniably diabetics one of them showing a specific gravity of over 1060 which is sufficiently uncommon to report In examining for glucose I have used principally Bene dicts one solution reagent which consists of the following Copper sulphate 173 grams Sodium citrate 1730 Sodium carbonate Anhyd salt 1000 Distilled water 10000 cc Dissolve sodium salts in 700 cc of water with the aid of heat and the copper sulphate in the remaining water and mix while stirring See the Journal A M A Oct 7 1911 for original article The above reagent by actual comparison to Fehlings so lution using a 110 solution of pure anhydrous glucose proved more reliable and since it is pointed out in several textbooks on the examination of urine that Fehlings solu tion will show the presence of glucose in pure solution more readily than when in urine seems to me to be sufficient reason for using the former Not the least important advantage is that you have only one solution whereas in Fehlings you must keep two solutions made and at least one of those is not very stable74 SIXTYEIGHTH ANNUAL REPORT Most of the above specimens of urine came from the re ception wards and as a rule were obtained early in the morn ing Of the 32 specimens of sputa examined for tubercle ba cilli I give the following results 2 were from the same pa tient with negative results 3 were from the same patient with negative results Of the original 29 specimens 2 or 68 contained tubercle bacilli The Antiformin method of examination as recommended by Drs Pepper and Klaer of Philadelphia has been used as a routine procedure with all specimens being checked and con trolled by other methods if there was any doubt or necessity As a matter of fact it has been sufficiently demonstrated by many reliable workers that the use of Antiformin in examin ing sputum for tubercle bacilli is next to animal innoculation the best means that can be used The 15 specimens of feces examined gave the following findings Seven of these were from the family of one of the em ployes one showing an infection with triocephalus dispar Of the remaining 8 specimens from patients 4 contained para sites or ova 2 being uncinaria americana and ova 1 showing tricocephalus dispar ova and rhabitiform embryos of stron gyloides and the other one contained ova of ascaris lumbri coides The 15 specimens of blood examined gave the following findings Nine examined for malaria and 3 were positive 3 examin ed for Widal reaction with one positive reaction 2 haema globin estimations 1 red cell count and 3 differential counts Six tumors and material were received from the surgical wards and examined as follows 1 Fibroid tumor of the uterus 1 Colloid carcinoma of the breast 1 Hypertrophied tumor of the labia 1 Cystic adenoma of the scrotum 1 Xaevus of the skin 1 Specimen of uterine scrapingsGEORGIA STATE SANITARIUM 75 Miscellaneous examinations were as follows One specimen of urine for diazo reaction and tubercle bacilli with negative results Bacillus pyocyaneus was isolat ed from this urine and an autogenous vaccine made and used on the patient with little if any perceptible result or ben fit One specimen of milk was examined for tubercle bacilli with negative results One cytological examination of ascitic fluid was made and diagnosed as a transudate One supposed chancre was examined for spirochetes with negative result Three spinal fluids and two blood serums were examined for the modified Wassermann reaction with the following findings Two spinal fluids were from cases of paresis and gave negative reactions one was from a supposed case of pellagra and gave a negative reaction The specimens of blood serum were from cases of paresis and both gave posi tive reactions The Nogouchi modification as outlined by him in the 1911 edition of his book Serum Diagnosis of Syphilis was the method or modification used Dr Fraser B birds modification of the Wassermann test was tried in four cases but was so unsatisfactory that no record was made of the results Dr Gurds modification consists of using antigen active or unheated blood serum and corpuscle sus pension the active or patients serum if not over 36 hours old being supposed to furnish the necessary complement for the test His theory is certainly very plausible and he has by actual tests in over 500 cases proven that it is practically as reliable as other modifications See the following number of the Jour Infect Diseases Vol 8 No 4 Jour 1911 pp 427 to 443 Owing to an unavoidable delay in obtaining guinea pigs and the most of them having died since they arrived I have been unable to make any more modified Wassermann tests Tt is unfortunate that we have not been able to give these findings in our spinal fluid examinations as it would make them of more value Six autopsies have been performed and I herewith give an abstract of the findings in each case with a short clinical history of the patient before death76 SIXTYEIGHTH ANNUAL REPORT Autopsy No 479 B H colored female age 39 years ad mitted June 7 1902 died October 15 1911 Clinical diagno sis manicdepressive Disposed to be destructive Cause unknown Previous attacks none Cause of death mitral stenosis Abstract of autopsy findings were as follows Body is that of a well preserved large female negro Abdomen is greatly distended and the limbs are edoematous One litre of straw colored fluid obtained from pleural cavi ties two litres obtained from the abdominal cavity Heart weights 433 grams and shows several milk white patches on the external surface is somewhat soft flabby and very much enlarged and dilated mitral opening almost closed measuring less than 5 centimeters and resembles the typical buttonhole variety Other valves show a few warty vegetations There are many adhesions between the pericardium and the left lung Few congested areas in the substance of both lungs Liver grayish mottled on external surface weighs 1770 grams and the cut surface throughout resembles a nutmeg Gall bladder enlarged closed and contains thirty or forty small stones Kidneys show very adherent capsule very prominent tufts and a very thin cortex Uterus shows multiple fibroids Brain negative Anatomical DiagnosisPleurel pericardial and abdominal effusion mitral stenosis hypostatic pneumonia cirrhosis of liver cholecystitis and cholelithiasis chronic interstitial nephritis and multiple fibroma of the uterus Microscopical DiagnosisPneumonia fibroids of uterus cirrhosis of the liver and hyperplasia of the heart muscle Autopsy No 480M A W white female age 63 years Admitted February 6 1909 died October 25 1911 Clinical diagnosis senile dementia Widow mother of nine children previous attacks none duration three years Cause of death pellagra Abstract of autopsy findings three hours after death Body is that of an old white female No rigor mortis Pu pils unequal Scaly eruption over arms forearms and neck Dura thickened and shows few adhesions to pia mater Brain weighs 910 grams No atheroma at base Right heart flabby Right lung weighs 900 grams lobes are adherent isGEORGIA STATE SANITARIUM 77 tough and emphysematous Shows several small hardened areas in apex and lower lobe at inner border shows several small whitish areas which contain a thick cream colored fluid Left lung in a collapsed condition bronchial glands filled with coal black material Kidneys liver and spleen are negative Intestines show thickened and congested mucous coat Aorta atheromatous Anatomical DiagnosisAtelectasis anthracosis athero ma of aorta adhesive pleurisy bronchopneumonia enteritis pachymeningitis and old tubercular lesions Microscopical DiagnosisBronchial glands show numer ous areas of pigmentation intestines show thickening of muscular coat with round cell infiltration of mucosa and glands Cerebrum shows atrophy of cortex and cellular in filtration of pia Cerebellum negative Lungs and bronchial glands show large deposits of pigmented material Alveoli of lungs show thinned walls and distention and at other points are contracted and the lining epithelial cells are scanty Autopsy No 481L P white female Age 21 years Single Admitted October 27 1911 died November 7 1911 Fairly well nourished Some stigmata flabby muscles head ache vertigo hypersthesia paresthesia Slight acneform eruption around mouth and over arms and shoulders Deep reflexes highly exaggerated Motor disturbances Patient unable to walk Marked tremor of the hands face fingers and some twitching of the tongue No defect in speech History of convulsions as related by patient Complete ex amination unsatisfactory on account of noncooperation of patient Clinical diagnosis pellagrous insanity Cause of death pellagra Abstract of autopsy findings nine hours after death lim ited to brain and cord Scalp thick and shows an abundant supply of fat Calvarium very thick and adherent and re moved with difficulty Dense adhesions throughout cranial cavity between dura and piaarachnoid Dura is very much thickened Pia strips without decortication and shows over the posterior border of right frontal lobe a dirty reddish area two centimeters in diameter Optic thalamia appear to be78 SIXTYEIGHTH ANNUAL REPORT much harder than normal Spinal cord shows a very thick dura and excess of spinal fluid Anatomical diagnosisPachymeningitis Microscopical diagnosis sections from brain show nothing of note Sec tions of spinal cord from the cervical region show some atro phy of ganglion cells in anterior horns and one small area of degeneration in one horn involving the cells and gray matter Sections from lumbar region also show atrophy of ganglion cells in anterior horns and the entire cord appears to be infil trated with round cells No lesions found in posterior re gions except possible excess of fatty material Autopsy No 482M P white female age 71 years Ad mitted April 23 1900 died November 9 1911 Duration of disease one year previous to admission Attacks or condi tion becomes worse at monthly intervals Clinical diagnosis senile psychosis Cause of death acute pneumonia and pul monary tuberculosis Abstract of autopsy findings fifteen hours after death Rigor mortis complete pupils equal and several areas of marked discoloration on hands and forearms External condyle of right tibia very much enlarged Subglenoid dis location of head of left humerus which is evidently of long standing Dense pleural adhesions on each side Lower curvature of the stomach extends to a line drawn from the crest of one ilium to the other Heart is well covered with fat contains no well marked clots weighs 240 grams and shows thin valves with very much thickened fibrous ring at aortic opening Apex of right lung contains one mass of whitish areas and cavities which are filled with milky fluid many of the cavities being entirely walled off Left lung more or less the same appearance Stomach dilated some what Liver and spleen negative Seven irregular black stones in gall bladder and much black ropy fluid Left kidney weighs 65 grams is small and contracted capsule verey adhe rent and when stripped leaves a roughened cortex Right kidney weighs 500 grams Shows adherent capsule and roughened cortex with enlarged tufts etc Aorta atheroma tous Anatomical DiagnosisChronic pulmonary tuberculosisGEORGIA STATE SANITARIUM 79 tubercular pleurisy acute lobar pneumonia fatty infiltration of the heart ptosis of the stomach cholelithiasis chronic in terstial nephritis and arteriofibrosis Microscopical DiagnosisSections made from congested areas of lung show cheesy degeneration and consolidation of lung structure showing that it must have been a tubercular pneumonia Kidneys show a diffuse inflammation Autopsy No 483M R colored male age 39 years Admitted November 24 1911 died November 28 1911 Pa tient had irregular head asymmetrical face muscles flabby and small mucous membranes anaemic numerous scars over the body headache and vertigo skin over back of feet knees and knuckles dark and have a leathery feeling also on back of neck and arms No control of bladder and rectum patellar reflex slightly exaggerated Vocal fremitus increased over both lungs and dullness on percussion and rales Patient very weak and information obtained from him is of no value Clinical Diagnosis Infectiveexhaustive psychosis Cause of death gangrene of lung and chronic nephritis Abstract of Autopsy Findings Five Hours After Death Body emaciated rigor mortis marked arms forearms and neck show numerous skin lesions that resemble rope burns Skin around these lesions and for some distance away has an ashen gray appearance Dense dhesions throughout abdom inal cavity appendix appears to be the point of original in flammation Heart and right lung negative Left lung is very black and soft in upper lobe and resembles a dark red blood clot and has a very foul odor Kidneys show thin cor tex adherent capsule leaving a roughened surface when re moved and very much congested condition of tufts and interstitial tissue Liver contains an excess of blood Gall bladder negative Invagination of the jejunum 17 centime ters long easily reduced Spleen negative Large intestine contains much fecal matter and is very much congested but shows no ulcers Anatomical DiagnosisGangrene of left lung old tuber cular lesions chronic diffuse nephritis acute intestinal ob struction and chronic appendicitis Microscopical DiagnosisSection from left lung examSIXTYEIGHTH ANNUAL REPORT ined but owing to the degenerated condition was unsatisfac tory Kndneys show a degenerative change of the tubular and glomerular epithelium The glomeruli are shrunken and capsule of same very much thickened Autopsy No 484J W white female age 65 years Ad mitted May 5 1911 died December 12 1911 Died suddenly after having had quarrel with another patient about four hours previously Patient gave a history of attacks of mental de pression in 1909 Present trouble began two months previous to admission Admission papers gave a history of uraemic poisoning Clinical diagnosis senile psychosis Cause of death rupture of aorta Physical examination showed dis turbance of the deep reflexes some impairment of motor functions Systolic murmur heard over a large area area of cardiac dullness markedly increased to the left Abstract of autopsy findings two and onehalf hours after death Body that of a large elderly white female well nour ished and showing no rigor mortis Calvarium very adherent to dura and latter to piaarachnoid Arteries at base of brain show many whitish yellow areas Left supraorbital cavity filled with pus Brain weighs 1255 grams Pericardium contains 700 cc of light red blood and four or five small clots Heart is very much enlarged and dilated Ascending portion of aorta just above its origin from left ventricle shows an irregular tear in the intima over four centimeters in length This tear or rupture does not extend through the other coats but shows much evidence of the blood having burrowed be neath in all directions as the surrounding tissues for some distance are very dark and congested Heart with about 7 centimeters of aorta attached weighs 940 grams Aorta at point of rupture shows a marked tendency to aneurysm for mation Aortic opening is large and valves are insufficient to a marked extent Left lung weighs 270 grams Posterior portion of lower lobe adhered to chest wall Right lung weighs 340 grams and is negative Kidneys contain many cysts on the cortex Capsule adherent and leaves a rough ened nodular surface Kidney structure is hard and cuts with difficulty Liver weighs 1850 grams does not show the lob ular markings distinctly and has a grayish appearance GallGEORGIA STATE SANITARIUM Si bladder contains 19 hexagonal stones and a small amount of bile Anatomical DiagnosisAortic regurgitation and rupture of aorta general arteriosclerosis pachymeningitis cardiac hy pertrophy chronic interstitial nephritis cystic kidneys cir rhosis of liver and cholelithiasis No microscopical exami nation made Soon after taking charge of the laboratory Dr E M Green clinical director suggested the desirability of examin ing the cerebrospinal fluid of patients suffering from pellagra owing to the presence of spinal and cerebral manifestations being so evident in most of these cases The examinations of each specimen were made immediately aftr puncture and consisted of total cell count per cb mm reaction presence of a reducing substance for copper sulphate Nogouchis butyric acid leaction for increase in globulin content and making a smear from sediment after centrifuging for differentation of cell types At the time of puncture the fluid was collected in chemically cleaned and sterilized tubes 23 cc in a small test tube and about 10 cc in a sharp pointed centrifuge tube That portion collected in the test tube was the last taken in order to avoid any foreign material in the needle or blood cells picked up by the same To this portion as soon as pos sible one or two drops from a freshly made capillary pipette of the following stain is added Methyl violet 01 Glacial aceic acid20 Distilled water 500 The tube is shaken thoroughly and allowed to stand for 510 minutes when a few drops are withdrawn by means of another freshly made pipette and after allowing the first one or two drops to escape one drop is placed in the counting chamber of a haemacytometer cover glass adjusted and slide allowed to stand on microscopic stage for at least fifteen min utes before counting to allow all cells to settle upon the ruled surface and thoroughly take up stain The Zappert style of haemacytometer was used in all specimens here reported ex cept the first six or eight in which the old style ThomaZeiss was used Proceed as if making a white count and count all82 SIXTYEIGHTH ANNUAL REPORT of the cells within the entire ruled surface obtain average for one square and by multiplying by 10 110 required depth in one layer gives the number of cells per cbmm As the addition of one or two drops of the staining fluid to 2 or 3 cc of fluid reduces the dilution to a minimum it is not necessary to use the white cell pipette for making dilu tions As a matter of fact most workers disregard the dilu tion in their calculations when pipette and small amount of stain are used in these examinations Even if the dilution was measured and allowed for it would only add a few more cells to the sum total which for practical purposes is unneces sary One drop of stain added as above indicated will stain all cellular elements sufficiently well for demonstration The important point is to make the count soon after puncture in order to overcome the tendency of cells to fall to the bottom of tube As to the degeneration of cells afer standing this in my experience does not occur nearly so quickly as has been reported and I am inclined to think that many supposed in stances of this kind were really specimens that contained de generated cells while present in the spinal canal and that such degeneration has a pathological significance Many of my examinations revealed a large percentage of degenerated or unknown cells as you will see by the tabulated report I have upon several occasions examined specimens after standing for five of six hours and failed to find any per ceptible difference in the number of degenerated cells as com pared to the first examination soon after puncture As to the percentages here given they are obtained from a differential count of the smears and can only be a rough approximation as anyone must know who has ever attempted to obtain smears from the sediment after centrifuging The following is the technic used in making smears That portion of fluid collected in centrifuge tubes was swung at the rate of 2500 to 3000 revolutions per minute for thirty minutes in an electrically driven centrifuge supernatant fluid poured off and tubes allowed to thoroughly drain Sed iment then taken up with a capillary pipette and deposited in not less than two equal portions upon a freshly cleaned slide spreading sediment out so that it will cover approxGEORGIA STATE SANITARIUM S3 imately a surface of 5 centimeters in diameter Smears are allowed to dry in the air fixed with absolute methyl alco hol for 12 minutes and then stained with haematoxylin and eosin allowing 35 minutes for former and 12 minutes for latter Examine under oil immersion lens and count as many as 200 or 300 cells depending of course upon the quan tity that can be found and the uniformity of smear The Alzheimer method of cell differentiation which requires fix ation embedding in celloidin and use of a microtome is said to be the best but at the same time conceded to be inaccurate by others I have not attempted to use this method because I believe any method of cell differentiation used in spinal fluid examinations to be very inaccurate as to the percentages of each type present The Alzheimer method is no doubt the best at present for studying the histological characters of these cells I have ordered from Leitz a special counting chamber for total cell counts which allows an estimation from a larger amount of fluid than in the Zappert style of haemacytometer By using this larger counting chamber a fair idea as to the percentages of each type can be obtained in spinal fluids that show a cell content of over 4050 per cbmm although in using this method of differentiation the magnification must necessarily be too low to allow anything like accuracy As to the types of cells found I have classified them as follows lymphocytes polymorphonuclear elements plas ma cells endothelial cells and unknown or degenerated cells Other authors describe as many as seven different types and Hough Bulletin 1 Government Hospital for Insane using the Alzheimer methtod of examination describes ten different types with several subdivisions or varieties for each type O P Bigelow the American Journal of Insanity Vol 67 No 4 April 1911 examined 222 spinal fluids in twenty different types of disease and he recognized only two classes or types He designated them as polymorphonuclears and mononuclears I might mention here that his technic for counting cells is somewhat similar to mine except that he dilutes a convenient amount of fluid with an equal amount of 1 per cent acetic acid solution to which enough GentianSIXTYEIGHTH AXXUAL REPORT Violet has been added to give quite a high color He uses a Turk chamber for counting which is practically the same as a Zapert ruling as there is only a total ruled area of 9 square millimeters to count from and the depth of fluid the same consequently in making his calculations the only dif ference is that he must multiply by 2 to correct for the dilu tion Description of cell types are as follows Lymphocytes are generally found in excess and appear as small dark cells or nucleus with little or no protoplasm varying in size from a little less to a little larger than a red blood cell This type of cell is pretty well agreed upon by most workers and should not be easily mistaken for any other Plasma cells vary in size from a little less to two or three times the size of a lymphocyte Show a darkly staining neu cleus and granules with a more or less clocklike arrange ment and also at times have a bitten out appearance Polymorphoneuclar elements present many variations in their character but for the most part reseemble more or less the same type found in the blood although they are smaller show different divisions of neuclei and different staining qual ities Endothelial cells as given here include all cells of that type but for the most part are the ordinary tissue type and need no description Hough claims that this type of cell usually comes from the vessels and many are no doubt picked up by the needle while entering the canal Unknown and degenerated cells need no description A very complete description of the different types of cells found in spinal fluid is given by Bybee Lorenz in The Archives of Internal Medicine Jan 1911 when ex amined by the smear methods For a description of cells as found by the Alzheimer method see the articles by Dr Hough in Bulletins 1 and 2 Government Hospital for In sane The test for a reducing substance for copper sulphate was made by adding 5 cc of spinal fluid to 2 or 3 cc of Bene dicts one solution reagent and heating for two to three minGEORGIA STATE SANITARIUM 35 utes when a slight green to yellowish green precipitate forms Most of the specimens here reported showed a positive test However there seems to be some variation in the amount of reducing substance present depending probably upon the stage of the disease as one case of cerebral syphilis showed negative results and one specimen of fluid withtdrawn after death gave a negative result with an excedingly high cell count This increase in cell content after death has been observed and reported by many others The reaction as you see has been alkaline in all cases and according to many other reports is constantly so though there seems to be different degrees of alkalinity as judged by testing with litmus paper Nogouchi in collection with his work on the serum re action of Wassermann in syphilis first called attention to and originated the butryic acid reaction in testing spinal fluids and blood serum He at first thought this reaction ap plied more particularly to paresis and that the degree of re action varied in proportion to the cell content Paresis as a rule shows a larger amount of cells per cbmm than most other diseases and no doubt the degree of reaction or in crease of globulin content depends to a great extent upon the increase in cellular elements but the reaction also ex ists in many other diseases as has been pointed out by F M Mott Lancet London July 2 9 1910 J V May Bingham ton State Hospital Report 1911 and W H Hough Bulle tin 2 Government Hospital for Insane I have found it present in the most of cases examined The test consists of heating 2 cc of spinal fluid with 5 cc of a 10 solution of pure butyric acid in normal 9 solution adding 1 cc of normal sodium hydrate and reheating A positive reac tion is indicated by a flocculent or granular precipitate which gradually settles to the bottom of the tube The degree of precipitation varies but there should be no difficulty in read ing the reaction A cloudiness does not constitute a posi tive reaction and the specimen of spinal fluid must be free of red blood cells as they give a precipitate that is mislead ing The following table gives the results of the findings in each case ui w tS ST3 12 0 0 a 0 w V i P4h4 u tu 0 s 3 cd in O 0 00 5 1 s V en h aj n U 0 0 a 11 0 P4P4 0 3 3 a U j 0 0 u2 PhSh 00 F1 rt rl aj a cu Pi 3 T3 u aj a 0 3 3 0 CU 3 P4J Remarks etc I G A Pellagra 5 Many Few X X Alkaline Specimen clear 2 J N Paresis 85 X X t 11 3 4 5 P L M M L T Pellagra t if 22 0 24 35 Many 64 Few Pew X 0 X X X X bloody clear 6 7 8 E S M T F C Paresis 4 0 19 60 32 4 3 0 X X X X I t bloody clear i 11 9 lo 11 L K J A R R Cerebral Syphilis Paresis Pellagra 0 0 40 go tS X 0 X X X bloody clear 1 11 12 I H 11 3 X 1 11 13 C M Suspect Tubersis 0 X X 1 ti 4 A L B W Paresis 11 2ri 43 3 21 53 36 23 3 2 10 20 X X X X 1 i clear Pellagra also suspected j i 7 18 I D L C HuntingtonsCorea Paresis 24 12 2 3 9 36 13 X 0 X X clear Too much blood for differential clear F M Pellagra 22 2 40 3 10 20 X X 9 20 I F u 55 46 24 S 16 6 X X I G 21 42 31 10 15 X X 2r J D 1 W K P M J J P M 15 S B L J A M O S 11 24 33 25 722 27 2 33 43 53S 318 25 21 23 9 9 207 16 9 16 X X X X 11 clear Cu So 4 test weak 22 23 24 25 26 27 2S 11 11 8 8 153 17 75 X X X X I II also tubercular Flocculent material in specimen 11 it ii 25 20 422 217 27 7 34 2 217 222 236 105 42 277 184 13 222 31 X X X X X X X I 1 clear Good many blood cells clear smears not made clear 29 3 55 163 4tS 202 181 122 72 3 9 122 236 55 X X X X 11 Salversan given 6 ms befor X H w o a H Z c r 90 w O 73 H3i O M Pellagra 555 46 10 4 18 22 X X Alkaline clear 32 M B 4 644 5ii 37 68 12 154 X X Tuberculosis also suspected 33 C S 33 266 133 33 40 166 X X 1i 34 L B 38 20 114 57 3i4 228 X X 85 ex large lymphocytes 35 T T Paresis 114 688 5 3 221 32 X X ti 36 J c 1 240 768 23 189 i3 X X Few red cells present 37 e y Pellagra 177 455 8 2 85 243 135 X X clear 38 B T 366 542 5 75 236 95 X y 11 39 M S u 30 527 82 81 201 101 X X 4o E B u 177 437 1S7 125 25 X X Tuberculosis also suspected 4i P S 22 20 50 3 X Recurred 42 A L 66 X Convalescent 43 A M 4 X a 44 S T 37 7 449 76 102 n5 256 X X It 45 K J 40 626 65 81 162 6 X X l 46 MJ 500 Many X Bloody taken 5 hrs aftdth see 24 47 A B 0 0 X bloody 48 A B 80 54 5 72 88 72 216 X X clear 49 A J 25 486 108 81 108 22 X X t 5o U P 4 0 X bloody 51 M J 4 X clear 52 M L 47 0 X Few blood cells 53 M C Manic Depressive 4 X clear 54 H M Paresis 116 3M 3i7 176 82 58 X X 55 J E Pellagra 3 X X t i 56 C S 544 526 52 104 52 263 X X u 57 J w Paresis 713 69S 28 15 37 83 X X II 58 M C Pellagra 273 32 18 3 ii3 433 X X 59 I B 436 326 115 557 X X Few blood cells 60 H S 41 333 50 22 68 409 X X clear 6r L U 20 555 111 148 185 X X 62 A F 60 X X Died 3 hours after 6 M M 49 X X clear intense salivation 64 M S 235 54 1 5 3 75 285 X X 65 W M Dementia 4 X 66 VV J Precot H X X motor disturbances 67 B A Pellagra 33 X X 11 11 it o M O S3 O w H M in II H r c x Positive Reaction Negative Reaction o Not Tested or CountedSIXTYEIGHTH ANNUAL REPORT The average number of cells per cbmm for all cases of pellagra exclude No 46 was 3126 for all cases of paresis 7217 per cbmm and for others 766 per cbmm This in cludes those not counted as well The average number of cells in paresis as given here compare favorably with the findings of others although the number is too small for a fair estimate As to the results in pellagra have not been able to find any report of work along this line However I feel justi fied in concluding that there is an increase above normal in the cellular elements of the cerebrospinal fluid of pellagrins depending probably upon the stage and severity of the dis ease as to the quantity present and their appearance Regarding the pellagra cases examined I wish to state that the most of them were colored females in the service of Dr W JCranston Assistant Physician who made the most of the punctures and assisted me with many suggestions while making these examinations Dr Cranston has made some valuable clinical observations in connection with this work which will no doubt aid in forming more definite con clusions regarding the results obtained In conclusion I desire to thank you and each member of the Staff for your kindness and assistance since taking up the laboratory work To Drs E M Green and J W Mobley I am especially indebted for many suggestions and help with the work Very respectfullv S S HINDMAN PathologistGEORGIA STATE SANITARIUM import of Evtaaurrr Milledgeville Ga Jan 3 1912 Dr L M Jones Superintendent Georgia State Sanitarium Dear SirI beg to hand you herewith a statement of my receipts and disbursements of my office for the fiscal year Receipts Jan 3 1911 Balance on hand 1061904 Jan 3 1912 Received from State Treasurer 46899200 Received from L J LamarStd 2178602 50139706 Disbursements Jan 3 Total Disbursements 47871727 Jan 3 Balance on hand2267979 I attach hereto certificate of the Merchants Farmers Bank which is made a part of my report Respectfully submitted L H ANDREWS Treasurer Milledgeville Ga Jan 3 1912 This is to certify that the Balance to the credit of Mr L H Andrews Treasurer The Georgia State Sanitarium subject to his check at the close of business Jan 1st 1912 was Twentytwo thousand six hundred and seventynine and 79100 dollars 2267979 L C HALL Cashier Attest The Merchants Farmers Bank JNO T DAY N P Baldwin County Georgiago SIXTYEIGHTH ANNUAL REPORT Export of gurnard Dr L M Jones Superintendent Dear SirPermit me to transmit through you to our Honorable Board of Trustees this my report as Steward for the year 1911 I submit the following described Exhibits and Sched ules Exhibit AStatement of Resources and Liabilities at December 31st 1911 Schedule IAccounts Receivable Schedule 2Accounts Payable Exhibit BStatement of Income and Expenditures for the year 1911 Exhibit CStatement of Departmental Purchases and Consumption by Institution of Farm Garden and Dairy Pro ducts same being additional toward maintaining the Insti tion during the year Exhibit DStatement of Surplus reverting to State at December 31st 1910 with adjusments during the year Exhibit Statement of Per Capita Average Number Patients Average Daily and Monthly Expenses etc figures based on actual cash expended out of appropriations and other cash receipts during the year Exhibit FCash Expended out of Appropriations and other cash receipts during the year total amount paid during the year to each creditor of the Institution In compliance with the law duplicate voucherchecks with duplicate invoices attached representing all paid pur chases during the year also the required monthly certificate of expenditures approved by yourself and audited by the Board of Trustees have been filed in the Executive Depart ment Atlanta I have devoted my entire time as required by the rules to the Stewards work and have to the best of my ability discharged the duties encumbent upon me Respectfully submitted L 7 LAMAR StewardGEORGIA STATE SANITARIUM 9i Amitmta RmnmbU EXHIBIT A SCHEDULE 1 Creditors Debit Balances December 31st 1911 Debtor Amount A J Carr Co 2800 Dannenberg Co The 269 Davis Sons I B 3402 Godman Shoe Co The 25 Jaques Tinsley Co S R 2160 Joseph Dry Goods Co 01 King Hardware Co 173 Lisk Mfg Co 125 McKesson Robbins 408 Patent Still Fixtures Co 1606 Thomas Co Arthur H 53 United States Cast Iron Pipe Foundry Co 10833 Whitfield Grocery Co 6000 27855 OFFICERS ACCOUNTS Bivins Homer 877 Cranston W J Dr 1810 Cline Dr B M 909 Carrington D S 4352 Debtor DeSaussure T H Echols Dr G L Green E M Dr Garrard Dr J I Green Dr Geo H Hindman S S Dr Hollingshead G W Hunter W H Jones H S Jones L M Dr Kelly Dr Geo W Little Dr Y A Lamar L J Longino Dr L P Mobley Dr J W Swint Dr R C Tanner W F Dr Walker Dr N P Yarbrough Y H Dr Amount 5859 1166 2961 1020 34 1015 2242 1388 642 145 52 2501 996 1266 3973 1608 1115 1941 1134 Total 3900692 SIXTYEIGHTH AXXUAL REPORT EXHIBIT A SCHEDULE 2 Accounts Payable at December 31st 1911 Debtor Amount Armour Co 24000 American Produce Co 13414 Bell E E 3265 Buck J A 3462 Blanks W H 7750 Banks Henry Trustee 1250 Buist Company Robert 2865 Brantley Jno T Trus tee 1250 Case G D 520 Clark Marchman Brad ley Co 7350 Collette A L Mrs 4595 Crocker Co Samuel A 85 Continental Coal Corpo ration 50787 Crystal Springs Bleach ery Co 9000 Childs John Lewis 425 Dunn Machinery Co 3772 Dean II H Trustee 2500 Ennis J H 6565 Ezell Griffin Co 2087 Georgia Railroad Bank ing Co 11680 Gambrell P H Trustee 1250 Guild Wm H Co 5325 Hatcher R W 2425 Hargrove Co W L 554 Jaques Tinsley Co S R 55769 Johnson Fuel Company Holmes 1400 Jarnegin J C Trustee 1250 Johnson Richard Trus tee 1250 Lombard Iron Works Supply Co 930 Lester Book Stationery Company 3600 McCord Stewart Co 2483 Debtor Amount Milledgeville Oil Mills 14369 Merritt Hdw Co 10598 Morning News 2000 Macon Telegraph Pub Co 600 Milledgeville Brick Wks 8775 Miller Jessie 1700 Newton Bro C E 3560 Milledgeville Telephone Co 765 Oconee River Mills25 Oconee River XIills Elec tric Department 77857 Parham Robert 1319 Peterson Dr X Trustee 2500 Robertson L M 11475 Swift Company 117073 Southern Express Co 7897 Stembridge J W 775 Savannah Press 700 Smith IT M Trustee 2500 Stone Mt Granite Corpo ration 8963 Treanor T 4520 Underwood Miss C A 1537 Von Kamp Vaughn Gerald 11414 Whitfield Grocery Co 47511 West Disinfecting Co 167 Williams J T 2225 Telegraph Co Western Union 1639 Wolf Co Fred W 5768 White Co J B10 Wright Dr T R Trus tee 2500 Waxelbaum Bro Co E A 2880 586480GEORGIA STATE SANITARIUM EXHIBIT A 93 Statement Resources and Liabilities at Dec 31 1911 Resources Cash in hand and on deposit L H Andrews Treasurer 1879607 L J Lamar Steward Working Fund 100000 Accounts receivable Officers accounts 39006 Employees Stoppage on payrolls 13618 Creditors debit balances Schedule I 27855 Wages uncalled for 1250 Telephone and Telegraph bills undistributed 715 Freight and express bills undistributed 3530 1979607 Inventories StorekeeperProvisions groceries clothing furnishings etc 1363676 ApothecaryDrugs sundries etc 2 30769 EngineerMaterial supplies etc 938386 FuelCoal and wood 850997 Sewing roomManufactured and raw ma terials 183298 Farm Steward Fertilizers cotton seed meal and hulls 271921 Farm Products produced and on hand 8326 bu corn 749340 2000 bu oats 150000 491 bu peas 98200 2772 bu cotton seed 58212 3000 bu Sweet potatoes 300000 333 doz No 2 tomatoes 30000 225 doz No 8 tomatoes 78750 477 gallons syrup 16218 17000 lbs fodder 12750 34000 lbs hay 25500 1518970 80479 5495 383904794 SIXTYEIGHTH ANNUAL REPORT Total Valuation of Personal Estate 3558017 NoteSupplies on hand 1518970 3839047 Total current assets and working resources 7423598 Property AccountFarm stable and grounds Live stock 1495700 Vehicles and agricultural implements 434341 1930041 Total resources 9353639 Liabilities Accounts Payable Patients 431155 Invoices Approved Schedule 2 586480 1017635 Salaries Accrued officers346661 Wages Accrued Dec Payrolls 11313 98 1478059 Total current liabilities 2495694 Surplus reverting to the State of Georgia As of Dec 31st 1910 4997455 Excess of Income above Cost of Maintenance For 12 months 1911 1860490 6857945 Total Liabilities 9353639 EXHIBIT B Statement of Income and Expenditure for the Year 1911 Debits MaintenanceSalaries Wages and Labor General Administration salaries officer 3864038 WagesMedical 7964225 WagesSteward 2171284 WagesFarm Steward 785183 WagesEngineer 2208405 13129097 Total salaries and wages 16993135GEORGIA STATE SANITARIUM 95 Subsistence 14563047 Clothing and dry goods 3060444 Furniture and bedding 2378287 Fuel 3275524 Maintenance of plant 1710593 Medical supplies 610491 Stationery and postage 277839 Incidentals and contingencies 2871008 28747233 Deduct Overdistribution of expenditures by En gineer 124129 28623104 Overdistrubution by Storekeeper 49350 28573754 Farm and Garden Fertilizers 360997 Feed 3825 Seed 53265 Sundries 138987 557074 Dairy Feed 658058 Sundries 19661 677719 46801682 Add Undistributed expenditures Acct Farm Steward 306606 Total expenditures 47198288 Balance being in excess of Income above Ex penditures for the year ended Dec 31st 1911 1860490 Total 49058778 Credits Institution Income Board of officers 102951 Board of special attendants 147350 250301 SalesFood 12232 Sales Miscellaneous Barrels 31498 Boxwood 500096 SIXTYEIGHTH ANNUAL REPORT Old brass 2000 Sacks C S Meal empty 4068 Motorcycle parts 200 AcidCarboy empty 125 Goods boxes empty 45 Old furniture 1000 Old copper iron bones etc 6470 Ice sundry sales to officers 4829 Ice sundry sales to employees 550 ccy or Sales Farm Garden and Dairy Live stock 4350 Poultry and eggs 800 84 bales lint cotton 369362 Hides green 3933 Corn oats hay etc officers 37996 36 bu rye 200 7300 2 bu oats 75 150 423891 Rents R M Cason stable 975 W B Richardson land 1000 T H Oilman residence 6000 C E Summers residence 3600 T C Rcecl residence 3000 t 14575 Miscellaneous Income Dental work and material 645 Shop labor 6903 Fines 5800 Impounding cow 300 Sale of rabbit 50 5 on sale farm products officers 1222 Sundries 5622 Drayage on beef Acct Swift Co 50 5 on account Stoorekeepers sales to offi cers and employees 10768 31361 Receipts from State Treasury Maintenance appropriation 43099200 Supplementary appropriation 3500000 46599200 Estimated Increase in Valuation Of live stock over 1910 121200 Estimated Increase in Valuation Of vehicles and implements over 1910 31263 152463 Farm products produced and on hand 1518970 Total 49058778GEORGIA STATE SANITARIUM 97 EXHIBIT C Additional Maintenance Departmental Purchases by Institu tion of Farm Garden and Dairy Products Debits Subsistence 82474 galls sweet milk from dairy market value 30c per gallon 2474220 2286 12 galls sweet milk farm market value 30c per gallon 6g5 95 Total market value of sweet milk produced 2542815 Vegetables and fruits market value1236469 Pork 18126 pounds market value 10 181260 Dressed beef 3479 pounds market value 0646 22473 Poultry market value 6140 Eggs market value g 05 Syrup 681 gals market value 23584 Corn Meal 932 bushels ground from corn produced market value 76424 f 1548255 lotal subsistence account production farm garden and dairy 40 910 70 Farm Feed 5116 bu corn market value 90460440 3084 12 bu oats market value 75 231338 166739 pounds hay market value 75 per hd 125054 47768 pounds fodder market value 75 per hd 35826 9230 pounds sheaf oats market value 75 Per hd 6922 Total Valuation of feed at farm from the production of farm products g 595 g0 Dairy Feed 58875 pounds ground feed market value 160 per hd 94200 507 tons ensilage market value 300 per ton 152100 Total value of dairy feed produced and consumed 246300 Total 5196950 Credits Sale farm and garden products 2654136 Sale dairy products 25428 14 TotaI 5196950 V98 SIXTYEIGHTH ANNUAL REPORT EXHIBIT D Statement of Surplus Reverting to the State as of Dec 31 1911 Debits Accounts Payable Audited vouchers Dec 1910 978637 Salaries and Wages Payrolls for December 1910 1393901 Patients Adjustment of overdrafts paid by L J Lamar 30 Balance 5001661 7374229 Credits Balance all funds in hands Treasurer at Dec 31st 1296525 Less amount due patients 362991 Balance States Fund in hand of Treasurer at Dec 31st 1910 and as shown by report for 1910 933534 Balance Cash in hands of L J Lamar Steward Working Fund 100000 Accounts Receivable Officers accounts 34132 Special attendants 13275 EmployeesStoppage on pay rolls 9271 Creditors debit balances 5397 62075 Inventories Storekeeper 1446620 Apothecary 217466 Engineer 716695 Fuel 731567 Sewing room 196901 Farm Steward 990441 54 bales upland cotton 396392 4696082 Live stock farm stable and grounds 1260500 Vehicles agricultural implements etc 322038 1582538 7374229 Liabilities at Dec 31st not established on books at this date but paid during 1911 out of cash on hand for that year Goods being received during 1910GEORGIA STATE SANITARIUM 99 1910 July 13 Brushy Mountain Coal Mines Coal9450 June 27 Brushy Mountain Coal Mines Coal 9360 July 31 Beck Gregg Hardware Co Samples 396 Balance being Surplus at Dec 31st 1910 adjusted Exhibit A 19206 4997455 5016661 Balance being Surplus at Dec 31st as shown by books 5001661 Resources not taken up on books i e not being properly adjusted at Dec 31st represented by money advanced to Dr T R Wright for the purpose of visiting public institutions during 1910being unused by him 15000 5016661 EXHIBIT E Statement of Percapita Average Monthly and Daily Expenses Number Patients etc Figures based on Actual Cash Ex pended out of Appropriations and other Cash Receipts during the year Daily Percapita 38 40 Weekly Percapita 2 69 Average Monthly Expenses 3897660 Average Daily Expenses j299 22 Average Number Patients 3 383 EXHIBIT F Total Cash Paid each Creditor of the Institution during the year Allen H D Da American Jersey Cattle Club American Produce Co Armour Company American Radiator Co American Steel Wire Company American Laundry Ma chinery Co 2500 400 2850 i 12298 24261 2437 6195 Ahrens Ott Manfg Company 33550 Allen Pottle Attor neys 10000 Adams J W Agent 500 Augusta Chronicle 3275 American Medical Assn 600 Appleton Co D 1200 Augusta Broom Wks 20949 Augusta Grocery Co 18000 SIXTYEIGHTH ANNUAL REPORT Exhibit FContinued Austin Nichols Co 39562 Anderson Hdw Co 10858 Anderson Dulin Varnell Company 1681 American Bakeries Can dy Co 10899 American Watchmans Time Detector Co 4740 Audit Co of Georgia 81090 Atlanta Journal Co 3360 Albright Co J C 20900 American Enameled Brick Tile Co 25783 Byck Co M S D A 27020 Bell E E 588752 Brown D W75 Brown Shoe Co 5949 Burkenroad Wilcox Co 3034 Burke Co J W 7865 Bernd Co G 8405 Beck Gregg Hdw Co 48065 Brown P W 2880 Brooks J A 79860 Baisden R T 525 Buck J A 53948 Blanks W H 89140 Brown Tobacco Co W A 62725 Buerk J A 1060 Burkenroad Goldsmith Company 61103 Bradley F A 10600 Byington Carswell 225406 Burden Smith Co 717428 Bashlin Co The 8442 Berninghaus Co Eu gene 10200 Berckmans Co P J 1750 Burke T C 41549 Bowsher Co The N P 1946 Bowe William F 755 Basshor The Thos Co 2910 Bramhall Deane Co 14500 Burton Taylor Wise Co 178906 Brown Perryman Greene Co 12038 Brushy Mountain Coal Mines 1087220 Buist Co Robert 32636 Birmingham Broom Fac tory 23850 Bloodworth H J Baisden R T Bloodworth Gibson Blakistons Son Co P Brasel W P Brigham H E Barrett Chas F Brinkley W O Babcock Wilcox Co Conn Co Jno 9175 1000 1200 213 200 720 2696 2020 2040 89062 Cuyler Mohler 29449 Central of Ga R R 112038 Carson Pirie Scott Co 136689 Chesterman Streeter 468 Case G D 28691 Cotton States Belting Supply Company 61757 Conklin Tin Plate Met al Company 38783 Caldwell Instrument Co 1000 Cone O M 7500 5073131Exhibit F Debtor Amount Chapman W B chief of PHce 777 Columbia Mill Eleva tor Co 1084150 Carolina Portland Ce ment Co 1825 Concord Woolen Mills 2750 Clark Marchman Brad ley Company 80180 Carr Co A J 315829 Collette Mrs A L 53980 Culpepper J E 3000 Clow Sons James B 77048 Clarke Co 65263 Constitution Pub Co 8190 Culver Kidd 232 Crocker Co Saml A 10561 Cudahy Packing Co 1074 Continental Coal Corpo ration 2465474 Conn Otto M 332 Cook Bernheimer Co 7176 Colburn Birks Co 11590 Callaway Co Fuller E 2041 Crane Co 561 Camden Philadelphia Soap Co 5250 Crandal Packing Co 4651 Cooper J C Clerk S C B C G 590 Continental Clay Co 5000 Chandler Brothers 18740 Curtis Curtis Co 800 Crystal Springs Bleach ery Co 3826 Callaway Fowler Agents 12500 Calumet Tea Coffee Co 3000 Callaway Lumber Man ufacturing Co 5000 Colter Mrs H 6 00 E SANITARIUM lOI Continued Debtor Amount Cole Manufacturing Co R D 177460 Crandall Packing Co 1078 Dannenberg Company 439461 Davies Co J P 194824 Davis Edwards 2039 Davis Sons F A 29900 Doody Company W A 252632 Dow Wire Iron Wks 38502 Dixie Packing Co 4365 Davidson Granite Co 3409 Demorest Broom Works 48 Dowman Johnson 1850 Dunn Machinery Co 626 Duggan Mack 7368 DeSaussure Mrs M H 4500 Day Co T H 922 Darymans Supply Co 2413 Daniel Jno B 150 56000 Davis Sons I B Ejinis J H 72374 Eimer Amend 103349 Edwards Sherriff W Y 1644 Eatonton Cooperative Creamery 127900 23930 Ezell Griffin Co Edwards Chas H 3785 Edelstein Baron 113065 Enquirer Sun 4320 8159 Epstein Bro Co I Empire Mills Co 50400 Efner Fly Trap Co 2400 Edwards Co J C 9600 Foote Davies Co 20300 Francis W M Mgr 15000 Finney Dry Goods Co 5400 Firemans Fund Ins Co 27000 Farmers Warehouse Co 14395a Fidelity Phenix Fire 8250 Fielder Allen Co 2275 Fleischman Co The 36750 French Co Saml H 3019S SIXTYEIGHTH ANNUAL REPORT Exhibit FContinued Debtor Amount Fowler Fleminster Coal Company 68270 Foy Paint Glass Co 28038 Fulton Bag Cotton Mills 2700 Georgia Railroad Bk Company 159276 Gans Brothers Lip man 39625 Garlock Packing Co 1755 Green River Distilling Company 41728 Gulf Refining Co 3372 Gilbert Co C M 4275 General Fire Extinguish er Co 4874 Georgia Chemical Wks 48042 Guttenberger Co F A 7000 Goodman Wootten 870 Glynn Co Martin J 14048 Hatcher R W 155063 Hargrove Co W L 26736 Home Andrews Commis sion Co 1122828 Hicks CoJ W 7687 Happ Brothers Co 251097 Hodges Broom Works 29250 Hightower Hardware Co 11300 Holden John 19883 Humphrey Cannon Co 2250 Harrison Brothers Co 44980 Hendee Mfg Co 1069 Haug Shoe Co Fred 30 Hirsch Tindall Cotton Linter Co 54635 Hotel Hospital Supply Co 25156 Hurt C C H M 37376 Home J A 50497 Howett Warner Co 23288 Hancock Pub Co 150 Haddock D T499 Hall Dr T M 2500 Debtor Amount Hoards Dairymen 2250 Hall Dental Supply Co 1700 Hurt C C 20624 Hastings Co H G 413 Jaques Tinsley Co S R 1749836 Hopkins Press Jno 500 Jergens Co Andrew 47500 Jones Hopkins Mfg Co 7250 Holmes Johnson Fuel Co 1390 Joseph Dry Goods Co 13446 Jones L M Supt 20000 Riser Co M C 36967 Knowles Steam Pump Works 11620 King Hardware Co 34580 Keystone Lubricating Co 144 Knoxville Tinware Mfg Co 450 Keufful Esser Co 1497 Kingsberry Agt E C 43500 Kewanee Boiler Wks 1820 Kewanee Boiler Wks 1080 Kny Schreerer Co 4692 Lumpkin Company 9848 Lombard Iron Wks and Supply Co 58856 Lamar Taylor Riley Drug Co 49492 Lawrence D L 2268 Long Cigar Gro Co A J 135058 Llsk Mfg Co 19918 Loomis L W 32400 Lentz Sons Chas 1626 Iawton Jordon Co 17640 Love Roth Nulsen Co 1000 Lansing Wheelbarrow Co 1013 Lester Book Sta Co 37860 Lewis Mfg Co 14575GEORGIA STATE SANITARIUM 3 Exhibit F Debtor Amount Lovett Co E A 475 Lesher Warner Dry Goods Co 11659 Lawson E L 5000 Lamar Steward L J 983648 McCord Stewart Co 288909 McKesson Robbins 159927 McClure Ten Cent Co 10011 McElwee Thomas Dry Goods Co 81397 McClurg Co A C 326 Milledgeville Telephone Co 13123 Milledgeville Oil Mills 514857 Moore Sons J L 330 Michael Brothers Co 11653 Merritt Hardware Co 66264 Meinecke Co 51410 Morning News 11225 Morris Eckels Co 13027 Milledgeville News 12915 Morton J E 24000 Martin Co E A 4275 Milledgeville Hdw Co 8330 Morris W 0 2987 Macon Telegraph Pub Co 9300 Mulford Co H K 9546 Meinhard Bro Co 4030 Moncrief Furnace Co 7340 Moore Chas W 500 Mills J 1 16073 Mangels Herold Co 13063 Milledgeville Brick Works 110550 Moran Wilkinson 260 Macon Gas Light and Power Co 9597 Motley Co A H 8400 Morris Co 428 Merchant Evans Co 17673 Miller Graham 14000 Montgomery W H 105 Continued Debtor Amount Milledgeville Buggy and Furniture Co 950 Mueller Mfg Co H 2214 Mosaic Tile Co 14963 Meyers John B 45142 Macon Gas Co 2794 National Packing Co 2528 National Leather Belt ing Co 5970 New Louisville Packing Co 182 Norment J R 114 NewhaH Engineering Co Geo M 3640 Oconee River Mills 123300 Oconee River Mills El ectric Department 763709 Orr Shoe Co J K 333850 Orr Stationery Co 4269 Overman VV P 3400 Parham Robert 13874 Parke Davis Co 31475 Platt Iron Wks Co 16460 Penfield Hosiery Mills 22 Pittsburg Plate Glass Co 27359 Pillings Sons Co Geo P 2000 Phenix Supply Co 21355 Pettigrew A T 6000 Putnams Sons G P 3560 Peck Stow Wilcox Co 400 Pinkerton Mrs J A 1800 Purchase Sales Co 27500 Quinn Marshall Co 9302 Rhoads Fillman 382094 Rosenheim Co Jos 122786 Robertson L M 111523 Rothschild Co David 146386 Rivers J W 18204 Robinson Fire Appara tus Co 1200 Randall Faichney Co 26844 Racine Tank Lug Co 75 Rayford Emmett 200io4 SIXTYEIGHTH ANNUAL REPORT Exhibit FContinued Debtor Amount Renfroe Co J D 38201 Rountree Trunk Bag Co H W 150 Reynolds William E 5000 Roberts C E 1015 Swift Co3339232 Stovall Pace Co 299416 Southern Express Co 41390 Sherwin Williams Co 32533 Sharpe Dohme 133592 Seabury Johnson 50691 Standard Oil Co 36044 Stembridge J W 25618 Southern Cotton Oil Co 142140 Schwartschild Sulzber ger Co 587078 Silvey Co John 240782 Schofields Sons Co J S 45180 Sibley Jas L Postmas ter 135016 Smith Premier Typewrit er Co 17900 Saunders Co W B 9834 Southern Broom Mfg Co 16500 Stone Forsyth Squibb Sons E R Southern Label Box Co Sumter Telephone Mfg Co Savannah Press Sharpies Separator Co Savannah Woodenware Co Southern Spring Bed Company 21800 Schield Mfg Co Wm 9000 Singer Sewing Machine Co Southern Photo Mate rial Co Silver Mfg Co Stevens Brothers Co 1800 23331 2400 3894 1200 234 2093 100 152 1530 21096 Debtor Amount Schiefrelin Co 1300 Strelinger Co Chas A 555 Stone Proruce Co 11250 Stone Mt Granite Cor poration 19968 Snipes Miss Alma 16195 Swint Mrs R C 280 Simmerson Jesse 500 Texas Company 12484 Tingwall Company 6750 Troutman Lumber Co W H 113480 Treanor T 106130 Tignor E A 400 Times Printing Co 1080 The Thread Agency 57125 Tennessee Can Co 34650 Teasdale Co J W 21080 Thomas Charles Co 5528 Thomas Co Arthur 1083 Thornton E A 7500 Thornburg J C 8948 Terry S L Sheriff 200 Union Recorder 6380 Underwood Typewriter Co 1900 Underwood Miss C A 10062 Upjohn Company 470 Union Dry Goods Co 57085 Underwood A S 300 U S Radiator Corpora tion 275 United Cotton Woolen Company 40987 Union Carbide Co 15372 Van Range Company John 119975 Von Kamp Vaughn and Gerald 114395 Van Horn Sawtell 10975 Vaughns Seed Store 840 Vincient Sons Co R 275 Vonnegut Hardware Co 567GEORGIA STATE SANITARIUM 105 Exhibit FContinued Debtor Amount Vaughn Miss Alice 12500 Webster James H 625 Whitfield Grocery Co 2212429 West Disinfecting Co 107624 Western Electric Co 23510 Wertheimer Swarts Shoe Co 2660 White Provision Co 1259 Waxelbaum Bro E A 306450 Waxelbaum Produce Co 9950 Wade James A Prop 275 Willingham Furniture Co 202642 Wootten R H 24460 Washburn Crosby Mill ing Co 230000 Williams J T 26567 Whiteley J W 88965 Wienges Wise 335 Warren Paint and Col or Company 29450 Wilder Mfg Co 30330 Western Union Tele graph Co 18021 Willett Seed Co N L 3852 Wolf Fred W 22739 Williams Dixon 1250 Western Surgical Supply Company 23100 Debtor White Dental Mfg Co S S White J B Co Wocher Sons Max Whitall Tatum Co Watts Publishing Co Willingham Sash a nd Door Co Wintersons Seed Store Wed Co J D Wiss Sons W D Worthington Henry R Wrought Iron Range Co Walter Max J Supt Williams Joe Wagner Chas M D Yancey Hdw Co Yarnell Waring Co Amount 2861 233240 306 4263 200 3750 70 1050 2240 27250 33000 10500 200 500 45645 3000 30639083 Wages Payrolls for year 12930233 Salaries officers 3481155 47050471io6 SIXTYEIGHTH ANNUAL REPORT tatkntt import To Receipts from Jan 1st 1911 to Jan 1st 1912 22567974 To Stock on hand Jan 1st 1911 1446620 24014594 To Excess 94319 24108913 By Issues from Jan 1st 1911 to Jan 1st 191222745237 By Stock on hand Jan 1st 1912 1363676 24108913 Mr L J Lamar Steward Dear SirAbove I hand you my report for the fiscal year beginning January 1st 1911 and ending December 1st 1911 Very respectfully yours W H HUNTER StorekeeperGEORGIA STATE SANITARIUM 107 Spport of lngmn Milledgeville Ga Jan 1st 1912 Dr L M Jones Superintendent Dear SirI have the honor to submit herewith my report of the workings of the Engineers Department from Jan 1st 1911 to Jan 1st 1912 Respectfully T H DeSAUSSURE Engineer Improvements The old wooden headboards marking the graves in the white cemetery having become much decayed through the lapse of time it was found necessary to renew them This has been done using plain castiron headboards having the necessary raised numerals cast upon them in the place of the old style wooden ones Twentytwo hundred and eighty five of these headboards have been placed in the white cem etery and the work of renewing those over the negroes is being carried forward at the rate of four hundred each month The six waterclosets and bath rooms on the 21st 22d and 23d female wards have been thoroughly overhauled new floors and wood ceilings being put in and the walls scraped and painted Six new adamantose waterclosets and one bath tub were put in these rooms and the old tubs reset all piping both soil hot and cold water being renewed Three new adamantose waterclosets have been put in the day rooms of the 1st 2d and Infirmary wards a corner of the room being cut off by a wooden partition for enclosing same A spray bath has been put in on B white male ward and another on the 4th negro female ward In each case three small rooms have been taken for the purpose connect ion bing made between them by arched ways cut through the partition walls The spray bath occupies the entire mid dle room of each set a line of four spray heads being setio8 SIXTYEIGHTH ANNUAL REPORT across the width with side rails at waist height under them to keep the bathers in line under the sprays The other two rooms of each set are used for undressing and rub down pur poses The wooden floors of these rooms have been taken out and replaced with reinforced concrete ones having a ce ment top dressing and baseboard and having also a central drain trapped to the sewer The year 1910 having been a very dry one the water in the pond supplying the colony became very low and unfit for use and it was decided to raise the dam two feet and nine inches higher and so increase the supply of available water when the winters rains came This work has been done entirely by patients working under the direction of employees of the Institution But the winters rains did not come in sufficient quantity to fill the pond and in consequence there was a shorttage of water in the pond during the sum mer and a spring near thehead of the pond was dug out and a brick curb 10 feet in diameter and 7 feet deep put in over it A small house 8x20 feet was built nearby and a gasoline engine and pump bought and set up in it the pip ing being connected to the main pipe line from the rams by twelve hundred and twentyfive feet of 2inch pipe This spring furnished an ample supply of water for the colony until the fall rains filled the pond The front wing of the 21st female ward 130 ft long has been renovated new floors being put in throughout and wood ceiling put in over the hallways The plastering of the side walls of the entire wing and that of the ceilings in the rooms have been scraped and painted The old cement baseboards have all been removed and the side walls plastered down to the floor line The old accumulation of paint has been re moved and the woodwork repainted and finished in white enamel The floors have all been stained and waxed The front wing of the Infirmary has been done over the walls being painted the woodwork given two coats of white enamel the room floors stained and varnished and the corridor floors stained and waxed Floor plans and estimates have been made for the fol lowing new buildingsGEORGIA STATE SANITARIUM 109 A hospital for the acute insane An annex to the negro building A building for feebleminded children A building for white female nurses A tuberculosis ward for white females A tuberculosis ward for white males A boiler room with brick chimney and a kitchen for negro building A new floor has been put down in the vestibule between the 21st female ward and the center building and the plas tered ceiling replaced with one of wood The side walls have been scraped and painted The plastered ceiling in the day room between the In firmary and the 9th ward has been replaced with wood ceil ing which has been painted About threefourths of a mile of the pipe line from the waterworks to the Sanitarium is run through bottom land which was quite water soaked and soft at the time when the pipe was laid On account of unequal settlement of the pipe in this soft material there have been a good many leaks through the joints along this part of the line at different times As this part of the line is subject to overflow and is inaccessible at such times and as all of the settlement which is likely to occur has taken place we have dug down to each joint and recalked it in order to safeguard against any leaks at a time when we could not get to the line on account of high water A porcelain watercloset and an enameled iron bath tub have been placed in one of the rooms on the second floor of the central part of the Green Building All the tubes in No 1 boiler at the Green Building have been replaced with new ones the old tubes having become defective through pitting and ten tubes have been re moved in the No 1 boiler at the Powell Building for the same reason The platform at the Store House both on the Georgia and on the Central of Georgia Railway tracks have been re newed throughout with as neearly allheart long leaf yellow pine lumber as it was possible to get Ten thousand fourno SIXTYEIGHTH ANNUAL REPORT hundred feet was used in this work all of which was given two brush coats of creosote The steps and floors of both porches at the Twin Build ing have been renewed and painted All of the tin roofs 3192 squares have been painted The 14th and 27th wards have been reshingled The work required 92000 shingles Two rooms have been fitted up in the basement of the Powell Building for use as class rooms for the nurses Train ing School The floors have been repaired and the plastered ceiling which was in tatters was replaced with a wooden one which was painted white Thirteen electric lights were in stalled all of the wires being run in iron conduit The windows of the operating room in the Powell Build ing have been screened against flies and a coarser and strong er wire netting put on the outside to protect the plate glass windows against stones thrown by patients in the yard Work has been begun on the improvements to the kitch en and boiler room at the negro building on the enlargement and improvement of the operating room at the Powell Build ing and on the second pavilion for white tubercular females Besides the ordinary repair work of the Institution the following articles have been made and repaired in the several shops Carpenter Shop 1911 4 Coal Frames 51 Double Top Tables 17 Large Tables Small Table Examining Table Double Tables Sink Tables Large Dining Table Drop Leaf Table Double Sink Table 88 Table Legs 1 pair Double Gates 27 Benches 5 Cabinets 18 Shelves 12 Sewing Machines crated for dusting 4 Longhandles Brooms 3 Cone Rims 6 Bread Paddles 11 Voucher Boxes 2 Cart Bodies 1 Organ crated 1 Elevator Gearing Box 1 Medicine Case 3 Wagon Bolsters 18 Wall Blocks 9 Cross Arms 6 Pins 4 Lattice Doors 2 Cut Offs on Hall 1 Coal BoxGEORGIA STATE SANITARIUM 1 Trap 24 Wire Guards 2 Wagon Shafts 2 Well Curbs 1 Set of Shelves 3 Ladders 34 Mop Caps 6 Step Ladders 32 Rooms Refloored 2 Vestibules Refloored 2 Halls Refloored 1 Room Ceiled Overhead 1 Hall Ceiled Overhead 1 Vestibule Ceiled Overhead 1 Portico Ceiled Overhead SO Scrubbrush Handles 6 Wagon Seats 75 Shade Sticks 1 Trapdoor 8 Fly Traps 200 Bedsteads 4 Porches 4 Wash Tubs 2 Porches Refloored 1 Ice Box 16 Hoe Handles 1 Chest 24 Knobs for Iron Beds 1 Pair Steps 4 Handles to Soldering Irons 12 W W Brush Handles 26 Covers to Slop Barrels 1 Pump House 1 Set of Shelves 1 Desk 6 Meat Boxes 204 Mop Handles 17 Conductor Pipe Covers 3 Large Pictures crated 36 Chair Rockers 36 Chair Arms 1 Yard Closet 36 Panels Fence 1 Gate 12 Brackets 1 Wagon Body 1 Cross Bar 2 Testic Racks 5 Circle Screens Closet and Shelves put in Sex ing Room 1 Ox Wagon Tongue 3 Double Ox Yokes 1 Spoke in Wheel 1 Wagon Tongue 14 and 27 F Wards Recovered 1 Guinea Pig House 1 Phone Pole 12 Door Frames 24 Window Frames 3 Jacks for Automobiles 1 Litter 2 Centers 514 Coffins 196 Boxes for Shipping Coffins Tin 2 Steamers 6 Cracker Boxes 1 Trash Can 1 2gallon Milk Can 5 Sqrs Roofing Put on 4 Lgallon Feed Cups 2 3quart Coffee Pots 4 Gravy Strainers 76 Tin Pitchers 6 Meal Boxes 1 Colander Dipper 2 Halfgallon Buckets Shop 1911 510 Ft Eave Trough Put up 90 feet 3 inches Conductor pipe put up 328 feet 4 inches Conductor Pipe put up 48 feet 4 inches Sq Conductor Pipe put up 34 Milk Shakers i 3 Onegallon Buckets 1 18inch Reflector 2 Halfgallon Coffee Pots 1 Guano HornSIXTYEIGHTH ANNUAL REPORT 2 Drip Pans 13 Milk Pans 54 Dish Pans 4 Halfgallon Milk Cans 1 8inch Funnel 1 Twogallon Coffee Pot 3 Onepint Coffee Pots 2 Small Pans 1 Pint Measure 1 Quart Measure 85 Feet 20inch Box Valley put up 1 iwogallon Can 2 Pie Pans 1 Pan 30x26x2 for Ice Box at Colony 1 Pint Measure 12 Sugar Scoops 1 Box for Chicken Feed 2 Onegallon Oil Cans 6 Fly Traps 1 Sink lined 1 Scale Pan Furniture Repair Shop 1911 2164 Chairs Repaired 242 Tables Repaired 188 Dressers Repaired 227 Tables Varnished 350 Shades Repaired 432 Shades Put up 9 Collars Repaired 12 Lines Repaired Linoleum Repaired on Halls 12 3 5 22 23 Linoleum Put Down on Halls 1 2 3 22 24 33 34 Ill Cane Seats put in 458 Wooden Seats put in 92 Leather Seats put in 26 Mirrors put in Dressers 16 Brass Knobs put on 23 Back Straps made 127 Hame Strings made 9 Bridles Repaired 105 Curtains put up 1 Operating Table Upholstered 10 Sets Harness Repaired 7 Chairs Upholstered 2 Lounges Upholstered Shelves put in China Closet 150 Chairs Varnished 7 Carpets put down 14 Wires put on Bedstead 2 Harness Tugs 1 Cane Back put in Chair 5 Pairs Traces Repaired 121 Dressers Varnished 6 Beadsteads Repaired 6 Bedsteads Painted 1 Medicine Case Made 10 Safes Repaired 9 Safes Varnished 9 Lounges Repaired 4 Bed Springs Repaired 14 Harness Snaps put on 1 Carpet Repaired Dairy Report for 1911 Dr To Wages Mr Russell 83665 Wages and Board Hands 225600 C S Meal l2U2 tons 291600 Ensilage 829 tons 248700 C S Hulls 457250 lbs 175310 Feed from Colony 64500 lbs 103200 Wire Staples 42 lbs 170 Cotton Rope 8 lbs 166GEORGIA STATE SANITARIUM n3 Lard 10 lbs j qq Alfalfa Seed 100 lbs 2ooO Vetch Seed 120 lbs 1342 Salt 36 lbs 17 08 Cheese Cloth 224 yards 10 42 Soap 84 bars 2 si Water Hose 75 feet 1350 Barb Wire 11 Rolls 32 33 Ozone Salt 2 cases 9 10 Overalls 16 pairs 20 00 Dairymans Caps 18 4 14 Lanterns 1 Long Handle Shovels 2 i76 ButcherKnives 3 40 Pitchforks 4 lfl Feed Buckets 4 qs Grass Blades 3 2 in Purchase Cows 6 jsc on Coal Scoop 1 00 Coal Fork 1 Whitewash Brushes 4 lig Bull Rings 270 Milk Records 500 2250 1179179 Dairy Report for 1911 Cr By Sweet Milk 82474 gals Empty Sacks 263 03 Beef 3479 lbs Hides 70 lbs d Hides 270 lbs Hides 241 lbs 1 Bull Calves 4 Old Cow 1 30 2474220 789 646 22474 385 1620 1928 4600 500 05 5 06 08 By Total Balance Farm Garden and Dairy 2506516 By Balance in favor Dairy 13 273 37 By Total Credit Farm Garden and Dairy 64362 06 To Total Debit Farm Garden and Dairy 25103 27 3925879ii4 SIXTYEIGHTH ANNUAL REPORT itfarm StfUiarbH Import Near Milledgeville Ga Jan 1st 1912 Dr L M Jones Supt Etc Dear SirI herewith hand you my report as Farm Stew ard for the year 1911 of the farm garden and dairy the farm garden and pork is consolidated the dairy still kept separate and reported so the transportation account has been render ed to the bookkeeper monthly and the Farm Stewards in ventory for the 1st day of Jan 1912 also turned over to him We have received from the chicken yards during the year 3101 dozen eggsat market price would amount to 62025 and 552 pounds of turkeys 8280 Very respectfully GEO W HOLLINSHEAD Farm Steward Farm and Garden Report for 1911 Dr To Wages and board Mr Massey 62600 Wages and board Mr Simpson 57000 Wages and board Mr Hobby 45000 Wages and board Mr Bateman 45000 Wages and board Mr Leonard 45000 Wages and board Mr Combes 8535 Wages and board of cook 28175 To wages and board of hands 465401 To Farm Implements 89974 Farm and Garden Seed 49923 To Fertilizers 366277 Peach Trees 1750 Meat Chopper and Stutter 450 Paris Green 650 Binders Twine 3200 Wire Staples 87 Barb Wire 535 Burlap Bags 2700 Meal Bags 12540 Cotton Twine 311 Digging Well 2212GEORGIA STATE SANITARIUM 115 Moth Balls g 00 Speying Pigs 6 60 Cartridges j 0 Ginning Bagging and Ties 20140 Flannel jq Galv Buckets 1 57 Poultry Powders 25 Hay Wire 3400 Tamworth Pigs 30 00 Cutting Oats 5 53 Gasoline 13174 Flax Twine gi Well Rope 1 2s Cotton Rope ISA 1331148 Farm and Garden Report for 1911 Cr By Corn 8362 bu 90 752647 Cotton Seed 2772 bu 24 66528 Cucumbers 4414 bu 100 4450 Oats Shelled 3847 bus 75 288562 Beets 487 bu 50 24387 Snap Beans 433 bu 75 32475 Butter Beans 192 bu 100 19200 Rape 2745 bu 20 549 00 Lettuce 94y2 bu 20 lg90 Onions 894ji bu 90 805 05 Okra 68 bu 100 6825 Pepper 6 bu 50 3 12 Field Peas 618 bu 200 1237 00 Sweet Potatoes 5339 bu 100 533900 Irish Potatoes 534 bu 100 534 00 Radish 1164 bu 50 5gi2 Squash 334 bu 50 16700 Turnips Rough 1677 bu 30 50325 Turnip Greens 2121 bu 20 42420 Tomatoes 2221 bu 50 111 25 Wheat 107 bu 150 10050 Blackberries 6 bu 100 6 00 Cotton 84 bales 3 593 52 Corn Silage 829 tone 300 2487oO Com Green 8252 dozen 10 825 20 Eggs 86 doz 25 2L50 2lb Can Tomatoes 333 doz 90 30ooO 8lb Can Tomatoes 225 doz 350 787 50 Canteloupes 37391 No 03 112173n6 SIXTYEIGHTH ANNUAL REPORT Egg Plant 153 No 03 459 Chickens 92 No 30 2760 Watermelons 17291 No 05 86455 Hay 224381 lbs 75 168286 Oats Sheaf 9230 lbs 75 6922 Fodder 39357 lbs 75 29518 Turkeys 203 lbs 15 3045 Cabbage 9731 head 05 48655 Peaches 587 crates 100 58700 Sweet Milk 2286K gals 30 68595 By Amount Brought Over 3583663 Rye 106 bu 200 21200 Pork 30293 lbs 10 302930 Grapes 545 lbs 05 2725 Syrup 858 gals 34 29172 3929690 By Balance in favor Farm and Garden 2598542GEORGIA STATE SANITARIUM 117 Seport of JHatrntt T Milledgeville Ga Jan 1st 1912 Dr I M Jones Supt etc Dear SirWith thanks to the officers and to my co Z Wh haVC hl any wa aided me Permit me to submit enclosed as my report from Jan 1st 1911 to Jan 1st I would add that all repairing has been done for the in stitution and all scraps and remnants put to a good use and have been properly accounted for through Storekeepers of Respectfully submitted MRS J M DARNELL Matron Aprons Kitchen 872 Aprons Operating 80 Aprons Sleeve 22 Bed Ticks 2 596 Bed Pan Covers 30 Bath Robes g Beds Made Over 599 Bureau Scarfs 457 Chemise 5 ygg Curtains Draw 55 Coats g Capes Flannel 1Q88 Caps Operating 30 Coffee Strainers 13 Covers Table 973 Dresses Homespun 3S44 Dresses Strong 2 029 Dresses Gingh 1 733 Drawers 8647 nts 5340 Pillow Ticks 1 955 Pillow Cases 7Q3 Pillow Feather 17 Plilows Burial 35Q Shirts 5 027 Shirts Under 28I Shirts Night 425 heets V 21234 Sheets Bleached 1572 Suspenders jqq Sacques Flannel 3 Shoes Eiderdown 33 Skirts Flannel 144 Skirts Under 252 7weIs 13693 Wrappers Calico 13 Waists Shirt 130 Strong Under Waists Waists Waists 243 252 Flannel 280 Diapers 67s Mosquito Nets 5 Gowns 9881 Napkini 1020 Total 3 Corset C C flm g0dS belonig to patients Corset Covers Gowns g Kimonas 2 Under Skirts 4 Drawers jj Dresses Dress Skirt 2 Total 33tl8 STXTYEIGHTH ANNUAL REPORT Bandages Cotton Bandage Ft28764 Many Tail Bandage 24 Gauze Bandage Ft63900 Sterile Gauze 1600 Tea Bandage 28 Preserves and Pickles Canned Gals130 Preserves Gals 16 Jelly Glasses S10 Pickles Gals 336GEORGIA STATE SANITARIUM Import of librarian Milledgevillc Jan 1st 1912 Dr L M Jones Supt etc Dear SirPermit me to submit the following as my an nual report for the year ending Jan 1st 1912 Respectfully D E KIBBEE Librarian Number of books and magazines Jan 1st 1912 7923 Contributions received of books and magazines during year ending Jan 1st 1912 Mr George Case magazines 132 M rs L J Lamar magazines 03 Mr H S Jones magazines 74 Mr FitzHugh Lee magazines 20 Mr A T Stovall books 4 Judge T J Lawson magazines 18 Mr Robert P Porter book 1 Mr Dan Kiley magazines 6 Macon History Club magazines 893 Mr Chas and J R Rosignol Phonograph Records 26 Mrs Carswell Phonograph Records 8 Mrs A Smith Irvine Phonograph Records 17 Mr Skelton Jones Music Box and Records Mr D K ONeil magazines 6 Mr D S Carrington magazines 31 Dr T R Wright magazines 98 Total books and magazines 1347 Books taken out and read on The following papers mentary copies sent by th Macon Telegraph daily Atlanta Journal daily Atlanta Georgian daily Augusta Herald daily Augusta Chronicle daily Savannah Press daily Albany Herald daily Rome Tribune and Herald Columbus Enquirer and Sun Blackshear Times weekly Worth Ga Citizen weekly halls 1047 come to Ubrary free as compli e editors Milledgevillc News weekly Union and Recorder weekly Dawson News weekly Liberal Enterprise weekly West Point Herald weekly Monroe Advertiser weekly Christian Index weekly Golden Age weekly Wesleyan Christian Advocate weeklySIXTYEIGHTH ANNUAL REPORT Sppnrt of ghaplam Milledgeville Ga Jan 1st 1912 To the Trustees of Georgia State Sanitarium Up to November 1st 1911 I served as Chaplain to the State Sanitarium Conducted the chapel services each Sun day afternoon The inmates attended well and seemed at tentive and appreciative I also attended all funerals when so ordered by the Superintendent Respectfully submitted J F SINGLETON SixtyNinth Annual Report of the Board of Trustees sf the Georgia State Sanitarium For the Year Ending December 31st 1912 FOOTE A DAVIES CO ATLANTA GABoard of Trustees Georgia State Sanitarium President JOHN T BRANTLEYBlackshear Ga VicePresident HENRY BANKS LaGrange Ga Secretary RICHARD JOHNSONGray Ga H H DEANGainesville Ga J C JARNAGINWarrenton Ga J P HEARDVienna Ga JNO E WHITEAtlanta Ga THOS R WRIGHTAugusta Ga P H GAMBRELLMaeon Ga J W JACKSONUpatoie Ga E L RAINEY From Oct 16 1912 Dawson GaCommittees of the Board of Trustees Georgia State Sanitarium Executive Committee Henry Banks Chairman Richard Johnson Thos R Wright P H Gambrell J P Heard Finance and Auditing Committee J P Heard Chairman H H Dean J C Jarnagin J W Jackson Richard Johnson Committee on Sanitary Medical and Dispensary Service Thos R Wright Chairman Jno E White H H Dean Committee on Buildings and Grounds P H Gambrell Chairman Jno E White Henry Banks Committee on Farm and Outside Business J C Jarnagin Chairman J P Heard J W JacksonExecutive Officers of Sanitarium L M Jones MD Superintendent and Eesident Physician B M Green M DClinical Director J W Mobley M D First Assistant Physician N P Walker M DAssistant Physician Y A Little M DAssistant Physician Y H Yarbrough M DAssistant Physician W J Cranston M DAssistant Physician R C Swint M DAssistant Physician L P Longino M DAssistant Physician B McH Cline M DAssistant Physician J I Garrard M DAssistant Physician G It Echols M DAssistant Physician W P Tanner M DAssistant Physician L J Lamar Steward G W HollinsheadFarm Steward Homer BivinsAssistant Steward T H DeSaussureEngineer D S CarringtonPharmacist S S HindmanPathologist W H HunterStorekeeper H S JonesSecretary Geo H GreenDentist L H Andrews Treasurer Rev E S DempseyChaplain Mrs J M Darnell To March 1912Matron Miss Mae Miesse From March 1912 ExOfficio MatronThe SixtyNinth Annual Report of the Board of Trustees of the Georgia State Sanitarium Milledgeville Ga January 1 1913 To His Excellency Joseph M Brown Governor Sir The Board of Trustees of the Georgia State Sanitarium as required by law respectfully makes report herewith of its stewardship as to the conduct and management of this institu tion for the year ending December 31 1912 the sixtyninth year of its existence Quarterly meetings of the Board and monthly meetings of its committees have been held at the Sanitarium throughout the year and the work of the management closely supervised The funds of the State have been carefully expended Sup plies were brought as heretofore upon competitive bids from samples submitted The welfare and happiness of the stricken ones in its charge have had the constant thought of the Board An effort has been made to alleviate the hopeless condition of the feebleminded children found among the patients by such limited training as the facilities of the Sanitarium admit from which gratifying results are already had The success of this effort justifies the renewed plea made in this report in behalf of these unfortunates The Board earnestly bespeaks the careful attention of your Excellency to the recommendations with which this report is closed The sound reasons upon which they are based are briefly stated in each case Their importance especially those dealing with increased accommodations for the colored insane and a hospital for recent and acute cases of insanity are such as to demand the prompt attention of the General Assembly The essential features of the years work are now briefly set outSIXTYNINTH ANNUAL EEPOET Patients The year closed with 3429 patients in the Sanitarium The number of admissions for the year was 1108 The daily aver age under treatment was 3424 as against 3383 in 1911 an increase of 41 patients The daily average for the past five years shows an annual average increase of 89 The total num ber receiving treatment was 4527 It may reasonably be expected that at the present rate of growth ten years hence will see the daily average raised to 4500 patients More room will soon be required for white females and is now needed for the colored patients Included in the admissions for the year are eleven criminals escaping trial for crime by the plea of lunacy three of whom were found sane Finances The report of Steward Lamar is the second to be made for a whole year under the present system of accounts The prod ucts of farm garden and dairy are taken into consumption at a fair valuation and under the skillfnl direction of Farm Steward Hollinshead a substantial contribution to the support of the Sanitarium is thus made A small quantity of cotton is grown for mattress making but in late years it has been found more profitable to sell the cotton and buy linters for this purpose The demand of the culinary department for fresh vegetables grows larger all the while and plans are now under way for increasing the supply The farm is located four miles away from the Sanitarium and on it are employed the able bodied among the convalescent colored male patients It is of more than passing interest to note the wholesome effect of such outdoor employment on their mental as well as physical health no small number of recoveries coming from their num ber Exhibit A of this report sets out the resources and liabilities at the close of the year and a gain of 320566 is noted in the surplus carried over as compared with the previous year The net cash balance on hand after deducting the deposits of patients is 2380098 against which the Sanitarium is due for accrued salaries and wages and for supplies the sum ofGEORGIA STATE SANITARIUM 7 2517355 leaving an apparent overdraft for the year of 137357 Exhibit B sets out the total institution income and expendi tures and from it as from the same Exhibit for 1911 is con densed the following comparative statement Institution Income 1 1911 1912 State Appropriation 46599200 53000000 Surplus of supplies farm products and cash from previous year 4997455 6857945 Farm products 5196950 5874794 Farm products sold 423891 52009 Cotton and seed on hand unsold 405233 Board of officers etc 250301 264123 Sundry materials sold 113953 119734 Live stock increase 152463 Total57734213 66573838 Institution Expense 1911 1912 Supplies etc30205153 32715408 Salaries and wages 16993135 20412521 Farm products consumed 3677980 6267398 Adjusting entries Exhibit C 12109 Total50876208 59407436 Excess of income over expense 6857945 7166402 This excess of income over expense is held in the following forms for the two years as above 1911 1912 Live stock etc 1930041 1959731 Farm products 1518970 1531599 Farm supplies 271921 435080 Subsistence supplies 1777743 1844987 Engineers supplies 938386 758603 Fuel 850997 705285 Cash and cash items 2065581 2914724 Total 9353639 10150009 Less reserved for deposits due patients accrued salaries and wages for supplies bought etc 2495694 2983607 Net balance 6857945 71664028 SIXTYNINTH ANNUAL EEPOET The medical attendants and nurses were granted a well deserved increase of pay at the beginning of the year ranging in amount from 200 to 500 per month each and this neces sary action of the Board added approximately 2500000 to the years expenses The per annum cost to the State for each patient was 15306 as against 13988 in 1911 an increase of 1318 Of this increase approximately 650 is due to the increase of wages just noted the balance is mainly in the cost of supplies and in the many incidental repairs and improvements set out in the Engineers report The per diem cost per capita was 04182 Repairs The great extent of the physical property owned by the Sanitarium is well shown in the accompanying birds eye view Its upkeep is an expense which must constantly increase with the age of the buildings The Superintendents report calls attention to several repairs urgently demanding atten tion and which the Board has thus far from lack of funds been unable to reach Among them will be noted the enlarge ment of the laundry now inadequate to perform the work re quired of it the replacement of rotten plaster now constantly falling to the danger of the inmates the substitution of water proof floors for rotten decaying wood floors in 134 bathrooms and the completion of the unfinished wing of the twin building now required for white male patients Such work comes under the supervision of Engineer DeSaussure and his report shows the work accomplished by him The larger items therein are the completion of the renovation of the kitchen attached to the building for the colored patients the installation of new boilers therein the erection of two frame pavilions for tuber cular patients and a frame cottage for the use of one of the officers Work on the water storage reservoir is now under way and as is the custom with all such work patient labor is being used as far as possible to reduce the cost Medical Work of the Year The very full and interesting report of Clinical Director Green gives the history of a busy year for the Medical StaffGEORGIA STATE SANITARIUM The number of patients receiving treatment in the year reached a total of 4527 as contrasted with 4411 in 1911 The high death rate is attributed mainly to pellagra and tuberculosis and to the number of patients sent to the Institution in the last stages of chronic diseases The Clinical Director reports it not an uncommon thing for patients to be brought in in such feeble condition that death is often but a matter of a few hours or days In this connection attention is directed to the table of deaths presented in the report The increase of those due to pellagra is alarming The death rate among the negroes is very high due in part to their dangerously overcrowded accommodations No serious epidemic of sickness occurred in the year The addition of two tubercular pavilions during the year has enabled the Staff to give proper treatment to such cases One homicide and two suicides occurred par ticulars of which are given in his report Practically all of the 1108 new patients received were passed before the Staff for diagnosis 586 of them being found to offer no hope of re covery The best efforts of the Staff were exerted for the hopeful ones every facility at its disposal being used The poor results shown in this direction are not to be attributed wholly to the Staff Time and again the reports of the Board have laid emphasis on the dual responsibility of the Sanita rium It must not only serve as an asylum for the hopeless or chronic insane but also as a hospital for the treatment and cure of insanity Unwisely its doors have been opened by law for the admission of sane epileptics and feebleminded children for the proper care and treatment of whom it is not equipped It is burdened too with the support of a number of harmless paralytics and senile imbeciles many of whom are not danger ous to society It is also called upon to care for the criminal insane that is those persons who on plea of insanity escape trial and punishment for crime Apart from the injus tice of compelling the innocent insane to associate with such criminals it should be well remembered the Sanitarium is in no sense a prison and has no way of preventing the escape of such persons The necessity of providing for these various classes is a heavy drain on its resources and cripples its useful ness to the insane for whose care and treatment it was pri marily designed The great mission of the Sanitarium10 SIXTYNINTH ANNUAL EEPORT should be the treatment and cure of insanity and its every need in this direction should be liberally supplied A com pletely equipped psycopathic hospital should be at the dis posal of the Staff for the scientific care and treatment of the recent and acute cases of insanity Appropriations for its support should be sufficiently liberal to enable the Board to employ the best talent obtainable to this end The Board lays this urgent need before your Excellency and urges favorable consideration of its recommendation thereon The Training School for Nurses continues in successful oper ation and has graduated its first class Perhaps no single in novation in recent years has been so productive of good results as this one The first of such results is noted in the ease with which vacancies in the nursing force are now filled The School is under the immediate care of the capable Superintend ent of Nurses and her report shows the work done by it Sane Epileptics The law provides for the admission of epileptics to the Sani tarium without reference to their sanity It appears therefore that a sane person who happens to be so afflicted can be legally committed to it and thus is brought about the enforced asso ciation of sane persons with the insane a condition which can only be productive of harm to each No class of the afflicted is more to be pitied for this disease by its repulsive outward manifestations bars every door to them They are indeed proper subjects for custodial care but it should not be given them in a hospital for the insane On the contrary they should be segregated in a colony where under competent medical supervision they can be employed in the open and so given the one chance left them for recovery Those cases in which the disease has resulted in insanity are of course proper sub jects for the care of the Sanitarium A knowledge of the in jury done those in whom rests a small hope of cure causes the Board to make this statement to your Excellency It will be glad to see an epileptic hospital founded by the State and would renew the suggestion of a previous Board that in mem ory of the late Dr Powell it be called the T 0 Powell Hos pital for Epileptics as a recognition of his long and disGEORGIA STATE SANITARIUM 11 tinguished service to humanity and the State He was an earnest advocate for the establishment of such a hospital FeebleMinded Children The Board very earnestly directs the attention of your Ex cellency to the absence of any provision in the educational sys tem of the State for her feebleminded children approximately one hundred of whom are in the Sanitarium Generous pro vision has been made for her blind and for her deaf and dumb children but beyond providing for their commitment to the Sanitarium nothing has been done for the feebleminded Nor is this condition peculiar to Georgia since of the Southern States only Kentucky and Virginia have recognized their duty to these unfortunates Many of this class are capable of such training as will add to their happiness and enable them to contribute to their own support Their sequestration is highly essential to the best interests of society but justice and human ity alike demand they be thus sequestered in an institution planned to meet their peculiar needs and not in a hospital for the insane Such an institution will provide not only for their physical needs but will give them such mental and manual training as they can receive When thus trained their self helpful employment should be directed to their own support a matter of importance since the most of them must remain thus sequestered a charge upon the State for life Only the grosser types find their way to the Sanitarium and the small number in it by no means represents the total number in the State The feebleminded have so few needs in common with the insane and their enforced association is so detrimental to each class that their further commitment to the Sanitarium should be stopped and proper provision at once made for them RECOMMENDATIONS Support and Maintenance Funds for 1914 and 1915 The Board estimates that the Sanitarium will be called on to provide for 3629 and 3729 patients in the years 1914 and 1915 In order to give them the proper care and treatment and at the same time keep the immense property of the Sani12 SIXTYNINTH ANNUAL REPORT tarium in good repair it believes an allowance based on 50 cents per day for each patient to be none too much for the best results and its calculations are therefore made on this basis It recommends an appropriation for this purpose for 1914 of 64404250 and for 1915 66229250 Accommodations for the Colored Insane The last report of the Board called attention to the danger ously crowded condition of the negro building into which 1011 patients are now packed The Sanitarium Committees of the General Assembly visited the building last year and verified the report The recommendation of the Board in the matter was unheeded and a condition then bad has grown intolerable The sanitary condition of the building so heavily overcrowded is a serious menace to the health of the inmates and will be apt to cause an already high death rate to grow higher Engi neer DeSaussure after a careful study of the situation advises the Board that the most economical way of supplying more room is by the erection of an annex to the present building which will enable it to be served from the same kitchen and heating plant The Board would like to have included in such annex an amusement or recreation hall for the use of the con valescent patients The cost of such an annex carrying an amusement hall and made to accommodate 300 patients is estimated at 10000000 and an appropriation in this sum is recommended Hospital for the Acute Insane Hope for recovery rests only in the recent and acute cases of insanity and it is of the utmost importance to their recov ery that they be not forced into association with the hopeless chronic insane lest the depressing influences of such associa tion destroy all hope of cure Their surroundings should be cheerful their attention and food the best and the scientific equipment for their treatment modern The wellcrowded con dition of all the Sanitarium buildings precludes any possibility of separating such patients or of setting aside any one of them to this use even were it otherwise suitable The need is keenly felt by the Staff is so urged by humane and economic reasonsGEORGIA STATE SANITARIUM 13 that the Board earnestly renews the recommendation contained in its last report that the sum of 13500000 be appropriated to the use of the Board for this specific purpose this being the careful estimate of the Engineer of the cost of a suitable build ing fully equipped and furnished Nurses Home Much is demanded of the faithful women who constitute a large part of the nursing force of the Sanitarium Their duties are very trying at times and worn and exhausted as they frequently are their only chance to obtain rest and sleep is in the wards on which they are located when on duty Those familiar with insane hospital conditions will readily ap preciate that there are many times when either is hard to ob tain The Board believes their work entitles them to the con sideration of the State and that such consideration will result in better service and so is constrained to ask an appropriation in the sum of 4000000 for the erection and furnishing of a Nurses Home for the use of such nurses when off duty The Engineer estimates that this sum will be sufficient for such purpose Recommendations as to Laws In the judgment of the Board for reasons given in each case certain changes in the laws governing the Sanitarium are es sential and are recommended as follows First Amended so as to prohibit the further commitment to the Sanitarium of epileptics not insane feebleminded chil dren harmless seniles and paralytics and persons escaping trial for crime by plea of lunacy The first and second of the classes named are not insane and should be placed in institu tions adapted to their treatment and education The third and fourth classes can not be benefited by Sanitarium treat ment The last named class ought to be placed where they can be kept in secure confinement The Sanitarium is a hos pital and not a prison Second Amended so that the three nearest adult relatives with the consent of the Ordinary may waive the present re quired ten days notice of a trial for lunacy The purpose of such amendment is to avoid the jail confinement which fre14 SIXTYNINTH ANNUAL EEPORT quently falls to the lot of these stricken ones and so permit them to be placed under treatment at once Third Amended so that any person who shall abandon a patient on the Sanitarium grounds without the Superintend ents permission shall be arrested tried and punished as for a misdemeanor in the courts of Baldwin County having juris diction in criminal cases The purpose of this amendment is apparent Fourth Amended so as to give the Board power to fix the salary of the Superintendent and resident physician as well as the salary of the assistant physician The present salary of the first named officer was fixed in 1866 when but 299 pa tients were in his care The Board believes his salary should be commensurate with his responsibilities and sufficiently large to attract the ablest talent to it as occasion may arise Fifth Amended so as to abolish the office of Treasurer and to authorize the Board with the approval of the Governor to appoint a bank or banks of deposit as the custodian of Sani tarium funds The office is obsolete and no longer required and the change will enable the Sanitarium to receive interest on its money Sixth Amended so as to authorize the Board to employ a legal adviser as occasion may require Seventh Amended so that nine members shall constitute the Board of Trustees of the Sanitarium that at the first appoint ment three shall be appointed for two three for four and three for six years and thereafter three shall be appointed every two years The growing size of the Sanitarium and large sums of money needed for its support makes it a matter of business prudence to avoid placing its affairs in the hands of inexperi enced men with each change of administration Eighth Amended so as to change the name of this institu tion from the Georgia State Sanitarium to the Georgia State Hospital for the Insane The new name will more clearly in dicate its functions and at the same time differentiates it from the other State Sanitarium now existing in the State Ninth The enactment of a sterilization law applying to certain classes of criminals and defectives modeled after re cently enacted laws in the States of New Jersey and IndianaGEOKGIA STATE SANITARIUM 15 Superintendent and Staff The active management of the Sanitarium rests in the hands of Superintendent Jones and to him must be given full credit for the successful conduct of its affairs throughout the year The commendations of the Board are likewise due his heads of departments namely Clinical Director Green Steward Lamar Engineer DeSaussure Farm Steward Hollinshead and Super intendent of Nurses Miesse as well as to their assistants for the satisfactory nature of the work done under and by them The Board realizes as does the Superintendent and members of his Staff that the Sanitarium has not yet reached its maxi mum of efficiency but in common with each of these efficers and having faith in their ability it looks forward with confi dence to a time when with bettered equipment and more liberal support a greater number of cures of insanity can be reported In Conclusion The Board sincerely thanks your Excellency for the sympa thetic support given it in the discharge of the duties placed in its hands and ventures the hope its actions therein may have your approval By order of the Board of Trustees JNO T BRANTLEY President RICHARD JOHNSON Secretary16 SIXTYNINTH ANNUAL REPORT Report of Superintendent For the Year Beginning January 1 1912 and Ending Decem ber 31 1912 Georgia State Sanitarium January 1 1913 To the Honorable Board of Trustees Georgia State Sanitarium Gentlemen I respectfully submit for your official consideration the Sixtyninth annual report of this Institution for the year end ing December 31 1912 On January 1 1912 there were patients on hand white and colored 3419 Received during the year 1108 Total num ber under treatment 4527 Net increase for the year 10 Number of deaths 620 Number discharged 478 Percentage of recoveries and improved based on number received 305 Percentage of deaths based on total number under treatment 1369 On hand January 1 1913 3429 Expenses for whole institution daily 143211 weekly 1002477 monthly 4367950 for the year 52415406 Our appropriation for the year was 53000000 Our per capita was a few cents above that of last year owing to the increased cost of living and the amounts we had to use in improving the negro kitchen putting in new boilers etc putting up two new pavilions for tubercular patients and building a cottage for Dr Walker The kitchen at the negro building as remodeled and en larged with new boilers new Petersen oven new cooking uten sils cement floor etc is a thing to be proud of It is said that it is the best kitchen we have now and that better cooking is done there than at any other kitchen The two new pavilions one for white males and one for white females are quite an improvement over those formerly builtGEOEGIA STATE SANITAKIUM 17 It is rather discouraging to have to repeat the necessity of improving the physical condition of the old buildings and to add new ones but I feel it my duty to call your attention to these matters and let us continue our requests to the Legisla ture until we get what is needed for the successful manage ment of this the most dependent charge upon the State The inmates here are as dependent and as helpless as babes Un less the State provides means for their support and comfort they are compelled to go without Our laundry is totally inadequate for the amount of work that is needed to be done to keep clean linen for this great number of helpless people It needs to be enlarged and a great deal of new equipment added in order that the work may be done promptly and properly The estimated cost made two years ago by our Engineer is 624000 Estimated cost to enlarge the general storehouse which has not sufficient room to hold the goods that have to be stored away for a months supply is 265100 There are about 134 bathrooms in the Institution which need to have the old unsanitary ever wet and decaying board floors removed and concrete floors substituted Estimated cost 788500 Much of the plastering overhead in the old buildings has become rotten and it is constantly falling It is useless to re place it with new plastering for it soon becomes detached and falls Board ceiling should be substituted Estimated cost 900500 One wing of the twin building has never been finished and we need the room Estimated cost 800000 Additions to the negro building is a pressing necessity We are overcrowded in this department and should have addi tional room to accommodate three hundred patients Esti mated cost 10000000 We have certain wards set apart for the reception of new cases and while we are doing the best work possible in such quarters it would be greatly to our advantage to have a sepa rate building for all acute cases This building would give us more room which we are beginning to need very much in the white female department Estimated cost 1350000018 SIXTYNINTH ANNUAL EEPOET A Nurses Hall is very much needed We have nowhere for them to sleep save on the wards where the patients sleep and frequently they get very little rest owing to the noise kept up during the night by the patients Then they have no place for assembling or recreation when not on duty Very few insti tutions of this kind are without these accommodations Esti mated cost 4000000 These amounts may seem large in addition to the regular appropriation for maintenance and if all should be made at once would fall rather heavily on the State In lieu of these several amounts if we could get fifty cents per capita I feel that we could reasonably hope to gradually make all needed improvements and put up the necessary additional buildings Training School I am happy to report the successful ending of the two years course in the training school last October It was a great dis appointment to me not to be present at the Commencement exercises Owing to continued illness I was forced to seek re lief at Johns Hopkins Hospital hence my absence The programme consisted of an address by Hon H H Dean member of our Board of Trustees presentation of diplomas by Hon Jno T Brantley President of the Board presenta tion of Class pins by Dr Thos R Wright also member of the Board of Trustees music refreshments etc The following members of the Senior Class received diplomas and Class pins viz Miss Annie T Athon Miss Ora A Bar nett Miss Willie D Geiger Miss Alice M Vaughn Miss Vallie Badger Miss Emma Layfield Miss Alma E Snipes Mrs Lula Futral and Mr Robert A Taylor It gives me pleasure to say that every member of the grad uating class continues in the service of the Institution except Mrs Putral who was obliged to leave on account of failing health These graduates have been placed in charge of our sick and infirmary wards reception wards etc and are giving us valuable service One of the graduates with two assist ants from the Senior Class has been placed in charge of the sick ward in the white male department and one with three assistants in charge of three infirmary wards of the white maleGEORGIA STATE SANITARIUM 19 department all on one floor where they can overlook the feeble and bedridden old men Of course they have male at tendants to attend to the bathing etc We have diet kitchens on these wards where delicacies can be prepared for the sick and feeble The service in these departments has been greatly improved in every respect Mr Taylor the male member of the graduating class has been put in charge of the sick and infirmary wards of the col ored male department We already had a colored female trained nurse on the colored female department so I feel that we are better equipped for nursing our sick than we have ever been We are indebted to the physicians for their faithful service in lecturing the class and aiding them in every way possible to fit them for the noble calling they have chosen Miss Mae Miesse as Superintendent of Nurses and the Train ing School has rendered faithful service and her work is highly appreciated Employment and Amusements Basketry needle work sewing helping to keep the wards in order attending to the meals etc has been done by the white females while a good many of the colored females assist in the laundry as well as in keeping the wards in order sew ing etc The white males assist in the diningrooms ward work kitchens caring for the chickens cleaning up the yards gar dening repair shop etc while the colored males assist in ward work kitchens diningrooms scavenger work cutting wood grading farming dairy etc Amusements In addition to the dances games etc we have had the Vic trola and band concerts on the lawn in good weather and in the hall in inclement weather We mentioned the fact in our last report that the officers had formed a band association and were soliciting funds with which to purchase instruments for a brass band It gives me pleasure to state that they were successful in getting enough money to purchase the instru20 SIXTYNINTH ANNUAL EEPOET ments and an instructor was employed last April A class of about twenty was selected from among the employes and within a short time they had made such progress as to be able to give concerts which we are having regularly once a week Every one appreciates this addition to our list of amusements During the Christmas holidays Mr Edmond Reid proprietor of the moving picture theater in Milledgeville very generously came out with his outfit one afternoon and gave us quite a treat showing his pictures The hall was crowded to its ut most with patients and the show greatly enjoyed and appre ciated by all Many thanks to Mr Reid Clinical Director Dr E M Green our Clinical Director has given his full time to the Medical Department holding Staff meetings daily at which all new cases received are brought before the Staff for examinations discussions diagnosis etc The physician in charge of such cases has an anamnesis of his findings both mental and physical which is read and conclusions arrived at from these findings A complete record of these cases and all subsequent notes are carefully kept on file for any future ref erence that may be wished to be made You will find in his report a full account of receptions discharges physical as well as mental diseases percentages of recoveries deaths etc Dr Green has been painstaking in this work and given the In stitution valuable service The Sanitarium Medical Society composed of all the mem bers of the Staff and medical internes has held meetings monthly at which time a paper has been read and discussed We consider this a valuable feature of the work being done in the medical department and would recommend that all papers prepared and read at these meetings be published in pamphlet form for distribution The Stewards report shows in detail the receipts and dis bursements of all funds Your Executive Committee continues to purchase supplies quarterly onethird of which is delivered monthly Lists of such supplies as are needed are sent to prospective bidders and samples are required to be furnished and the lowest bidder quality considered gets the contractGEOBGIA STATE SANITAEIITM 21 All goods bought and delivered are subject to our weights and measurements The Farm Stewards report will show what has been done at the farm colony in the garden dairy etc Last year was one of the hardest to contend with on account of excessive rains that we have seen It was impossible to give the land proper preparation before planting and to give the crops needed cultivation Still we are thankful for what we made The yield of corn was good at the colony making more than we made the year previous Oat crop was good more than usual Potato crop very good and they have kept better than usual Melons almost a failure Worms totally ruined the cantaloupes Fairly good crop of peaches The heavy rains overflowed our pastures so continuously that the grazing was very poor consequently the dairy did not do as well as it otherwise would have done The hogs were nearly all lost last spring from cholera After they began to get sick we had a State veterinarian to examine them He advised us that they had cholera and prescribed the serum for this disease It was administered to all but too late to save many Those at the colony had not taken the disease They were given the treatment and none of them became sick I am satisfied from this experience that it does no good to administer this treatment to a hog after he becomes infected It may be a preventive but is a very costly remedy The Engineers report shows the work done in his depart ment in the way of improvements repairs etc Mrs J M Darnell our beloved Matron died last February after an attack of pneumonia She had been connected with the Institution for about thirty years and had given the best years of her life to the service of this Institution She was always faithful and interested in her work kind and consid erate of everyone She is greatly missed by all Miss Mae Miesse with an assistant in the office has been exofficio Ma tron since March and everything in this department is work ing smoothly The report of the Pathologist will show what has been done in the laboratory We are not able to get as many autopsies as we should have on account of so many people being preju diced against work of this kind Many cases of difficult diag22 SIXTYNINTH ANNUAL EEPOET nosis can be cleared up only by an autopsy but as we have no legal authority to perform them we never do them without the consent of relatives Religious services were conducted by Rev Elam F Dempsey pastor of the Methodist church in Milledgeville until the first of November at which time Rev Mr H L Jewett Williams pastor of the Episcopal church was elected for the following year All of the dead who were not sent home were given Christian burial and preaching in the chapel was had regu larly every Sunday afternoon and greatly appreciated by the audience The library is kept in the male convalescent building where we have quite a good number of books and the friends of the Institution are frequently sending nice magazines and the press send a good many daily and weekly newspapers all of which are appreciated and enjoyed by the inmates Our in debtedness to these friends is hereby acknowledged We had no changes in our Medical Staff during the year Dr Kelly one of our internes left us early in the year but we were fortunate enough to get Dr Saye who was serving an interneship in the Augusta Hospital to fill the vacancy In October Dr P H Weeks who was serving his second year as interne had a position offered him on the Staff of the Hos pital for the Insane at Indianapolis Indiana and accepted much to our regret as he had made us a very valuable man However much we regretted to give him up we were glad to see him get such a desirable position In closing I desire to thank the officers for their cooperation in carrying on this great work for humanity also every em ploye who has rendered faithful service and to you gentlemen I wish to express my gratitude for your universal kindness to me and the great interest you have manifested in conducting the affairs of this InstitutionGEORGIA STATE SANITARIUM 23 Report of the Clinical Director Dr L M Jones Superintendent Dear Sir I beg to offer the following report of the Medi cal Department of the Sanitarium for the year ending Decem ber 31 1912 Admissions The number of admissions to the Sanitarium has steadily in creased during the past five years as is shown by the accom panying table Number of Year Patients Received 1908 947 1909 973 1910 996 1911 1064 1912 1108 Of the 1108 patients received in 1912 908 had never pre viously been admitted to a hospital for the insane while 200 had formerly one or more commitments to State or private hospitals of such character The question of alien insane of so great importance in many of the Northern and Western States has so far been a negli gible factor in admissions to this Institution During the past year only twelve patients of the 1108 received were of foreign birth The number of criminals committed by order of court was notably smaller than for the previous year only eleven such cases having been received Seven of the number were white males four negro males Three of the eleven patients were not insane The following mental disorders were noted in the eight remaining cases Dementia praecox 3 Constitutional inferiority 2 Imbecility 1 Imbecility with epilepsy 1 Drug psychosis 1 Total 824 SIXTYNINTH ANNUAL KEPOKT These individuals were under indictment for the following offences Arson 1 Burglary 3 Forgery 1 Larceny 1 Murder 1 Misdemeanor not specified 2 Rape 1 Sodomy 1 Total 11 Staff Meetings As in previous years the Staff meetings have been held daily Sundays excepted at 830 a m During the year 1081 of the 1108 patients received were presented for diagnosis before the Medical Staff Of the twentyseven not presented twenty three died and four escaped within a few days after admission One hundred and ninetynine of these cases were before the Staff twice and a few of them three times while several of those admitted during the previous year appeared for special consideration Anamneses Our efforts to secure family and personal histories from rela tives of the patients admitted have not been productive of sat isfactory results Many of the patients come from remote parts of the State and are not accompanied or visited by rela tives so that attempts to secure the desired information are necessarily confined to correspondence Even where such in formation was obtained it comparatively seldom covered more than two generations For this reason the words for at least two generations are used in discussing the psychoses subse quently in this report In the negro it is rare indeed to secure any information in regard to grandparents and as a rule that concerning the immediately preceding generation is meagre Discharges Explanation of the small number of patients discharged as restored has been made in previous reports Several of ourGEORGIA STATE SANITARIUM 25 classification groups largest in point of numbers are those in which recovery can not he hoped for The State makes no pro vision for the epileptic nor the feebleminded consequently they swell the number of admissions to this Institution The following tabulation will convey some idea of the ratio of in curable patients received during the year General paralysis 60 Senile psychoses 103 Psychoses with nervous or brain disease 44 Dementia praecox 132 Paranoic condition 11 Epileptic psychoses 94 Constitutional inferiority 31 Imbecility and idiocy 110 Total 585 From the above it is seen that 528 of all admissions suf fered from psychoses in which improvement only can be hoped for During the year 478 patients were discharged most of them on the expiration of a furlough of ninety days Their condi tion on discharge was recorded as follows Restored 73 Improved 257 Unimproved 140 Not insane 8 Total 478 The percentage of those restored and improved based on the number of admissions is 297 that of restored alone 65 Physical Diseases While our records show 2868 cases of physical diseases treated during the year this number does not represent the actual medical work performed as many cases reported the previous year were still under treatment and many through oversight were not reported A few cases of measles mumps and chicken pox were recorded but there was no general epi demic of either disease as has occurred in past years26 SIXTYNINTH ANNUAL EEPOET The number of patients suffering from malarial fever was in excess of that of any previous year being almost double the number of those so affected in 1911 In the female department two cases of typhoid fever were reported One of the patients was a nurse who probably con tracted the disease while away from the Institution Six cases were reported in the negro male department There was a notable diminution in the number of cases of tuberculosis as contrasted with the previous year only 126 being recorded The disease was recognized in seventy of these cases on examination within a few days after their ad mission while in six additional cases its presence was sus pected Of the 1108 patients received 261 gave family his tories in which tuberculosis appeared 449 individuals being affected Maternal tuberculosis was noted in fiftyseven of the 261 histories paternal tuberculosis in forty both mater nal and paternal tuberculosis in six In 226 of the whole num ber such a history was denied Of the 497 patients therefore concerning whose relatives information could be secured 525 gave a family history of tuberculosis In 105 instances it was stated that one or more relatives suffered from cancer the affected individuals numbering 114 The number of cases of pellagra was much larger than in any previous year 263 being reported On admission the disease was recognized in ninetyone of the number and sus pected in seventeen additional instances It appeared in nu merous other cases soon after admission the exact number is not available In twelve cases the existence of both pellagra and tuberculosis was noted on admission Valvular heart disease was found in 130 of the patients re ceived and other organic heart diseases in twenty Surgery During the year fiftythree major operations and ninetyfour operations of less gravity were performed in addition to 469 minor surgical procedures Only three patients died follow ing operation One of these was an old man upon whom an operation for strangulated hernia was done Owing to his mental condition the strangulation was not complained ofGEORGIA STATE SANITARIUM 27 though it must have existed for some time as the contents of the hernial sack were gangrenous at the time of operation Death from septic peritonitis followed a cholecystotomy The patient was a white female in whom the gall bladder was so bound down by a mass of adhesions that it could be reached only with great difficulty The third patient was a white male who had sustained a compound comminuted fracture of the skull and though tre phined promptly never regained consciousness General anaesthesia was required in 140 of the surgical cases The results of the surgical work are especially gratifying as all surgery is done by members of the Staff and not by con sultants as is the case in many institutions while the difficul ties met with in the after treatment were frequently exagger ated by the noncooperation of the patients occasionally by their active opposition Deaths The high death rate for the past year which is 136 of all cases under treatment is attributable in great part to the increase in the number of patients suffering from pellagra a disease in which the death rate is always high and to the fact that so many patients in the terminal stages of chronic diseases are now sent to the Institution It is not uncommon for pa tients to be brought to the Sanitarium in such feeble condition that death is evidently a matter of a few hours or days It will be seen by reference to Table No XVII that compara tively few of the deaths occurring during 1912 were due to acute diseases The accompanying table presents some facts worthy of con sideration in regard to the death rate for the past five years 1908 1909 1910 1911 1912 4095 459 112 100 217 23 5 4085 441 107 64 143 74 16 4202 449 106 86 191 84 187 4411 542 122 103 19 107 197 4527 620 Percentage of deaths all causes Number of deaths from tuberculosis Percentage of deaths from tuberculosis Number of deaths from pellagra Percentage of deaths from pellagra 136 102 164 124 20 28 SIXTYNINTH ANNUAL REPORT In former years tuberculosis was recognized as being ac countable for a larger number of deaths than any single dis ease 217 of all deaths being attributed to it in 1908 There was a remarkable lowering of this ratio during the following year at which time all tuberculous patients were removed to pavilions erected for their occupancy This encouraging de crease in numbers was not however permanent though the percentage of deaths from tuberculosis has never equaled the high mark reached in 1908 During the past year it was 53 lower than five years ago but still to tuberculosis was credited 164 of the deaths On the contrary it will be seen that the percentage of deaths from pellagra has steadily advanced until in 1912 it was four times as great as in 1908 while for the past two years this dis ease has assumed the position formerly held by tuberculosis as being in point of numbers the leading cause of death Throughout the past year especial attention has been given to the treatment of these cases but the results were disappoint ing According to published reports of physicians elsewhere the intravenous injection of salvarsan seemed to offer some hope of benefit but though 176 such injections were given only a few of the cases appeared to be favorably influenced and this method of treatment seems to have no advantage over others In one instance death was caused by fracture of the skull the injury being inflicted by a patient who for several years had been considered harmless Two white females committed suicide by hanging One had never manifested suicidal tendencies while the other had on several occasions threatened to end her life In nineteen instances the cause of death was undetermined In several of these patients an attack of acute illness termi nated fatally before a diagnosis could be arrived at while in the greater number death occurred suddenly in patients who appeared to be in robust health Autopsy was refused in all of the nineteen casesGEORGIA STATE SANITARIUM 29 Training School for Nurses As the Training School has so recently been established the course is still optional and must remain so for some time though all attendants capable of taking it are encouraged to do so At present the course of study extends over twenty four months instruction being given by means of lectures and demonstrations The teaching force numbers eighteen and an effort is being made to render the work as practical as possible The success with which our graduates have met in nursing private cases out of the Institution proves that they are well equipped for their profession The school term of 19121913 began in October with a Senior Class of twelve pupils and a Junior Class of twentythree During the year the following nurses were awarded diplo mas Miss Nannie Athon Miss Vallie Badger Miss Ora Bar nett Mrs Lula Futral Miss Willie Geiger Miss Emmie Lay field Miss Alma Snipes Miss Alice Vaughn Mr R A Taylor Medical Society The Medical Society composed of the Medical Staff of the Institution has been a source of interest and profit to its mem bers for some years past Monthly meetings are held and the physicians of the county are invited to be present and take part in the discussions During the year the following papers have been prepared by the members of the Staff Dr B M ClineThe Early Diagnosis of Pellagra Dr W J CranstonThe Use of Salvarsan in Pellagra A Preliminary Report of CerebroSpinal Findings in Pellagra A Report of Cases of Pellagra Treated With Salvarsan at the Georgia State Sanitarium A Welladvanced Case of Pyoneph rosis With Pew Symptoms Dr G L EcholsA Resume of the Alcoholics Admitted to the Sanitarium During the Years 1910 and 1911 Dr E M GreenPhychoses Accompanying Pellagra Dr G H GreenEmpyema of the Maxillary Sinus Dr S S HindmanThe Cytology of the CerebroSpinal Fluid in Psychiatry and Neurology With Special Reference to Pellagra Some Interesting Findings in the Spinal Fluid of30 SIXTYNINTH ANNUAL REPORT Insane Pellagrins Pathological Findings in Pellagra With Re port of a Case Dr Y A LittleSurgery in Insane Females Dr L P LonginoStrangulated Inguinal Hernia Dr J W MobleyMedical Officers in Insane Hospitals Dr E B SayeFlatfoot Dr R C SwintIodine in Surgery Dr W F TannerProstatic Hypertrophy Dr J I GarrardSterilization the Only Logical Means of Retarding the Progress of Insanity and Degeneracy The accompanying tables show the diagnostic grouping of the patients received during the year and the percentage ratio of each group based upon the whole number admitted also that by race based upon their respective admissions TABLE I Form of Psychosis of Patients Admitted During the Year 1912 White M Colored M F Total 28 23 26 27 19 8 5 21 3 4 Traumatic psychoses Senile psychoses Dementia paralytica Psychoses with other brain or nervous disease Alcoholic psychoses Drug and other toxic psychoses Infectiveexhaustive and autotoxic psychoses Allied to infectiveexhaustive psychoses Psychoses accompanying pellagra Involution melancholia Depression undifferentiated Symptomatic depression Dementia praecox Allied to dementia praecox Paranoic condition Manicdepressive psychosis Allied to manicdepressive psychosis Epileptic psychoses Hysterical psychasthenic and neurasthenic psychoses Other constitutional disorders and inferiorities Imbecility and idiocy Not insane Unclassified Total 375 35 11 3 33 5 34 2 23 45 4 18 37 6 5 2 14 12 4 18 1 39 14 5 49 14 23 7 5 22 23 311 2 22 21 10 3 5 11 23 5 2 29 6 SI 3 31 1 12 226 16 10 3 i 6 1 33 35 13 1 39 13 12 196 2 103 60 44 37 34 27 16 83 6 13 1 132 43 11 150 38 94 9 31 110 5 59 1108GEORGIA STATE SANITARIUM 31 TABLE II Percentage Ratio Traumatic psychoses Senile phychoses Dementia paralytica Psychoses with other brain or nervous disease Alcoholic psychoses Drug and other toxic psychoses Infectiveexhaustive and autotoxic psychoses Allied to infectiveexhaustive psychoses Psychoses accompanying pellagra Involution melancholia Symptomatic depression Depression undifferentiated Dementia praecox Allied to dementia praecox Paranoic condition Manicdepressive psychosis Allied to manicdepressive psychosis Epileptic psychoses Hysterical psychasthenic and neurasthenic psy choses Other constitutional disorders and inferiorities Imbecility and idiocy Not insane Unclassified Col White f ored 4 9 73 34 19 2 21 16 104 2 137 42 7 161 45 87 7 101 2 42 Com bined 1 93 54 39 33 34 24 14 74 5 09 11 119 38 9 135 34 84 8 28 99 4 53 Traumatic Psychoses The psychosis of two negro males followed severe head in jury Neither of these patients had a previous hospital resi dence The family history of one was negative for two gen erations Insanity of a paternal uncle was admitted by the other Both patients used alcohol to excess and one of them gave a history of syphilitic infection six years prior to his commitment The mental disorder of one was manifested by irritability paranoid ideas and homicidal tendencies that of the other by deterioration and epileptic seizures the former being classed as posttraumatic constitution the latter as trau matic defect condition Senile Psychoses As compared with the previous year there was a noticeable diminution in the number of senile patients admitted only 103 cases or 93 of the whole number were assigned to this group32 SIXTYNINTH ANNUAL EEPOET Five of these patients had previously been admitted to this hospital from which they were discharged one as improved four as unimproved A family history of nervous or mental disease for at least two generations was obtained in fortyone of the number in thirtyone no information regarding rela tives could be secured Arteriosclerosis was noted in thirty four cases valvular heart disease in seventeen while in thirteen additional eases both arteriosclerosis and cardiac disease were found The following clinical types were met with Deterioration 86 Depressed and agitated states 5 Delirious and confused states 6 Paranoid states 5 Presbyophrenia 1 Total 103 Dementia Paralytica The sixty cases comprising this group form 54 of all ad missions Of this number 483 belong to the white race 516 to the negro race One of these patients had formerly spent a few months in this Institution from which she was dis charged as improved two years prior to her present commit ment Eight had previous residences in private hospitals for the insane Nervous or mental disease appeared in the family histories of eleven members of this group while twenty could give no information in regard to their relatives A former syphilitic infection was acknowledged by forty one and denied by four The following types of the disease were encountered Cerebral 43 Tabetic 15 Undetermined 2 Total 60 Psychoses With Other Nervous or Brain Disease This group is composed of fortyfour cases in which mental disorder accompanied disease of the nervous system None ofGEOEGIA STATE SANITABIUM 33 the patients had a former hospital residence In four in stances no family history could be obtained but in nineteen a history for at least two generations was secured in which one or more relatives suffered from nervous or mental disease The accompanying nervous diseases were as follows Cerebral arteriosclerosis 12 Cerebral hemorrhage thrombosis or embolism 9 Cerebral softening following hemorrhage 3 Cerebral syphilis 7 Cerebral tumor 1 Acute chorea 1 Huntington s chorea 4 Littles disease 2 Meningitis 1 Spinal hemorrhage traumatic 1 Undetermined 3 Total 44 Alcoholic Psychoses To this group were assigned thirtyseven of the cases ad mitted during the year Of this number four had twice been inmates of this Institution while seven had each one previous hospital residence A family history of nervous or mental dis ease was elicited in 46 of these cases In 837 a family history of chronic alcoholism was obtained Paternal alcohol ism was admitted by twenty of the thirtyseven patients The following types were noted Acute hallucinosis 7 Chronic hallucinosis 3 Delirium tremens 7 Deterioration 11 Depression 1 Korsakow s psychosis 1 Paranoid states 3 Amnesic states 1 Type undetermined 3 Total 3734 SIXTYNINTH ANNUAL EEPOET Drug and Other Toxic Psychoses Of the thirtyfour patients comprising this group all were members of the white race with the exception of one negro female Thirteen of the number had one or more previous hospital residences several of them having been repeatedly treated for the drug habit in private hospitals A family his tory in which nervous or mental disease appeared was obtained from eighteen of these patients while two were unable to fur nish any information in regard to relatives In twentyone of the thirtyone instances in which the facts could be elicited it was found that one or more relatives were habitual users of alcohol The psychoses resulted from the use of the following drugs Cocain 2 Cocain and morphine 10 Cocain and alcohol 1 Cocain alcohol and morphine 1 Chloral and alcohol 1 Laudanum 3 Morphine 9 Morphine and alcohol 3 Morphine and atrophine 1 Morphine and chloral 1 Paregoric 2 Total 34 InfectiveExhaustive and Autotoxic Psychoses Of the admissions for the year twentynine were grouped under the above heading Only one of the number had a pre vious hospital residence On his admission to this Institution in 1907 a diagnosis of manicdepressive insanity was made and he was discharged as restored after a few months Ner vous and mental disease was acknowledged in the family his tories of nine of these patients in nine it was denied The accompanying table shows the etiological factors in the psychosesGEORGIA STATE SANITARIUM 35 Chronic nephritis 2 Cholecystitis with nephritis and cardiac disease 1 Childbirth 2 Puerperal infection 3 Frequent pregnancies and prolonged lactation 2 Chronic gastritis with cystitis 1 Exopthalmic goitre 1 Pneumonia 1 Pulmonary tuberculosis 7 Pulmonary tuberculosis with pellagra 2 Typhoid fever 3 Surgical operation 1 Ulcerating sarcoma of neck 1 Total 27 Allied to InfectiveExhaustive Psychoses Sixteen cases presenting the general features of an infective exhaustive psychosis compose this group In some the etio logical factors were wanting while in others unusual symp toms suggested the probability of a psychosis temporarily obscured by the prominence of the infectiveexhaustive mani festations In five of the number the presence of pellagra was suspected but the evidences of that disease were too vague to justify such a diagnosis being made None of these patients had a former hospital residence and in the family histories of only four was there an acknowledg ment of nervous or mental disease Psychoses Accompanying Pellagra Under this broad heading are placed all cases in which the psychosis seems to have been determined by pellagra The cases of insanity in which pellagra appeared as a complication merely are not included in this group As the symptoms of certain of these cases follow more or less closely the symptoms of psychoses recognized in our classification scheme it has been thought desirable to subdivide this group into types For example when the psychosis is manifested by emotional deterioration lack of voluntary attention negativism stereo typy hallucinosis and intellectual deterioration the subdivision into dementia praeeox type is made It is not meant that36 SIXTYNINTH ANNUAL EEPOET the peculiar mental makeup of dementia praecox with its characteristic manner of development are present in these cases but that the objective symptoms are analogous to those met with in that disease So in the general paralysis type there is no intention of claiming that general paralysis is caused by pellagra but that such symptoms as exaggeration or loss of the knee jerk speech disturbance tremors muscular incoordination pupillary in equality or irregularity convulsions and sensory disturbance are so characteristic of that disease that its name is given to this group of psychoses associated with pellagra in which these phenomena appear Pellagra may be accompanied by symp toms of any form of insanity and it is not to be understood that the clinical types are limited to those presented by the group of cases admitted during the past year Three of the eightythree patients assigned to this group had previously been inmates of the Institution two of them having been twice admitted It was impossible to obtain any information as to the presence of pellagra preceding or during these former commitments The proportion of white males and white females was about the same but three times as many negro females as negro males are to be found in this group although thirty more males were received One of every six negro females admitted to the Institution was classed with the psychoses accompanying pellagra A family history of ner vous or mental disease was elicited from relatives of thirtyone of the fiftyeight patients concerning whom we obtained in formation According to the clinical manifestations the following types were recognized Infectiveexhaustive type 46 Manicdepressive type 10 Dementia praecox type Involution melancholia type 9 General paralysis type Paranoic type 17 Type undetermined Total 83GEORGIA STATE SANITARIUM Involution Melancholia 37 During the past year only six cases were assigned to this group three of the number being white males three white females None of the six had a former hospital residence Three of them acknowledged the presence of nervous or mental disease in the family history Undifferentiated Depression This group is made up of thirteen cases all of whom with one exception were members of the white race Two of them had previously been committed to this Institution from which they were discharged one as improved one as unimproved A family history of nervous or mental disease was given by ten of the number by three such a history was denied Symptomatic Depression The depression of one patient seemed to be determined by cardiac disease There were marked fluctuations in the depth of her depression which apparently depended upon the condi tion of the heart She had a previous hospital residence of two years at the end of which time she was discharged as re stored On returning to her accustomed duties the cardiac disease became accentuated and the accompanying depression led to her recommitment after four months Dementia Praecox This large group composed of 132 cases or 119 of all ad missions is somewhat smaller than in the year 1911 when it formed 137 of the admissions For the white race one of every nine patients admitted was classed under the above heading while for the negro race the ratio was as 1 to 7 Thirtysix of the number had previously been committed to this Institution or to private hospitals for the insane from which twenty were discharged as unimproved thirteen as im proved One white female was discharged from this Institu tion as restored thirteen years prior to her present commit ment though her relatives state that she has never been en tirely normal since her discharge Fiftytwo of these patients38 SIXTYNINTH ANNUAL REPORT were recognized as being of inferior mental makeup Family histories for at least two generations showed the presence of nervous or mental disease in seventyeight instances while in thirty no information regarding relatives could be obtained Of the insane relatives mentioned maternal insanity was noted in twentyfour instances Of the 102 cases giving reliable family histories the presence of hereditary factors was shown in 76 The following forms of the psychosis were met with Hebephrenie including simple deterioration 46 Katatonic 1 Paranoid 50 Form undetermined 21 Total 132 Allied to Dementia Praecox Of the fortythree patients classed as allied to dementia praecox nine had formerly been inmates of the Institution One of the number had been committed three times within the past six years having been discharged each time as unim proved One was discharged as restored five years prior to her present admission Of the remaining number three had been discharged as improved two as unimproved Family histories for at least two generations acknowledged the pres ence of nervous or mental disease in 75 of the cases from whom information could be obtained Paranoic Condition Of the eleven cases comprising this group one had been com mitted to this Institution on three former occasions within the past seventeen years having each time been discharged as un improved A family history of nervous or mental disease was obtained in only four of the number ManicDepressive Psychoses This is the largest of our classification groups being made up of 150 cases or 135 of all admissions Sixtyfive of theGEOBGIA STATE SANITAEIUM 39 number had formerly one or more hospital residences as shown by the accompanying table One previous admission 38 Two previous admissions 14 Three previous admissions 8 Pour previous admissions 3 Eive previous admissions 1 Six previous admissions 1 Total 65 No information could be obtained in regard to the occur rence of nervous or mental disease in relatives of twentythree patients but such a history was elicited from eightyeight and denied by thirtynine Ninetysix acknowledged former at tacks as follows One previous attack 35 Two previous attacks 16 Three previous attacks 15 Four previous attacks 6 Six previous attacks 3 Ten previous attacks 1 Several previous attacks 17 Many previous attacks 3 Total 96 The psychosis presented the following forms Manic 108 Depressive 22 Circular 8 Mixed 12 Total 150 Allied to ManicDepressive Psychoses Under the above heading were placed thirtyeight cases seven of whom had formerly been inmates of the Institution One of the number had been admitted twice previously one four times Only two of the seven patients had been dis charged as restored the remainder were considered to be im40 SIXTYNINTH ANNUAL REPORT proved only One of the restored eases remained at home for six years the other for nine years Of the thirtyone patients one was said to have had two pre vious attacks one three one five and one many The symp toms leading to their assignment to this group while suggest ing manicdepressive insanity were not clear enough to admit of that diagnosis being made while in some cases additional symptoms rendered such a diagnosis doubtful A family history of nervous and mental disease for at least two generations was given in twentyone instances and denied in nine Epileptic Psychoses Of the ninetyfour epileptics admitted during the year seven had formerly been in the Institution five of whom were dis charged as unimproved two as improved The presence of nervous or mental disease was noted in the family histories of fifty of the ninetyfour patients no information could be ob tained regarding the relatives of twentyone It was found that twentythree of the fifty patients mentioned above had one or more relatives who suffered from epilepsy the number of individuals so afflicted being thirtyone Maternal epilepsy was noted in four instances paternal in three while paternal imbecility was acknowledged in eight A history of alcoholic relatives was given by sixtyfour of the ninetyfour patients paternal alcoholism being admitted by fortyeight maternal alcoholism by five both paternal and maternal alcoholism by three No information in regard to alcoholic relatives could be secured in eight instances According to the clinical manifestations the following con ditions were noted Deterioration 74 Excitement simple 10 Excitement hallucinatory 6 Dazed states 2 Paranoid states 2 Total 94GEORGIA STATE SANITARIUM 41 Hysterical Psychasthenic and Neurasthenic Psychoses This group is composed of nine cases all of whom belong to the white race two being males and seven females Of the number five had previously been admitted to this Institution from which they were discharged one as restored two as im proved and two as unimproved A family history of nervous or mental disease was given by seven of the number Of the males one was classed as neurasthenia one as psy chasthenia Of the females one was classed as neurasthenia three as hysteria and three as psychasthenia Other Constitutional Disorders and Inferiorities Under the above heading were placed thirtyone individuals five of whom had each a former hospital residence two being discharged as improved three as unimproved In nineteen instances a family history of nervous or mental disease was obtained in six such a history was denied Fourteen of the patients used alcohol to excess while twentytwo denied the presence of alcoholism in relatives Two white males were classed as constitutional psychopaths neither showed appreciable intellectual defect but manifested emotional instability marked egotism lack of application want of consideration for others and absence of any sense of responsibility One since childhood was given to lying theft foolish squandering of money and later became an accom plished swindler The other a clergyman showed prominent hysterical symptoms with sexual perversions The remaining twentynine classed as constitutional inferi ority showed a mild grade of intellectual defect Six had been under arrest one or more times for infractions of the law three were drug habitues six manifested abnormal sexual ten dencies while fifteen were given to outbreaks of excitement violence and destructiveness Imbecility and Idiocy During the year 110 imbeciles and idiots were admitted to the Institution This number is much larger than that for the42 SIXTYNINTH ANNUAL KEPOKT previous year in which only sixtyseven such cases were re ceived Of the 110 patients eightynine were imbeciles and twentyone were idiots Sixteen of the imbeciles and nine of the idiots suffered also from epilepsy Fourteen of the number were readmissions Family his tories could be obtained of only fiftyfour of the 110 patients but these showed the presence of mental or nervous disease for at least two generations in 85 per cent of the cases A history of alcoholic relatives was acknowledged by fortyseven and denied by thirteen Not Insane Five of the patients admitted during the year were not in sane Four of them were white males one a negro male and none of the five had previously been in a hospital for the in sane All of the white patients were habitual users of alco hol Four of the number were criminals who sought to evade punishment by coming to the Institution One white male was an alcoholic who manifested no mental disorder Unclassified This group is composed of fiftynine patients 53 of all cases admitted A number were inaccessible to examination while the information received concerning others was so indefi nite or so palpably incorrect that no conclusions as to the char acter of the psychosis could be drawn Other cases were char acterized by unusual symptoms or by peculiar combinations of symptoms which rendered the diagnosis uncertain Six of the number had former hospital residences three being dis charged as improved Twentysix gave family histories in which nervous or mental disease appeared nine denied such etiological factors In nine instances no famliy history and only a fragmentary personal history could be elicited In the following tables will be found more detailed informa tion in regard to the patients admitted during the yearGEORGIA STATE SANITARIUM 43 TABLE III White I Colored Nativity of Patients Admitted During the Year 1912 United States Alabama Arkansas Connecticut Florida Georgia Idaho Illinois Indiana Kentucky Louisiana Maryland Massachusetts Missouri Michigan New Jersey New York North Carolina Ohio Pennsylvania Rhode Island South Carolina Tennessee Texas Utah Virginia West Virginia Foreign Austria Canada England Germany India Italy Roumania Russia Undetermined M I F M F 15 2 1 1 290 1 1 1 4 1 1 4 10 1 1 ii l 5 259 2 1 1 1 2 4 1 2 1 13 2 3 192 13 3 178 Total 32 2 2 12 919 1 3 2 6 2 1 3 1 1 1 6 18 3 4 1 44 10 5 1 7 1 1 1 1 3 1 1 1 3 8 Total 375 311 226 196 110844 SIXTYNINTH ANNUAL EEPOET TABLE IV Civil Condition of Patients Admitted During White Colored the Year 1912 M F M F Total Unmarried 174 156 26 4 14 1 103 123 61 3 21 103 68 21 1 31 2 54 82 35 24 1 434 Married 429 143 Divorced 8 Separated 90 Unascertained 4 Total 375 311 226 196 1108 TABLE V Degree of Education of Patients Admitted White Colored During the Year 1912 1 M F M P Total Read and write 1 8 1 121 j 148 1 21 20 50 7 10 125 100 17 15 34 10 16 73 27 4 17 56 52 1 51 375 College 327 43 35 97 9 60 10 241 Unascertained 36 1 375 1 311 226 196 1108 GEORGIA STATE SANITARIUM TABLE VI 45 Occupation of Patients Admitted During the White Year 1912 Agricultural Pursuits Farmer Farmers wife Farmers daughter Farm laborer Farm laborers wife Farm laborers daughter Gardener Lumberman Lumbermans wife Stock raiser Box chipper Box chippers wife Tie cutter Wood cutter Woods rider Professional Service Artist Civil engineers wife Civil engineers daughter Clergyman Clergymans daughter Dentist s wife Druggist Electrician Electricians wife Journalist Journalists wife Lawyer Lawyers wife Musician Music teacher Optician Physician Physicians daughter School teacher School teachers wife Domestic and Personal Service Barber Barbers wife Bar tender Bar tenders wife Boardinghouse keeper Butler Chauffeur Coachman Elevator boy Fireman Hotelkeeper Hotelkeepers wife Housekeeper M I F Colored M F Total 115 43 6 85 34 10 1 35 82 1 15 1 60 1 2 157 100 35 195 2 2 2 2 2 1 4 1 1 1 1 1 1 1 6 1 1 1 2 1 2 1 1 1 1 2 1 4 1 5 2 3 1 5 2 1 1 1 1 1 1 546 SIXTYNINTH ANNUAL BEPOBT TABLE VIContinued Occupation of Patients Admitted During the White Colored Year 1912 M F M P Total Domestic and Personal ServiceContd 3 i 3 3 1 10 i 3 1 40 2 52 6 1 1 1 36 1 1 37 1 2 3 1 2 1 2 3 i 3 1 Porters wife 3 3 1 1 1 1 7 3 27 i 34 4 1 1 Waiter 1 Trade and Transportation Book agent 1 1 Bookkeeper 13 1 1 1 1 1 1 14 1 1 3 1 1 Clerk 2 Insurance solicitor 1 1 Liverymans wife 1 1 1 Liverymans daughter 1 Machine agent 1 1 1 Mail carriers wife 1 2 8 5 1 10 12 Merchants wife 8 Merchants daughter 5 2 1 3 2 1 4 Peddler 1 Peddlers wife 1 1 Beal estate agent 1 1 1 Bailroad employee Car inspector 1 Car inspectors wife 2 2 Clerk 1 1 1 Clerks wife 1 1 1 1 1 2 2 Engineers wife 1 1 1 GEORGIA STATE SANITARIUM 47 TABLE VIContinued Occupation of Patients Admitted During the Year 1912 Tiade and TransportationContd Railroad employeeContd Fireman Flagman News agent Officials daughter Postal clerk Section foreman Seetion laborer Section laborers wife Station agent Station agents daughter Switchman Salesman Salesmans wife Salesmans daughter Saleswoman Stenographer Stevedore Stevedores wife Teamster Telegrapher Telephone lineman Telephone linemans wife Traveling salesman Traveling salesmans wife Manufacturing and Mechanical Pursuits Building Trades Brick mason Brick masons wife Carpenter Carpenters wife Contractor Contractors daughter Painter Painters daughter Plumber Clay Glass and Stone Products Marble polisher Marble polishers wife Stone cutter Stone cutters wife Mining Miner Miners wife Pood and Kindred Products Baker Butcher Candy maker Candy makers wife White M 2 18 Colored M F Total 1 1 3 1 2 1 2 1 1 1 2 18 1 1 2 9 1 1 1 1 1 9 9 1 1 8 1 2 1 1 1 1 1 1 1 1 1 148 SIXTYNINTH ANNUAL BEPOKT TABLE VIConcluded Occupation of Patients Admitted During the White Colored Year 1912 M F M F Total Manufacturing and Mechanical Pursuits Continued Food and Kindred ProductsContd 3 1 2 14 17 3 1 4 1 1 1 1 1 1 1 1 2 1 1 2 1 1 1 3 1 3 1 4 1 1 1 1 10 1 1 7 2 1 1 1 2 90 25 Iron and Steel and Their Products 1 Blacksmiths wife 4 Machinists wife 1 Mechanic 1 1 1 Leather and Its Finished Products 1 1 1 Lumber and Its Manufacture Cabinetmakers wife 1 2 Sawmill foremans wife 1 1 i Sawmill operatives wife 1 Metal and Metal Products Tinner 1 1 Watchmaker Paper and Printing 1 3 1 2 1 Textiles Cotton Mill Operatives 1 Doffer Foremans wife 4 1 1 1 1 6 1 1 5 4 Seamstress 2 1 2 Tailor Miscellaneous Industries Cotton ginner 1 Mechanical engineer 1 2 41 5 Stationary engineer No Occupation Occupation Unascertained 24 8 14 6 11 6 Total 375 311 226 196 1108 GEORGIA STATE SANITARIUM 49 TABLE Vn Religious Belief of Patients Admitted During White Colored the Year 1912 M F M F Total 2 112 8 1 124 20 1 3 78 2 97 1 411 31 1 1 i 1 8 5 2 5 68 6 2 1 4 74 15 7 i 4 9 44 1 76 2 14 8 53 2 26 2 8 5 239 1 Presbyterian 8 126 14 12 5 9 50 10 7 2 19 Protestant independent 278 Roman Catholic 28 None 41 Unascertained 20 Total 375 311 226 196 1108 TABLE Vin Environment of Patients Admitted During the White Colored Tear 1912 M F M F Total City 112 70 189 4 84 68 152 7 44 32 148 2 43 35 112 6 283 Village 205 Rural 601 Unascertained 19 Total 375 311 226 196 1108 TABLE IX Financial Circumstances of Patients Admitted White Colored During the Year 1912 M F M F Total 73 192 99 11 56 130 113 12 109 93 18 6 67 106 16 7 305 521 246 36 Total 375 311 226 196 110S 50 SIXTYNINTH ANNUAL EEPOET TABLE X Etiological Factors Other Than Heredity in 1 Psychoses of Patients Admitted During the Year 1912 White Colored M F M F Total Mental Emotional shock death of relatives anxiety Mental stress worry overwork domestic 2 9 1 11 22 i 14 18 1 1 2 2 1 1 2 3 11 1 17 43 4 1 Physical 6 14 7 9 3 11 30 52 1 1 35 6 3 3 3 12 2 1 i 6 49 Alcoholic excess with drug addiction Alcoholic excess with physical disease Alcoholic excess with advanced age 9 5 3 2 12 7 2 2 6 6 1 2 14 2 30 5 3 2 22 Cerebral hemorrhage thrombosis or em 17 1 Other disease of the nervous system 1 13 3 1 7 27 Drug intoxication with physical disease 2 21 1 15 1 39 3 9 3 2 126 26 5 6 4 83 11 Incident to pregnancy parturition and lac 19 1 61 43 52 195 3 Mental and Physical Alcoholic excess with grief business or do 1 4 4 2 153 4 1 1 2 Overwork with grief business or domestic 14 Physical disease with business or domestic 7 2 87 1 98 6 464 5 37E 311 226 196 1108 GEORGIA STATE SANITARIUM 51 TABLE XI Ages of Patients Admitted During the Year 1912 White I Colored M M F Total Under 10 years 10 to 15 years 15 to 20 years 20 to 25 years 25 to 30 years 30 to 35 years 35 to 40 years 40 to 45 years 45 to 50 years 50 to 55 years 55 to 60 years 60 to 65 years 65 to 70 years 70 to 80 years Over 80 years Unascertained Total 5 18 39 45 34 47 42 32 17 19 22 18 15 15 5 2 375 3 4 17 i 36 35 37 27 32 21 13 10 10 29 6 23 40 27 21 20 12 16 9 13 6 8 16 4 3 5 12 24 37 33 27 19 6 7 2 6 5 11 311 226 196 10 33 91 140 134 136 126 90 71 56 50 40 38 71 15 7 1108 TABLE XII Duration of Insanity Before Admission White M Colored M Total Under 1 month 1 to 3 months 3 to 6 months 6 to 9 months 9 to 12 months 12 to 18 months 18 to 24 months Several months 2 to 3 years 3 to 4 years 4 to 5 years 5 to 6 years 6 to 8 years 8 to 10 years 10 to 15 years 15 to 20 years 20 to 30 years Over 30 years Several years Congenital Unascertained Not insane Total 20 65 39 29 11 20 4 4 26 21 7 2 2 58 20 4 31 40 30 21 9 18 9 4 18 23 8 4 9 8 12 6 2 3 6 31 21 375 311 24 36 23 12 10 14 1 6 11 5 3 2 9 3 4 2 3 2 1 35 19 1 22 48 19 12 8 15 4 2 11 7 4 2 3 6 3 3 i 1 13 12 97 189 111 74 38 67 18 16 66 58 22 16 26 23 27 17 11 8 10 137 72 5 226 196 110852 SIXTYNINTH ANNUAL EEPOET TABLE XIII Male Female 1 R 1 U 8 E 1 U 8 Total Psychosis with nervous or 2 2 2 P 1 1 7 7 5 1 1 7 Drug and other toxic psy 5 15 1 8 1 24 10 8 6 5 29 Infectiveexhaustive and autotoxic psychoses Allied to infectiveexhaus 1 R 1 P 3 9 1 1 2 Psychoses accompanying 4 K 9 1 18 1 1 1 4 a 5 Undifferentiated depression 1 90 Ifl 9 5 46 Allied to dementia praecox 4 PI fi 13 9 1 1 4 Manicdepressive psychosis 9 21 2 5 42 2 81 Allied to manicdepressive ft it 7 4 17 3 8 1 5 17 Hysterical neurasthenic and psychasthenic psy 2 3 3 5 17 Constitutional inferiority Itt 8 1 8 9 18 5 5 17 2 5 5 3 2 Total 27 95 65 fi 21 100 38 351 BEestored IImproved UUnimproved 8Not Insaie GEORGIA STATE SANITARIUM 53 TABLE XIV DischargesColored Male Female E 1 I TJ S R I U S Total Psychoses with nervous or 1 1 1 3 1 General paralysis 1 4 1 1 1 Drug and other toxic psy 1 1 1 1 3 Infectiveexhaustive and 2 Allied to infectiveexhaus 2 1 2 Psychoses acompanying 1 1 3 0 Undifferentiated depression 0 9 5 1 1 2 3 3 1 12 5 23 6 1 1 1 2 2 Manicdepressive psychosis Allied to manicdepressive 2 12 4 4 4 2 1 3 1 2 14 2 43 8 9 Constitutional inferiority 1 6 2 4 3 3 2 1 1 2 6 Total 2 38 22 3 23 24 15 127 BRestored IImproved UUnimproved SNot Insane54 SIXTYNINTH ANNUAL EEPOET TABLE XV Physical Diseases Eeported During the Year 1912 White I Colored 1 M F M F Total II General Diseases A Epidemic Diseases Dysentery Erysipelas Influenza Malarial fever Measles Parotitis Tonsilitis Typhoid fever Varicella B Other General Diseases Carcinoma of stomach Carcinoma of rectum Carcinoma of uterus Diabetes Epithelioma of face Pellagra Rheumatism acute articular Rheumatism chronic Sarcoma inguinal Sarcoma cervical Septicemia Syphilis secondary Syphilis tertiary Tuberculosis glandular Tuberculosis joint Tuberculosis intestinal Tuberculosis peritoneal Tuberculosis pulmonary Tubercular pneumonia Uremia Diseases of the Nervous System and Organs of Special Sense Cerebral hemorrhage Cerebral syphilis Chorea Hydrocephalus Meningitis Neuralgia facial Neuralgia intercostal Neuropathic decubitus Exopthalmic goitre Migraine Polyneuritis Status epilepticus Tabes dorsalis Blepharitis Conjunctivitis Corneal ulcer 45 2 11 34 1 4 13 2 2 56 11 5 21 1 18 7 36 33 3 60 2 9 1 1 3 45 24 2 1 4 2 1 10 6 5 32 7 5 1 44 15 1 19 1 4 3 3 130 4 11 31 10 84 11 54 72 8 14 81 8 16 1 1 3 3 2 263 28 11 1 1 2 1 17 2 1 3 1 120 1 3 28 1 3 1 2 2 2 2 3 2 2 30 1 1 28 4GEORGIA STATE SANITARIUM 55 TABLE XVContinued Physical Diseases Reported During the Year 1912 II Diseases of the Nervous System and Organs of Special SenseCon Iritis Keratitis Dacryocystitis Otitis media Uveitis III Diseases of the Circulatory System Anasarca Arteriosclerosis Cardiac valvular disease Cardiac disease other than val vular Chlorosis Edema of feet and legs Gangrene of feet Hemorrhoids Myocarditis Pericarditis Purpura hemorrhagica Varicose veins IV Diseases of the Respiratory System Bronchitis acute Bronchitis chronic Bronchial asthma Bronchopneumonia Coryza acute Edema of glottis Hemorrhage pulmonary Hypostatic pneumonia Laryngitis acute Lobar pneumonia Pleurisy Pharyngitis acute Pulmonary congestion Emphysema V Diseases of the Digestive System Appendicitis Catarrhal gastritis Catarrhal jaundice Cholecystitis Cholera morbus Cirrhosis of liver Duodenal ulcer Enteritis acute Enteritis chronic Enterocolitis Gastritis acute Gastroenteritis Gastroduodenitis White M 2 29 57 1 15 1 1 1 5 5 11 1 Hi 1 7 11 2 4 1 2 3 2 1 1 57 1 2 4 Colored M 10 23 51 4 1 4 16 1 2 3 1 7 7 2 1 1 44 F Total 19 18 11 32 20 38 10 78 2 3 2 1 1 17 1 8 91 174 23 1 5 2 28 4 9 1 7 36 27 1 5 40 1 2 7 20 23 11 17 2 3 9 1 3 8 6 1 1 211 3 9 8 3 156 SIXTYNINTH ANNUAL KEPOET TABLE XVContinued Physical Diseases Beported During the I White Colored Year 1912 M F M F Total V Diseases of the Digestive SystemCon Gingivitis 1 1 3 1 1 9 1 4 Indigestion acute 1 11 1 1 12 26 1 3 35 2 1 2 2 16 1 9 50 26 127 3 Proctitis 1 15 2 30 1 19 8 58 6 4 1 3 1 15 1 49 VT Diseases of the GenitoUrinary System 1 2 4 13 6 7 2 21 Menorrhagia 12 71 Endometritis 12 4 3 1 17 4 i 3 4 1 1 1 2 21 2 4 1 14 1 1 3 7 Nephritis chronic 54 3 2 3 7 3 19 8 24 6 8 31 g VII Diseases of the Skin Glands and Cellular Tissue Abscess simple 22 1 57 Abscess peritonsillar 1 1 4 2 2 4 2 2 3 5 i 4 2 1 1 12 i 1 Cellulitis 6 3 6 6 13 1 3 5 1 2 2 4 15 Carbuncle 6 Decubitus 13 Eurunculosis 10 Ulcer simple 26 Ulcer syphilitic 3 4 2 1 8 1 14 4 2 1 53 3 Pediculosis 1 5 3 3 3 4 1 6 73 Tinea circinata 7 1 1 1 1 GEOKGIA STATE SANITARIUM 57 TABLE XVConcluded Physical Diseases Eeported During the White Colored Year 1912 M P M F Total VII Diseases of the Skin Glands and Cellular TissueContinued 5 8 1 2 1 2 1 1 1 9 10 3 Herpes zoster 1 1 1 1 1 2 1 1 1 1 8 2 3 1 1 11 3 6 1 5 Vm Diseases of the Locomotor System 2 Osteomyelitis 3 1 1 1 2 19 5 19 1 5 1 1 4 4 18 1 1 IX Accidental Traumatisms 2 1 5 29 7 56 2 2 6 10 3 26 3 10 4 14 62 Scald 19 119 5 1 2 5 1 2 9 1 1 1 29 2 1 2 1 9 5 15 1 X Miscellaneous Vaccinia 1 30 2 Eclampsia 1 Confinement 2 1 43 Undiagnosed conditions 1 1 32 Total 854 742 466 806 2868 58 SIXTYNINTH ANNUAL REPORT TABLE XVI SURGICAL OPERATIONS PERFORMED DURING THE YEAR 1912 Abscesses incised and drained carbuncles incised and curetted wounds repaired etc not including lumbar punctures 469 Amputation of breast 1 Amputation of rectum 1 Amputation of toe 1 Appendectomy 12 Aspiration of bladder 1 Aspiration of pelvis of kidney 1 Aspiration of pleural cavity 2 Aspiration of knee joint 1 Cholecystotomy 3 Circumcision 12 Cervical glands excised 2 Cystic tumor of neck excised 1 Dilatation and curettage of uterus 7 Enucleation of eye 3 Epithelioma of lip excision 2 Exploratory laparotomy 3 Excision of ingrowing nail 4 Herniotomy inguinal 7 Herniotomy ventral 1 Hemorrhoidectomy 7 Hydrocele radical cure 3 Hysterectomy carcinoma 2 Hysterectomy fibroids 3 Inguinal glands excised 2 Lipoma excision 5 Oophorectomy 1 Osteotomy osteomyelitis 3 Ovarian cyst removal 2 Papilloma excision 2 Paracentesis abdominal 4 Phlebectomy 1 Perineorrhaphy 2 Posterior urethrotomy 1 Plastic operation for double harelip 1 Salpingooophorectomy 1 Salpingooophorectomy double 1 Secondary laparotomy 1 Skin graft 1 Sebaceous tumor excision 4 Suspension of uterus 2 Thyroidectomy 3 Trachelorraphy 1GEORGIA STATE SANITARIUM 59 Trephine of skull 2 Trephine of skull for fracture 2 Tonsillotomy double Tumor of ankle removal character unidentified 1 Tumor of forearm removal character unidentified 1 Varicocele radical cure Dislocation of shoulder reduction and fixation 5 Fracture of femur reduction and fixation 5 Fracture of clavicle reduction and fixation 1 Fracture of humerus reduction and fixation 1 Fracture of metacarpel bone reduction and fixation 2 Fracture of inferior maxilla reduction and fixation 1 Fracture of radius reduction and fixation 4 Fracture of tibia reduction and fixation 1 Total 61660 SIXTYNINTH ANNUAL REPOKT TABLE XVII Cause of Death White M Colored M F Total I General Diseases A Epidemic Diseases Dysentery Erysipelas Malarial fever Typhoid fever B Other General Diseases Anemia Carcinoma of face Carcinoma of stomach Carcinoma of uterus Pellagra Pyemia Bheumatism acute articular Septicemia cellulitis Septicemia bedsore Tuberculosis acute miliary Tuberculosis general Tuberculosis intestinal Tuberculosis pulmonary Uremia H Diseases of the Nervous System Brain tumor Cerebral arteriosclerosis Cerebral arteriosclerosis with valvular heart disease Cerebral edema Cerebral hemorrhage Cerebral softening following hemorrhage or thrombosis Chorea with exhaustion Epilepsy Epilepsy with exhaustion Exhaustion from acute mental disease Exhaustion from chronic mental disease General paralysis Huntington s chorea Meningitis Organic brain disease Pachymeningitis interna Status epilepticus Tabes dorsalis ILL Diseases of the Circulatory System Arteriosclerosis Cardiac dilatation acute Cardiac valvular disease Cardiac valvular disease with chronic nephritis 26 2 19 2 2 18 1 1 1 22 1 1 1 12 19 1 1 i 46 13 2 i 57 1 i i 24 1 11 2 1 2 1 2 1 1 124 1 1 2 2 2 1 4 95 3 1 1 2 1 27 13 1 10 2 12 5 37 3 2 10 1 14 1 1 1 39GEOEGIA STATE SANITARIUM 61 TABLE XVIIConcluded Cause of Death rn Diseases of the Circulatory System Continued Myocarditis Pericarditis Pericarditis with pleurisy IV Diseases of the Respiratory System Bronchitis acute Bronchopneumonia Edema of glottis Lobar pneumonia Hypostatic pneumonia Pulmonary congestion Pulmonary edema Pulmonary hemorrhage V Diseases of the Digestive System Cholera morbus Enteritis acute Enteritis chronic Hernia strangulated Intestinal toxemia Intestinal obstruction acute Peritonitis post operative VI Diseases of the GenitoTJrinary System Nephritis acute Nephritis chronic Cystitis acute VII Diseases of the Skin and Cellular Tis sue Cellulitis Diseases of Old Age Senile exhaustion Senile exhaustion with general arteriosclerosis Violence Asphyxia during epileptic seizure Burn Scald Fracture of skull Suicide by hanging Undetermined White M Colored M F Total VIII IX X 15 Total 168 123 10 2 156 9 10 173 3 1 1 1 3 1 17 6 4 2 1 1 23 17 2 1 1 1 4 30 1 31 1 1 1 1 2 19 62062 SIXTYNINTH ANNUAL REPORT TABLE XVIII Duration of Hospital Residence of Those Who White Colored Died During the Year 1912 M F M F Total Under 2 weeks 6 7 11 9 6 6 6 4 7 4 4 5 11 4 3 2 4 5 2 3 3 4 3 7 8 6 5 3 10 4 5 3 9 4 2 4 10 22 12 14 5 4 4 5 4 4 10 8 17 10 6 6 6 4 2 4 4 24 2 to 4 weeks 29 1 to 2 months 55 2 to 3 months 42 30 20 5 to 6 months 16 6 to 7 months 14 7 to 8 months 18 8 to 9 months 13 9 to 10 months 4 3 14 10 to 11 months 6 11 to 12 months 3 6 7 6 12 5 6 5 2 7 3 4 1 1 3 6 7 10 10 13 9 2 13 3 9 4 5 2 9 12 to 15 months 8 2 10 12 10 8 4 11 6 8 2 12 5 1 24 15 to 18 months 19 18 to 24 months 33 42 3 to 4 years 34 4 to 5 years 28 14 6 to 8 years 36 8 to 10 years 20 10 to 15 years 25 15 to 20 years 13 20 to 30 years 27 30 to 40 years 12 3 Total 168 123 156 173 620 Respectfully submitted E M GREEN Clinical DirectorGEORGIA STATE SANITARIUM 63 Report of Dentist Dr L M Jones Superintendent Dear Sir I beg to offer the following itemized report of the work done in the Dental Department during the year end ing December 31 1912 Extractions Gold fillings Amalgam fillings Cement fillings Guttapercha fillings Enamel fillings Gold inlays Gold inlays reset Porcelain inlays reset Nerve cappings Nerve treatments Nerves devitalized Root treatments Root fillings Applications of mummefying paste Abscess treatments Abscesses lanced Abscesses aspirated Lancing gums over third molar Treating gums about third molar Excessive hemorrhages arrested Treatments for pyorrhoea alveolaris Cleaning teeth number of patients Removing calcareous deposits number of patients Applications of nitrate of silver Treatments for facial neuralgia Treatments for odontalgia Treating gums number of patients Treatments for oral ulcers Treatments for stomatitis Antrum operations Antrum treatments Curetting alveolar process Plates made Plates repaired 779 23 439 152 8 2 5 1 1 12 48 59 156 77 7 51 32 1 20 60 1 11 19 51 8 21 130 32 8 4 1 3 3 4 1364 SIXTYNINTH ANNUAL EEPOET Gold crowns 2 Porcelain crowns 5 Cast base crowns acolite 3 Crowns repaired 12 Crowns reset 3 Bridges removed 2 Bridges repaired 3 Bridges reset 7 Shaping up disfigured teeth number of patients 2 Setting screws in roots 3 Special calls to wards 141 Number of new patients examined 850 Total number of patients treated1321 Total number of operations and treatments2284 Respectfully submitted GEORGE H GREEN DentistGEORGIA STATE SANITARIUM 65 Report of the Superintendent of Nurses Dr L M Jones Superintendent Dear SirI wish to offer the following report of the Train ing School for the year ending December 31 1912 The first commencement of the Training School was held October 16th in the amusement hall The class consisted of eight young ladies and one young man All the graduates are now employed in the Institution except one young lady whose health failed at the time of graduation Nursing Staff Superintendent of Nures 1 Assistant Superintendent of Nurses 1 Operating Room Supervisor 1 Graduate Nurses 7 Pupil Nurses in School 20 Probationers 2 Number taken in on probation 15 Number accepted as pupil nurses 13 Number withdrew from school 5 White female attendants 159 Number of vacancies 0 Plan of Instruction Instruction is given by lectures demonstrations clinical lec tures recitations and practical work on the wards Announcement of Course of Study First Year Theory of Nursing 32 hours Demonstrations 16 Dietetics 16 Anatomy and Physiology 16 Bandaging 8 Emergencies 8 Materia Medica and Therapeutics 16 Hygiene and Bacteriology 16 Pharmacy 16 66 SIXTYNINTH ANNUAL REPORT Second Year Medical Nursing 16 hours Surgery 16 Surgical Nursing 12 Anaesthetics 4 Laboratory 12 Gynaecology 8 Diseases of eye ear nose and throat 8 Nursing Ethics 4 Hydrotherapy and Massage 16 Theory of Obstetrics and Diseases of Children 16 Mental Diseases 16 Nursing Insane 14 Nervous Diseases 16 GraduatesClass of 1912 Miss Nannie AthonHead Nurse Infirmary White Male Department Miss Vallie BadgerHead Nurse Chronic Wards White Male De partment Miss Ora BarnettHead Nurse First Reception Ward White Female Department Mrs Lula FutralHome Moxley Ga Miss Willie GeigerHead Nurse Chronic Wards White Female De partment Miss Emmie LayfieldHead Nurse Infirmary Green Building White Female Department Miss Alice M VaughnHead Nurse Second Reception Ward White Female Department Miss Alma SnipesInstructor in Hydrotherapy and Massage Mr Robert TaylorHead Nurse Colored Male Department We have again to record most gratefully our indebtedness to the Medical Staff for lectures and medical attention given to the nurses Respectfully submitted MAE MIESSE Superintendent of NursesGEORGIA STATE SANITAEIUM 67 Report of the Apothecary Milledgeville Ga Jan 1 1913 Dr L M Jones Superintendent Dear SirI have the honor to submit to you my report of the Apothecary Department for the year 1912 It is the policy of this department to manufacture all pharmaceuticals and preparations used by the Institution and we have done so at all times where it was economy to do so restricting purchases to chemicals and such specialties as were required by the physicians Statement The following is a statement of all expenditures etc of Apothecary Department for the year 1912 Amount of drugs purchased including all druggists sundries dental and laboratory supplies all prepa rations for fumigation disinfecting and sanitary purposes also alcohol wines and whiskies807851 Amount of drugs sold officers and employes 28717 Number of prescriptions filled 34293 Amount of disbursements 752327 Balance of stock on hand326538 Amount of fixtures etc on hand 38550 Kespectfully submitted D S CARRINGTON Apothecary G S S68 SIXTYNINTH ANNUAL EEPOET Report of the Pathologist Dr L M Jones Superintendent Dear SirThe following examinations and laboratory work are herewith given for the year 1912 1037 Spec imens of urine 210 141 129 sputa spinal fluid feces 124 blood 16 blood serum 11 3 4 pus uterine scrapings tumors 2 1 1 1 1 gastric contents pleuritic fluid vaginal discharge thyroid gland throat swab In addition to the above a bacteriological examination of the water supply was made and thirtysix autopsies have been performed Of the original examinations the following details are given Urine 267 Specimens contained albumin 80 albumin and casts 46 albumin and pus 37 albumin and reds 18 casts and no albumin 12 pus and no albumin 21 sugar 26 urates 162 phosphates 4 fat The specimens containing urates and phosphates are those that contained decided amounts and do not include specimens that showed traces or small amounts of these substances Twentyone specimens or over 2 of approximately 1000 con tained sugarGEORGIA STATE SANITARIUM 69 Emerson in the J A M A Vol LIX No 25 pp 2245 calls attention to the frequency of glycosuria in the insane and gives other authors as reference He gives a percentage of 428 as positive for sugar in 650 specimens of urine from examinations made upon admissions Involutional melan cholia gave the largest percentage in this series while dementia paralytica gave the lowest percentage He points out in his article that glycosuria in the insane does not always mean a diabetic process and emphasizes its importance in differential diagnosis especially in organic brain diseases and melancholia as in these two repeated tests will often show that the presence of sugar is only temporary Sputa Of the 210 specimens examined seventeen or over 8 of the original 195 contained tubercle bacilli The Antiformin method of examination is used as a routine procedure for all sputa CerebroSpinal Fluid A tabulated report of these examinations and notes thereon accompany this report Feces Three specimens were examined for tubercle bacilli and none found Three specimens found to contain occult blood One specimen contained amoeba histolytica and was obtained from a female negro who had dysentery Of the 122 specimens examined for animal parasites and ova 14 contained ova of Uncinaria Americana 10 ova of Trichocephalus dispar 10 Strongyloides embryos 1 ova of Ascaria Lumbricoides and Trichocephalus dispar 1 ova of Uncinaria Americana and Trichocephalus dispar 1 ova of Trichocephalus dispar and embryos of strongy loides It is commonly supposed that the Trichocephalus dispar causes little inconvenience to the host In three cases in which they were found there were active diarrhoeas and decided70 SIXTYNINTH ANNUAL BEPOET emaciation that could hardly be attributed to other causes and that showed improvement after treatment Recent literature contains several articles showing that the whip worm and also the pin worm are important as an etiological factor in ap pendicitis therefore infection with these parasites is as much indication for treatment as any other intestinal parasite No routine examinations of patients have been made for in testinal parasites but I think a specimen of feces should be sent from every patient admitted Blood 17 Specimens positive for malaria Tertian type 17 17 16 9 3 for white counts for differential count for Widal Three positive for haemoglobin percentage for red counts Wassermann Nogouchi Sixteen specimens of bloodserum were examined for the Wassermann reaction Nogouchi modification All of these serums were obtained from cases of pellagra or suspected pel lagra that had shown pathological changes in the cerebrospinal fluid Nine of these were cases reported last year as showing changes in the cerebrospinal fluid and the Wassermann test was made this year Four of these nine gave positive reactions the five others of course being negative The remaining seven are mentioned under the spinal fluid report I have been very unfortunate in keeping guineapigs for this work owing to lack of heat in the laboratory during the winter at night Two dozen lots of one dozen each were purchased within six months and practically all of them died before they could be used for serum purposes Pus Etc Eleven specimens of pus were examined for different organ isms and bacterial vaccines made and used in three cases And I should mention here that two antityphoid vaccines were made and used and that the cultures of typhoid bacilli both forGEORGIA STATE SANITARIUM 71 vaccines and Widal tests were kindly supplied by Maj F F Eussell Army Medical School Washington D C Miscellaneous Three specimens of uterine scrapings for cancer four tumors two stomach contents for lactic acid etc one pleuritic fluid for tubercle bacilli one vaginal discharge for spirochetes one thyroid gland and one throat swab for diphtheria Water The water supply was examined in August Twentyfive to thirty bacterial colonies per cc on lactose litmus agar at 37 degrees C were found No colonlike bacilli were found At the time of year when the examination was made there is less rain than during the winter months consequently the contam ination from surface drainage into the river above the pump ing station is at a minimum However repeated examinations for the presence of chlorides at all times during the year has shown only a trace and many times entire absence of these salts which indicates a water far above the average A maximum of 100 colonies of bacteria per cc is generally considered as a standard though good water may contain more and yet be harmless for drinking and cooking purposes Autopsies Of the thirtysix autopsies performed twentysix were made during the first half of the year and during July August and December none were obtained although the number of deaths was 620 for the year with something like a constant monthly average Many of the patients were patients that came to the Institution several years ago and their histories are in complete which make them much less important from a statis tical and record standpoint even if the cause of death is ascer tained at autopsy The Medical Staff has been very unsuccess ful in obtaining permissions for autopsies from the relatives and especially so in some very interesting cases that would have been very instructive to all About 2 to 4 of the dead are autopsied here as compared with 20 to 40 in other institutions similar to this I am reliably informed that nearly72 SIXTYNINTH ANNUAL KEPOBT all the dead are autopsied in one asylum that is about the same size as this one The following abstracts are given of the autopsies performed and also a brief case history where it is complete enough to be of value No 485 W BWhite male Age 47 years Hospital residence 6 years 5 months and 19 days Diagnosis traumatic epilepsy Cause of death suffocation while suffering from a convulsion Autopsy fifteen hours after death Only brain examined Depres sion over left temporoparietal region four centimeters in diameter due apparently to trephining operation Dense adhesions and fibrous tissue surrounding brain pia and dura at point opposite this depression Centre of this dense mass is at the intersection of lines through the long axis of brain and left inferior frontal lobe Sections through left hem isphere show a necrotic area extending to the midoccipital convolution and a bullet of about 32 calibre is found in a slight depression near the occipitoparietal suture Microscopical examination shows no signs of recent inflammation Dura around the wound appears to be made up of several layers Sec tions from other parts of wound show many irregular patches of necro sis and granulation tissue which end abruptly against the healthy tissue Sections from other regions of the brain are apparently normal No 486 J FColored female Age 25 years Hospital residence 6 months 13 days Psychosis infectiveexhaustive Cause of death pellagra Numerous scars over the body with enlargement of the epitrochlears Eeflexes active Pupillary reaction and Romberg not satisfactorily de termined Babinski present Heart sounds exaggerated Lumbar puncture made about four months after admission when the pellagra was in a subacute stage showed twentyfour cells per cb mm and a positive butyric acid reaction Autopsy thirtysix hours after death Spinal cord shows a thickened dura is soft and spongy and the columns can not be made out distinctly and there are several small hemorrhagie areas Spinal fluid increased and clear straw colored Brain shows injected vessels of dura and pia with some edoema of the pia Dural adhesions to the margins of each hemisphere along the longitudinal fissure are very marked as well as the pia which shows a tendency to tear the cortex at this point Heart anaemic and flabby Bight lung partially collapsed Old adhesions throughout the abdomen and enlargement of the mesenteric glands Kidneys show a slightly adherent capsule and roughened cortex Tufts are prominent and dark red and there is an increase of the interstitial tissue Stomach shows several peteehial hemorrhages in the mucousGEORGIA STATE SANITARIUM 73 coat Cecum enlarged Small intestines and colon are very much con gested and roughened but no ulcers are observed Microscopical examination of the feces at autopsy shows many tri cocephalus dispar ova and a few embryos of strongyloides stercoralis Spinal cord shows cellular infiltration especially marked around the meninges and following the nerve roots and blood vessels Ganglion cells in the anterior horns stain poorly showing chromatolysis some atrophy displaced neuclei and there are a few corpora amylacea Brain shows a general congestion of blood vessels but otherwise is apparently negative Intestines are the seat of a typical catarrhal enteritis No microscopical ulcers are found but there is decided hyperplasia of mucous coats No 487 O MColored female Age 36 years Hospital residence 1 year 9 months and 5 days Psychosis manicdepressive Cause of death pellagra Muscles flabby Palate highly arched Pharynx inflamed Cervical glands on left enlarged Owing to the negative state of patient and lack of cooperation further examination was unsatisfactory About fifteen months after admission symptoms of pellagra noticed indefinite history of an attack few months before admission Typical symptoms of pellagra Lumbar puncture one and onehalf months before death showed 55 cells per cb mm Positive Wassermann Nogouchi twenty four hours before death Autopsy twentyfour hours after death Spinal cord negative Dura congested and adherent Pia also adherent and tears the cortex leav ing the typical wormeaten appearance Firm adhesions right lung and several healed areas 1 cm to 2 cm in size containing calcareous de posits Practically negative examination of other organs Microscopical examination shows cellular infiltration of pia and blood vessels with atrophy and fatty degeneration of ganglion cells of brain Spinal cord from cervical region shows nothing of note Bronchial glands filled with cheesy deposits Kidneys show a glomerular nephri tis Liver fatty degeneration No 488 M bWhite female Age 70 years Hospital residence twentysix years five months and one day Diagnosis unknown Cause of death organic brain and nervous disease Duration of last illness eighteen months Autopsy seven hours after death Brain weighs 870 grams Dura tough and adherent to calvarium and pia the latter being very adher ent to cortex and tears when stripped Cortex darker than normal Lateral ventricles contain an excess of fluid Decided atheroma of blood vessels and cystic choroid Heart flabby and slightly dilated and some thickening of mitral valves Lungs normal Kidneys have an adherent capsule and granular cortex Suprarenals slightly enlarged Cut surface74 SIXTYNINTH ANNUAL EEPOET of liver is grayish mottled in appearance Marked atheroma of ab dominal and thoracic aorta Microscopical examination of the brain shows atrophy of cortex cellu lar infiltration of pia and scattered areas of infiltration around the vessels of the white matter Liver appears to be the seat of a chronic congestion The involvement of the glomeruli and tubules of kidneys is marked by proliferation and degeneration of the epithelium cellular infiltration and thickened vessel walls No 489 H BColored male Age 61 years Hospital residence 3 months and 27 days Diagnosis organic brain disease Cause of death peri carditis and nephritis Hyperaesthetic areas on the right and anaes thetic areas on the left Smell and taste impaired Elbow and patellar reflexes exaggerated on left side Gait is slow and patient drags left side Subjective symptoms of pain over the heart which is displaced downward and outward Apex impulse in sixth interspace and percep tible hardening of arteries Autopsy fourteen hours after death Skull not opened Wellnour ished subject Edoema of lower extremities Mucopurulent discharge from mouth ears and nose Many adhesions in both pleural cavities 600 cc blood tinged fluid right cavity and 500 cc clear fluid in left one Pericardium densely adherent to lower lobe of left lung and also to the heart Adhesions to heart are very firm and have apparently existed for some time Heart contains much dark blood but no clots is flabby and walls are thinned Eight lung weighs 480 grams and shows a few reddish patches Left lung weighs 845 grams and is simply water logged Left kidney appears nodular and roughened cuts with resist ance and shows in centre an irregular cavity 15 cm in diameter which contains a milky white fluid Extending outward from this cav ity toward the cortex is a distinct and triangular area of inflammation or congestion Cortex and kidney substance proper show no line of separation Some adhesion of capsule and roughened cortex Eight kidney congested with adherent capsule and granular cortex One large black stone in gall bladder and marked atheroma of thoracic and ab dominal aorta All other organs appear to be normal Microscopical examination shows a pneumonic process in the lungs interstitial nephritis and a thickened capsule of the liver with some cellular infiltration and congestion No 490 C BColored female Age 57 years Hospital residence 24 years 2 months and 3 days Psychosis on admission manicdepressive Cause of death thrombosis of cerebral arteries and softening No history of value Last illness thirtytwo days Autopsy two hours after death Dura adherent to pia and latter to cortex being more marked along the longitudinal fissure OccipitalGEORGIA STATE SANITARIUM 75 lobes very soft and mushylike in consistency and a large amount of bloody fluid escapes from this region when the brain is removed Occip ital lobes on each side are darkened and show many scattered areas of yellowishgray color Consistency of these areas and entire lobe is soft and tears when cut Right occipital lobe just in front of middle convolution appears softer and shows a distinct tendency to cyst forma tion Areas of softening in each lobe can be followed to lateral ventri cles and the latter are empty but moist Arteries at the base of brain are covered with yellowish patches and are almost completely occluded Cerebral arteries throughout are thickened and show complete occlusion of lumen of some of the terminal branches Over the pons there is an irregular blood clot three centimeters in largest diameter Lungs nega tive except hypostasis and a few adhesions of the right chest wall Heart shows some vegetation on the aortic valves Kidneys cystic ad herent capsule and thinned granular cortex and corticle cysts and in distinct markings internally Liver decidedly congested Aorta athero matous throughout its entire length Microscopical examination of brain shows fatty degeneration of the ganglion cells and blood vessels and some of the former are thickly studded with rounded granules and there is a general infiltration with round cells No 491 W HColored female Age 81 years Hospital residence 30 years 5 months and 18 days Senile psychosis Cause of death pulmonary edoema and suppurative nephritis Last illness about ten days No history of value Autopsy ten hours after death Brain not examined Palpation of abdomen reveals a hard nodular mass which roughly measures ten cen timeters in diameter tendency to umbilical hernia Omentum attached to peritoneal wall at umbilicus Uterus greatly enlarged Appears well above the brim of the pelvis and is hard indurated and nodular On the right side are adhesions to pelvic contents and remnant of broad ligament Left lung is bound down by dense adhesions cuts with re sistance is leathery exudes a large amount of frothy fluid and weighs 350 grams Right lung weighs 525 grams and has the same general ap pearance as the left Heart weighs 340 grams is dilated and enlarged The endocardium is thick and dense its surface is covered with red dened areas and a few vegetations Valves all hold water but are thickened and edomatous especially the mitral and aortic Pericardium contains an excess of fluid Liver shows some evidences of old ad hesions Gall bladder contains four small stones Left kidney weighs 235 grams is enlarged has an adherent capsule which when removed shows a granular cortex and many small whitish areas containing a milky fluid Internal kidney structure destroyed to a large extent and is pale and streaked Right kidney weighs 85 grams and upon section appears similar to left entire organ is dark soft flabby and easily76 SIXTYNINTH ANNUAL REPORT torn Uterus weighs 830 grams cavity is obliterated and there are many calcareous areas varying from the size of a pinhead to a peanut Aorta atheromatous throughout Microscopical examination shows a new growth of connective tissue cells with fatty degeneration of the endocardium and heart Liver ap pears to have been the seat of a chronic inflammation and congestion Kidneys show various stages of inflammation and destruction of tissue The glomeruli are enlarged elongated and capsules are dilated and walls thickened The tubules are filled with cells debris and some hyaline substance No 492 L HColored female Age 39 years Hospital residence 1 year 2 months and 25 days Diagnosis dementia praecox Cause of death meningitis and nephritis At time of admission deep reflexes were ex aggerated and there were some tremors of tongue and fingers otherwise the physical examination was negative About four months previous to death patient developed pellagra Autopsy two hours after death showed edoema of the pia thickened dura and pia with a few adhesions of recent formation Pial vessels show some milky discolorations Some atrophy of the frontal lobes as well as the cortex and olfactories Aortic valvular disease and ath eroma Adhesions apex of left lung Yellow liver with adherent cap sule Congested kidneys with thin cortex and increased resistance and multiple fibroids of the uterus Microscopical examination of brain shows a diffuse exudative inflam mation of the meninges cortex and extending into the brain substance proper Sections from the medulla show some inflammation but no in volvement of ganglion cells Liver shows marked fatty degeneration and kidneys show a glomerular nephritis No 493 K NColored female Age 44 years Hospital residence 25 years 4 months and 2 days Diagnosis imbecility Cause of death pellagra No history of value Autopsy twelve hours after death Only brain examined Adherent and thickend dura Some edoema of pia and pachonii interna ossifieans Microscopical examination shows apparently nothing of importance No 494 M KColored female Age 15 years Hospital residence 2 months and 29 days Diagnosis dementia praecox accompanying pellagra Cause of death pellagra At time of admission negative state of patient did not allow of a thorough examination Patellar reflexes exaggerated and a slow unsteady gait Autopsy three hours after death Only brain examined Dura adher ent along the longitudinal fissure Pia edoematous over the right occipGEORGIA STATE SANITARIUM 77 ital lobe and slightly adherent to the cortex but does not decorticate Cortex is slightly thinner than normal Right optic thalamus in its posterior third shows a small area of discoloration Otherwise the brain is negative Microscopical examination negative No 495 M FWhite female Age 67 years Hospital residence 25 years and 20 days Diagnosis unknown Cause of death organic brain dis ease History of no value Blind in left eye Autopsy twelve hours after death Dura very tough and adherent to the pia especially along the median fissure pia very edoematous and left optic nerve very much atrophied Falx cerebri very adherent Arteries at base are decidedly marked with yellow patches A third anterior cerebral artery is present Lateral ventricles contain an excess of fluid Choroid plexi studded with cysts Omentum rolled up and nonadherent Liver appears to be atrophied and urinary bladder is distended A few pleural adhesions more marked along posterior border of upper lobe of left lung Heart shows an excessive amount of epicardial fat Lungs negative on section Kidneys are small con tracted have adherent capsules and granular and very thin cortices Internally the tufts are indistinct and there are many scattered areas of a whitish glistening appearance Spleen negative Liver weighs 530 grams is mottled in appearance cuts with resistance and cut sur face is a grayish yellow color Gall bladder closed and filled with one mass of yellow stones and concretions Bladder contains 50 cc of urine Uterus atrophied Right ovary cystic Microscopical examination of the brain shows changes in some of the ganglion cells cellular infiltration around the blood vessels and a decided thickening of the walls of the latter Cellular infiltration is more marked around the meninges and cortex Liver shows fatty infiltration and degeneration increase in connective tissue elements newformed gall ducts and throughout a condition similating atrophic cirhosis with fatty degeneration Kidneys show a thin cortex an increase of fibrous tissue between the tubules loss of epithelium and a general diffuse nephritis No 496 E D Colored female Age 40 years Hospital residence 1 year 5 months and 19 days Psychosis manicdepressive Cause of death tubercular enteritis and edoema of brain At time of admission the patient showed nothing physically except some stigmata Autopsy three hours after death Body very much emaciated Ves sels of dura are empty and the latter is adherent to the brain along the median fissure There are two milky white patches two centimeters in diameter on each side in the anterior occipital region where dura was extremely adherent Pia is edoematous and tense throughout and78 SIXTYNINTH ANNUAL KEPOBT its vessels are congested Convolutions are about normal but cortex is thin Brain weighs 1100 grams Separation of the two hemispheres is difficult and there are some signs of adhesions around the base Appendix measures eleven centimeters is adherent to caecum and con tains pus and fecal matter Mesenteric glands are enlarged varying from size of a buckshot to three or four times that and section of these glands show dirty reddish surface Mesentery is dirty and dull looking Mucous coat of colon shows many reddened and grayishyellow areas also many rough and undermined ulcers as well as healed areas or cicatrices There are hemorrhagic areas along the serous coats of both colon and small intestine and the mucous coat of the latter is very much congested Dense adhesions at apex of each lung but sec tion shows no patches or cavities Heart is flabby pale and dilated slightly Spleen pale but otherwise normal Liver also appears nor mal Kidneys enlarged cortices thin and irregular capsule strips easily and leaves a smooth and grayishred cortex and these patches extend into the cortex Microscopical examination of the brain shows an exudative fibrinous meningitis of an acute type involving the meninges and cortex No changes are perceptible in the ganglion and neuroglia cells Along the vessel courses the infiltration and congestion are very marked especially so in the piaarachnoid No other tissues were examined No 497 S HWhite female Age 61 years Hospital residence 5 years 11 months and 18 days Diagnosis imbecility Cause of death tubercular meningitis and miliary tuberculosis History of no value Autopsy seven hours after death Adherent dura throughout edoe matous pia pronounced adhesions at base and several pinhead tubercles Brain weighs 1070 grams and shows flattened convolutions thin cortex dirty colored white substance and latteral ventricles are dilated with an excess of fluid Cerebellum very much congested General atheroma of cerebral vessels Both lungs adherent right one densely so and tears when removed Left pleura cavity contains 500 cc of foul muco purulent fluid and shows many white cheesy patches on chest wall Cavities and tubercles in various stages throughout each lung Spleen weighs 230 grams is mottled and adherent to surrounding structures shows old cicatrix and several whitish areas on its external surface Liver is soft mottled and congested Omentum adherent to pelvic organs There is an adhesion of the mesentery to small intestine form ing a loop about ten centimeters in diameter Appendix is bound down in a mass of adhesions Necrotic areas on the under surface of the caecum Kidneys are cystic and show interstitial and cortical involve ment Mesenteric and retroperitoneal glands are all enlarged Microscopical examination shows a very active cellular infiltration of pia and what appears to be scattering miliary tubercles Cortex is in filtrated to a marked degree and the meshes of same as well as the piaGEORGIA STATE SANITARIUM 79 show scattering dilations from the effect of serous exudates There are some signs of a chronic or senile change Liver shows many miliary tubercles localized congestion and marked fatty degeneration there being very few if any normal liver cells Spleen is also filled with miliary tubercles a few large ones and many spots of localized conges tion Kidneys show a marked diffuse nephritis with extremely thickened blood vessels No 498 W FWhite female Age 32 years Hospital residence 2 years 6 months and 28 days Diagnosis epilepsy Cause of death status epi lepticus First symptoms five years previous to admission Grandfather insane for fifteen years before his death Examination at time of ad mission was practically negative Autopsy twentyfour hours after death showed some edoema of pia old meningitis no atheroma of cerebral vessels but some congestion cystic choroid plexii and a brain weighing 1250 grams Lungs show hypostasis and edoema Left kidney cystic Liver somewhat mottled externally Otherwise negative Microscopical examination of brain shows nothing of note Liver shows decided fatty infiltration and degeneration Kidneys show many hemorrhages into the tubules glomeruli and interstitial tissue and otherwise a diffuse nephritis No 499 F MColored male Age 75 years Hospital residence 1 month and 17 days Psychosis senility Cause of death pulmonary tuberculosis and chronic nephritis Examination of patient when admitted showed marked arcus senilis diminished reflexes unsteady gait elongated chest strictured urethra and pronounced dementia Autopsy twentyfour hours after death Dura thick tough and ad herent to calvarium and the pia and the latter adherent decorticating and a thin irregular cortex Convolutions are flattened small and pressed closely together partially obliterating the sulci between Hemispheres separated with difficulty Cerebral vessels as well as those of piaarachnoid are atheromatous throughout Lateral ventricles di lated and contain an excess of fluid Heart shows signs of old pericar ditis Eight lung weighs 840 grams and is studded superficially with many small hard or chalklike areas throughout otherwise congested and edoematous Left lung bound down with adhesions collapsed and tears readily when removal is attempted Kidneys show multiple ab scesses in the cortices and the latter are thin and granular Medullary markings are indistinct at points and encroach upon the cortex Liver is mottled has a thick capsule and roughened surface beneath Microscopical examination of brain shows the pia to be heavily infil trated with round and red cells and there are numerous capillaries from the larger vessels filled with blood cells and rupture of these capillaries has taken place at many points Find about the same condition in the80 SIXTYNINTH ANNUAL REPORT pia of medulla and spinal cord Cortex of brain does not seem to be In volved and the ganglion and other cells of the brain and spinal cord are apparently normal Lungs show localized spots of pneumonia and a few tubercles Liver shows many atrophied cells containing yellow ishbrown granules and some hyperplasia of the interlobular tissue with slight cellular infiltration Kidneys are the seat of a diffuse nephritis of the hemorrhagic type and the blood vessels have much thickened coats No 500 C LWhite female Age 82 years Hospital residence 6 months and 1 day last admission Two previous admissions with a total resi dence in Asylum of fortyfive years Diagnosis dementia praecox Cause of death pericarditis and nephritis Autopsy twentyfour hours after death Brain shows nothing except adhesions of dura and atrophy 1200 cc 700 cc and 300 cc of straw colored fluid taken from right pleural cavity left cavity and abdomen respectively Lungs are heavy and contain much fluid Heart is en larged and displaced upward to the left Pericardium is obliterated or densely adherent to heart and the latter is soft flabby and tears easily through the muscular walls which are dark and angry looking Valves are all thickened and contain small yellow patches Aorta extremely atheromatous Liver is yellowishbrown on cut surface and shows radiating whitish streaks Gall bladder adherent Kidneys are small contracted and slightly cystic with thin adherent capsule and granular glistening cortex Tufts are small congested and compressed Spleen enlarged and congested Microscopical examination shows an acute cellular meningitis Kid neys show a chronic diffuse nephritis of the interstitial type Heart muscle shows brown atrophy and fatty degeneration There is hyper plasia of pulp and interstitial tissue of the spleen and the liver is the seat of a typical interstitial hepatitis or cirrhosis No 501 J RWhite male Age 46 years Hospital residence 6 years 7 months and four days Diagnosis epilepsy Cause of death convulsion and cerebral hemorrhage No history of value Autopsy ten hours after death showed that hemorrhage occurred in the vessels of left Sylvian fissure and old meningitis right adhesive pleurisy general arteriosclerosis enlarged spleen nephritis and hypo stasis of lungs Microscopical examination shows infiltrated brain and meningis nephritis of glomerular type congested lungs spleen and liver No 502 D WColored female Age 36 years Hospital residence 3 months and 6 days Psychosis manicdepressive Cause of death edoema ofGEORGIA STATE SANITARIUM 81 brain and chronic interstitial nephritis Examination at time of ad mission showed slight arcus senilis enlarged epitrochlears exaggerated reflexes slight Romberg tremors of tongue and fingers inflamed pharynx and pellagra as a possible complication Autopsy seven hours after death showed edoema of brain flattened and small convolutions slightly dilated lateral ventricles atheroma of aorta and aortic valves old adhesive pleurisy adherent omentum to pelvic structures around appendix chronic appendicitis and multiple fibroids of the uterus Microscopical examination of brain shows a marked meningoencepha litis with chronic congestion of liver and a diffuse nephritis of the hem orrhagic type No 503 C PWhite female Age 14 years Hospital residence 10 days Imbecile Died before examination and classification had been made Cause of death bronchopneumonia pericarditis and mitral regurgita tion Autopsy nine hours after death showed edoema of pia and milkywhite patches scattered throughout Bronchopneumonia in right lung Mitral valves contain a number of vegetations and the opening is greatly en larged Microscopical examination shows an exudative meningitis of the brain diffuse nephritis of the glomerular type congestion of the liver and bronchopneumonia No 504 L RWhite female Age 78 years Hospital residence 4 years 2 months and 14 days Senile psychosis No history of value Cause of death edoema of brain and nephritis Autopsy two hours after death showed chronic meningitis edoema of pia atrophy of brain 915 grams and convolutions atheroma of cerebral arteries abscess in left lung and a few pneumonic patches fatty infiltration and degeneration of heart general arteriosclerosis con gestion of liver cholelithiasis and fatty infiltration of kidney with nephritis Microscopical examination confirms the anatomical findings and in addition shows arteriosclerotic kidneys and fatty degeneration of liver Also brown atrophy and fatty degeneration of heart No 505 Z SWhite female Age 34 years Hospital residence 11 years 10 months and 13 days Diagnosis dementia praecox Admitted once before Last illness two years duration Cause of death tuberculosis and peritonitis Autopsy nine hours after death showed some edoema of brain 1500 cc of fluid in abdomen containing whitish floceulent material omentum82 SIXTYNINTH ANNUAL REPORT adherent to intestines and mesentery in several places Right lung weighs 510 grams lobular markings obliterated contains many small cavities and two in the apex measuring 25 cm in diameter 250 cc of yellowish bloody fluid in this cavity Left lung weighs 550 grams shows many calcareous deposits few cavities many cheesy tubercles in upper lobe and apex other portion shows an active inflammation Kid neys contain abscesses and cysts in the cortex and show interstitial changes Appendix bound down by adhesions and shows chronic con dition as well as the cecum Liver shows fatty degeneration and spleen is very pale Microscopical examination confirms the anatomical findings and in addition shows amyloid degeneration of kidneys No 506 B FColored female Age 19 years Hospital residence 2 months and 15 days Diagnosis pellagrous insanity dementia praecox type Cause of death pellagra and chronic meningitis Physical examination at time of admission shows enlarged epitrochlears dyspnoea and cough lacerated perineum and vaginitis Autopsy eleven hours after death shows an adherent dura slightly edoematous pia and cystic choroid plexi Dura of the spinal chord is slightly congested Lungs normal Some thinning of the mitral valves Liver somewhat congested Kidneys and other organs are apparently normal No 507 W SColored female Age 54 years Hospital residence 16 years and 7 days Diagnosis unknown Cause of death lobar pneumonia History of no value Autopsy four hours after death shows a double lobar pneumonia more marked in left lung congested granular and mottled liver and fibroid cystic uterus Brain not examined Microscopical examination shows a diffuse nephritis of glomerular type and confirms other anatomical lesions No 508 L TColored female Age 38 years Hospital residence 7 months and 17 days Diagnosis dementia praecox accompanied by pellagra History of two previous attacks of mental trouble Cause of death sup purative pyelonephritis with renal calculi A lumbar puncture made one month after admission showed twentyfour cells per cb mm and a positive butyric acid reaction Puncture made one month before death showed results under No 36 in spinal fluid table Repeated examination showed pus and albuminuria Autopsy one hour after death shows a brain weighing 1235 grams edoema of pia in occipital region and a normallooking dura without any marked adhesions of same Pineal gland contains some brain sandGEORGIA STATE SANITARIUM 83 Pericardium contains about 20 or 30 cc of fluid Heart shows some hyperthropy and dilitation and thickening of mitral valves Aorta de cidedly atheromatous Many old adhesions of right lung around base and posteriorly Few adhesions around the base of left lung which also shows some bronchopneumonic patches Left kidney weighs 335 grams oval in shape slightly adherent capsule smooth and irregular cortex Section of this kidney shows four large and one very small calculi sit uated in the upper half of organ One of the larger stones is roughly shaped like the letter T measuring about 2x3 cm There are three large cysts in the lower part of kidney and the entire organ is filled with a whitish milky fluid All kidney structure is practically de stroyed Right kidney weighs 375 grams contains one large calculus in upper pole and is cystic and filled with pus throughout Liver contains an excess of fat Uterus enlarged and ovaries cystic Bladder contains much pus Microscopical examination of pus from kidneys and bladder shows many colonlike bacilli No tubercle or acid fastbacilli found Brain negative Ganglion cells in anterior horns of spinal cord show some atrophy and chromatolysis Liver shows fatty changes Kidneys show complete destruction of the tissues at many places thickened capsules with desquamation and degeneration of the glomerular epithelium and marked increase in the interstitial tissue with cellular infiltration and scattering abscesses No 509 S SColored male Age 27 years Hospital residence 9 years and 16 days Diagnosis epilepsy Cause of death lobar pneumonia No history of any value Autopsy twenty hours after death showed a double lobar pneumonia Complete involvement of both lungs Some resolution evident on left side and this lung weighs 620 grams Right lung weighs 1130 grams and shows many pleuritic adhesions Around the larger bronchi of this lung are several calcareous deposits about the size of a cowpea Brain not examined No 510 A CColored female Age 36 years Hospital residence 2 months and 9 days Diagnosis pellagrous insanity infectiveexhaustive Cause of death pellagra Fifteen days after admission patient showed marked skin lesions diarrhoea and some salivation deep reflexes ex aggerated and spastic gait Lumbar puncture made three days after admission showed fortytwo cells per cb mm and positive butyric acid reaction Patient gradually grew worse showing spasmodic contrac tions of muscles on left side for three days before death Autopsy one hour after death shows a brain weighing 1220 grams slightly thickend dura some edoema of the pia and some atheroma at the base otherwise negative Heart negative Lungs negative except a few old adhesions around the apex of left Spleen and pancreas nega84 SIXTYNINTH ANNUAL REPORT tive Liver shows a grayish yellow cut surface and contains an excess of fat Kidneys show thickened cortices and adherent capsules Mes enteric glands slightly enlarged and the mucous membranes of colon caecum and jejunum show many small congested areas measuring from 5 to 1 cm in diameter but no ulcers Microscopical examination shows negative brain and spinal cord Kidneys show a marked hemorrhagic nephritis Liver shows infiltra tion with fat and increase of interstitial tissue and localized pigmenta tion Lungs show some emphysema Intestines show a typical catarrhal enteritis with decided hyperplasia of mucous membrane No 511 L SWhite female Age 66 years Hospital residence 38 years 6 months and 9 days Diagnosis dementia praecox Cause of death cerebral edoema and mitral valvular disease History of no value Autopsy six hours after death showed edoematous pia thickened and adherent dura dilated lateral ventricles and general atheroma of cere bral vessels and a brain weighing 1250 grams Heart weighs 215 grams and pericardium contains an excess of fluid mitral valves are thickened and show several small vegetations Right lung shows hypostasis and left lung shows one small adhesion in apex Liver congested and spleen is mottled and soft Kidneys show adherent capsule and granular cortex Microscopical examination shows some cellular infiltration of pia and cortex of brain with marked congestion Brain throughout shows infil tration of the vessels walls with small round cells and also of the sur rounding tissue Kidneys are arteriosclerotic and show a few small hemorrhages into the tubules Liver shows decided atrophy of the cells increase in interstitial tissue and much pigment No 512 E SWhite female Age 65 years Hospital residence 26 years 5 months and 10 days Senile psychosis Cause of death cerebral hem orrhage History of no value Autopsy four hours after death showed atheroma of cerebral vessels Large irregular clot in posterior portion of right frontal lobe near the beginning of Sylvian fissure which when removed leaves a cavity or area of softening and bloody exudate that occupies fully the lower two thirds of this lobe Convolutions are flattened and atrophied with par tial obliterations of sulci Only brain examined No tissues examined microscopically No 513 H WColored female Age 41 years Total hospital residence 9 years and 3 days Last admission 6 years 1 month and 15 days Psy chosis manicdepressive Cause of death chronic meningitis and pel lagra No history of valueGEORGIA STATE SANITARIUM 85 Autopsy twelve hours after death showed very edoematous piamater thickened and adherent dura flattened convolutions dense adhesions around the base and a brain weighing 1050 grams General arterioscle rosis and a few adhesions of left lung Otherwise negative Microscopical examination shows a typical meningoencephalitis in the brain Spinal cord shows cellular infiltration of meninges contains a few corpora amylacea and the ganglion cells show some chromatolysis and displaced neuclea Heart shows slight changes resembling brown atrophy Sections from other organs not examined No 514 M SColored female Age 63 years Hospital residence 1 month and 13 days Diagnosis pellagrous insanity Cause of death edoema of brain and pellagra Only brain examined Autopsy two hours after death showed very adherent dura and edoe matous pia and a tendency of the latter to decorticate Atrophy of frontal lobes and flattened convolutions Brain weighs 1155 grams cerebral vessels are atheromatous throughout choroid plexi are cystic and there are a few adhesions around the base and frontal lobes Microscopical examination shows a diffuse exudative meningoencepha litis apparently of long duration Spinal cord contains a few corpora amylacea and the ganglion cells show irregular staining and there is cellular infiltration of the meninges of the cord NO 515 M CColored female Age 45 years Hospital residence 19 years and 17 days Diagnosis imbecility Cause of death perieardits No history of any value Autopsy seven hours after death showed a brain weighing 960 grams with some edoema of pia flattened convolutions and decortication by the removal of pia with diminished consistency of brain substance and atheroma of the blood vessels There is an adhesive pericarditis and also dense adhesive pleurisy both sides lungs can only be removed in torn parts and pieces There is abdominal ascites a diffuse nephritis fibroid uterus cirrhosis of liver and a granular mottled spleen Microscopical examination confirms the anatomical findings and in addition shows some chronic inflammation in the brain fatty degenera tion of liver and what appear to be a few miliary tubercles in the spleen No 516 M BColored female Age 28 years Hospital residence 2 years 2 months and 24 days Psychosis manicdepressive with a history of sev eral years duration Cause of death pellagra At time of admission patient showed some stigmata subjective complaints of pain in back of head and defective speech Otherwise negative History of an at tack of pellagra about one year previous to admission History of hav ing been infected with asearis lumbricoides Microscopical examination86 SIXTYNINTH ANNUAL EEPOET of feces at one time showed many ova of trichocephalus dispar Urine negative at first but a few days before death showed a large amount of albumin and no casts Lumbar puncture about one year before death revealed a spinal fluid with sixtyfour cells per cb mm and a positive butyric acid reaction Nogouchi modification of Wassermann made about one month after lumbar puncture and was negative Notes made by ward physician show typical symptoms of pellagra from shortly after admission until time of death Salvarsan given about three months before death with no apparent benefit Autopsy five hours after death showed a brain weighing 1100 grams cystic choroid plexi small hemorrhage in right optic thalamus and a marked enterocolitis with numerous small ulcers Otherwise the body and other organs were entirely negative Microscopical examination of brain shows some slight cellular infiltra tion of the meninges and blood vessels of the cortex and much conges tion of the latter Medulla shows some cellular infiltration of vessels and possibly a slight chromatolysis of ganglion cells Liver shows marked congestion with some interstitial changes and atrophy of cells Kidneys show a glomerular nephritis Spleen congested Intestines show a typical catarrhal enteritis in various stages The submucosa and muscular layers are much thickened No 517 W WColored female Age 44 years Hospital residence 11 months and 8 days Diagnosis dementia praecox Cause of death pellagra with edoema of brain and nephritis About five months after admis sion showed typical symptoms of pellagra which continued until death Stomatitis and diarrhoea were pronounced throughout the disease Autopsy twentyfour hours after death shows a thick and adherent dura pachymeningitisossificansinterna edoematous pia small and flat tened convolutions and good deal of atheroma at the base Brain weighs 1150 grams Heart shows some atheroma around bases of valves and attached portion of aorta Kidneys show adherent capsule granular cortices and increase in interstitial tissue Liver weighs 800 grams and is very much congested Intestines show an enterocolitis but no ulcers Microscopical examination shows some slight cellular infiltration of the meninges and their blood vessels and medulla contains a few cor pora amylaeea but there is no apparent change in ganglion cells Lungs show emphysematous condition Liver shows fatty degeneration and increase in interlobular tissue similating an atrophic cirrhosis Spleen congested Kidneys are the seat of a chronic diffuse nephritis Intes tines show a catarrhal enteritis typical in character No 518 M AColored female Age 40 years Hospital residence 7 years 4 months and 23 days Diagnosis dementia praecox Cause of death pellagra which was suspected about six months before death At thisGEORGIA STATE SANITARIUM 87 time patient was treated for an infection of ascaris lumbricoides Symptoms of pellagra now became typical and persisted until death Three months later salivation and stomatitis with marked skin manifes tations Autopsy sixteen hours after death showed very adherent calvanum opaque leathery dura which is very adherent to the pia some edoema of the latter small and slightly flattened convolutions and considerable atheroma of the basilar vessels Brain weighs 1160 grams Heart shows some atheroma of valves and attached portion of aorta Right lung contains some bronchopneumonic patches and a few adhesions around the apex Liver shows some hypostatic congestion Kidneys are con gested otherwise appear normal Microscopical examinaion shows some signs of a meningoencephalitis especially in fatty degeneration of ganglion cells of brain and medulla with slight local infiltrations of meninges and grey matter Lungs show an interstitial pneumonia Spleen contains pigment Liver shows fatty infiltration and congestion Kidneys show a diffuse nephri tis with little involvement of the glomeruli No 519 M mWhite female Age 42 years Hospital residence 21 years 1 month and 10 days Unclassified Cause of death acute fibrinous pleu risy and endocarditis with mitral stenosis Autopsy four hours after death shows a pericardium containing 60 cc of fluid flabby heart many small punctate hemorrhages right endo cardium and stenotic mitral opening with marked atheroma of aorta and aortic valves Lungs show many recent adhesions throughout pleu ral cavities Liver is very much congested Kidneys show very adher ent capsules granular and thickened cortices and some apparent in crease in interstitial tissue 1500 cc of strawcolored fluid removed from the abdomen Erain not examined Microscopical examination shows a diffuse nephritis fatty degenera tion and chronic congestion of liver etc and evidences of interstitial pneumonia No 520 H DColored female Age 65 years Hospital residence 5 days Senile psychosis Cause of death heart disease Autopsy thirty hours after death showed hypertrophied heart leak age through aortic valves and atheroma of same and aorta Liver has a thick and densely adherent capsule and dilated bile ducts Capsule tears the liver tissue proper when stripped There are many old ad hesions to liver and surrounding structures Brain not examined Microscopical examination shows diminished size of liver cells and an accumulation of pigment in these cells while others have entirely dis appeared and many show fatty degeneration There is throughout the liver localized areas of cell infiltration and an increase in the interstitial tissue Kidneys show a glomular nephritisCerebroSpinal Fluid Examinations DISEASE Pellagra Pellagra Pellagra Status Epilepticus Paresis Paresis Paresis Paresis Paresis Pellagra Pellagra Pellagra Paresis Unknown Cerebral Syphilis Paresis Paresis Paresis or Tabes Paresis Pellagra Paresis Unknown Paresis Paresis Paresis EEMARKS 50 lymphocytes High pressure Few lymphocytes Pressure high Pew degenerated cells 66 lymph 13 plasma 82 lymph 6 plasma Later developed pellagra 90 lymphocytes Smear unsatisfactory Very few lymphocytes Very few lymphocytes Very few lymphocytes Smear negative Very few lymphocytes 74 lymp 21 plasma 87 lymp 6 plasma 66 lymp 15 plasma 88 lymp 6 plasma No smear made 82 lymp 10 plasma No smear made Few lymphocytes Smear shows few cells 188 lymp 6 plasma k M 3 w g d w M O w i326 W 1 M L H Chronic A 27 c F K D Pellagra 28 0 M D W Paresis 29 w M T H Paresis 30 w M W D Paresis 31 w M M L Paresis 32 c F I M Paresis 33 c M H Y Pellagra 34 c M L M Pellagra 35 0 F F M Pellagra 36 0 F L T Pellagra 37 0 F A C Pellagra 38 0 F A W Pellagra 39 0 F L C Pellagra 40 c F M J Pellagra 41 c F C B Pellagra 42 0 M E S Paresis 43 c F A H Pellagra 44 0 F M C Pellagra 45 c F K H Pellagra 46 c F L G Pellagra 47 c F V B Pellagra 48 c F G B Pellagra 49 w M W 0 Paresis 50 w M J W Paresis 51 c M E S Paresis 52 c M J D Paresis 53 w M A C Paresis 54 w M W K Paresis 55 w F M P Pellagra 56 w F M C Pellagra 57 w F M D Pellagra 58 c F E M Pellagra 59 c F M G Pellagra 60 0 F M B Paresis 61 c F M A Pellagra 3 X 19 X X 12 X X 25 X X 30 X X 116 X X 190 X X 18 X X 14 X X 2 X 18 X X 42 X X 5 X X 13 X X 16 X X 5 X X 20 X X 20 X X 5 X X 3 X 12 X X 9 X X 8 X X 18 X X 26 X X 22 X X 14 X X 50 X X 30 X X 18 X X 10 X X 14 X X 21 x X 20 X X 122 X X 15 X X Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Few lymphocytes 52 lymp Unk 46 Few lymphocytes Smear not thick enough Smear not thick enough 80 lymp 11 plasma 75 lymp 9 plasma Heavy globulin ppt Smear too thin Few lymphocytes Smear negative Smear shows mostly endothelial cells Many degenerated cells Few lymphocytes Few lymphocytes Many lymphocytes Few lymphocytes 80 lymph 5 plasma Few lymphocytes Few lymphocytes Few lymphocytes Few lymphocytes Many lymph Few plasma Few lymphocytes Many lymph and red cells Few lymphocytes 81 lymph 5 plasma Few lymphocytes Many lymph Heavy globulin ppt Few lymphocytes Few lymphocytes Few lymphocytes Many lymphocytes 90 lymphocytes Few lymphocytes M O W o w H CO i MCerebroSpinal Fluid ExaminationsContinued u o M o O m C F w M w M c M c M c M c F w M w F w M w M w M w F w F W M c F c F c F w M c F c F c F c F w M I w M s DISEASE a 2 fflM bots a op a o o s REMARKS 50 3 W W H O W 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 K D R C J M M W K a M D L C H F M R E G S M J W M C M P G B W M L C M R C S A S A C L S H T A S J H Pellagra Paresis Unknown Paresis Paresis Unknown Unknown Imbecile Paresis Imbecile Paresis Paresis I Pellagra Pellagra Paresis t Paresis Paresis Pellagra Paresis Paresis Pellagra Pellagra Pellagra Epilepsy Paresis 14 50 14 90 35 2 11 0 110 6 85 10 0 4 4 406 75 0 40 18 3 25 5 75 Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Few lymphocytes Many lymph Few reds Few lymphocytes 68 lymph 7 plasma 66 lymph 5 plasma No smear made Dementia praecox No smear 55 lymph 7 plasma No smear Many lymph Few reds No smear No smear No smear No smear 89 lymph 90 lymph No smear 6 plasma and few plasma No smear No smear No smear No smear No smear Many lymph Few plasma87 88 89 90 91 02 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 C C c c c G c c c w w Ar c w w c c c c w c c w w w w c c c c c w c c c c M M M M M M M M F M M M M M M F F M M F F F M M M M M M M M M M F F F F M W A T H J A C J B H S J F O J W M D F J A L H D M P G C S D K E C J B E S M C G W Q G H B W M C C J F I B W B D M L S J B W W M S E H M J A M Paresis Pellagra Pellagra Pellagra Epilepsy Pellagra Pellagra Pellagra Paresis Paresis Unknown Chronic Alcoholic Unknown Paresis Paresis Unknown Paresis Unknown Unknown Paresis Pellagra and Tuberculosis Pellagra Unknown Paresis Paresis Unknown Unknown Paresis Unknown Paresis Unknown Unknown Pellagra Pellagra Pellagra Pellagra 16 5 0 0 0 2 0 2 114 0 1 0 30 5 5 160 0 0 20 65 4 4 81 0 0 4 80 0 60 6 2 3 4 35 0 x X X X x x X x x x X X X Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk Alk No smear Few lymphocytes No smear No smear No smear Many irregular shape cells and many lymp Few cells much pigment found in smear Wet form Ex sal ex hvy globulin ppt Same as 77 reptd No smear made No smear made Same case as No 26 No smear made 90 lymphocytes Few lymphocytes No smear 77 lymph 2 plasma No smear 90 lymphocytes 61 lymph 6 Few lymphocytes No smear plasma 6 polys No smear Many lymph Few plasma Same as No 99 Many lymph Few plasma Same as No 104 No smear No smear No smear Many lymphocytes No smear O W O CO 3 H M GO M 13 BCerebroSpinal Fluid ExaminationsContinued NOTES x positive reaction negative reaction lymphocytes per cb mm Cells not counted Under the head of remarks the approximate percentage of percentages would in most cases be made up of unknown fells ment obtained by centrifuging about 10 cc of fluid Stained wi 0 number of lymphocytes Figures number of lymphocytes and plasma cells are given Complete Wr made frL GEORGIA STATE SANITARIUM 93 Cerebrospinal fluid unavoidably at times contains blood even though not perceptible to the naked eye this blood may give a false reaction which is misleading and I have m all specimens containing blood indicated acordingly in the table I have been very careful on this point and can say absolutely that all specimens reported with increase in globulin or protein contents in the above table that the increase not due to blood contamination unless the presence of the latter is in dicated by a plus sign under blood cells Beside I have by actual examination found that as many as 100 red cellper cb mm in normal fluid causes only a light ppt of a dirty gray color by the butyric acid test which does not resemble the heavy positive ppt obtained in paresis tabes and many cal of pellagra Furthermore the globulin 01butyric acid reaction is obtained from that portion of the fluid which is afterwards centrifugalized and examined by smear showing conclusively the absence or presence of red cells Red cells m the counting chamber should never be mistaken for lymphocy tes or other cells as they do not take the stain easily The Puchs Rosenthal stain which is commonly used for counting chamber work contains acetic acid enough to dissolve thred cells consequently only a freshly prepared solution of methyal violet in water alone should be used in the absence of smear ciTnrmbers 74 92 93 94 98 and 135 all gave a decidedly heavy globulin ppt but none of them contained over five cells per cb mm Numbers 74 and 93 showed no cells No 98 was from a case of chronic alcoholism the others were all from pellagrins The above cases gave much heavier precipi tates than you see in ordinary cases of paresis or tabes The following notes are given on those cases that were tested by the Wassermann Nogouchi reaction No 35 Punctured November 17 1911 in addition to the above showed twentytwo cells per cb mm and positive butyric acid reaction NogouchiWassermann January 12 1912 negative Second lumbar puncture made April 9 1912 as reported by No 35 This was a typical case of Pe lag which on September 6 1912 had cleared up considerably but Inifested sgns of pulmonary tuberculosis The ubercu ar condition if present may have had some bearing on the m94 SIXTYNINTH ANNUAL EEPOET crease in cells of the cerebrospinal fluid found at time of first lumbar puncture although fifteen days after this puncture the salivation skin manifestations and diarrhoea were pro nounced No 36 Punctured April 9 1912 died May 2 1912 See Autopsy No 508 No 83 Admitted April 19 1912 lumbar puncture made Au gust 9 1912 as reported above NogouchiWassermann nega tive August 29 1912 Diagnosis pellagra and dementia praecox with history of first attack July 1910 No 93 Admitted with pellagra a few months before lumbar puncture At time of puncture apparently improving Blood serum gave a positive NogouchiWassermann eight days after puncture No 93 At time of puncture patient in a negative state and apparently no chance for recovery Much pigment in sediment from fluid which gave a negative test for haematin Negative NogouchiWassermann of blood serum eight days after punc ture No 94 Severe wet form of the disease Emaciation and salivation marked Diarrhoea has been active As already mentioned the butyric acid reaction or globulin ppt was ex ceedingly heavy Smear from sediment showed much gran ular material or pigment and many degenerated cells Nega tive NogouchiWassermann of blood serum eight days after puncture No 107 Smear shows many large mononeuclears indicat ing a tubercular process as the cause of high cell count Nega tive NogouchiWassermann one month after puncture Attention is called to Autopsies 487 508 510 and 516 with reports on spinal fluid findings It will be observed that there seems to be no constant in crease of cells in the fluids of the pellagrins here reported but there does seem to be nearly always an increase of globulin or positive butyric acid reaction in the latter stages or severe cases of the disease In the absence of autopsy findings and the Was sermann tests on many of the cases no conclusions can be made Two cases that came to autopsy showed a paretic process thereby eliminating pellagra as the cause of changes in the cerebrospinal fluidGEORGIA STATE SANITARIUM 95 In the J A M A 51812 pp 1547 there is an abstract from the Presse Medicale in which Boveri says he found the cerebro spinal fluid of pellagrins always limpid but occasionally un der high pressure with an increase in the albumin and slight lymphocytosis but the fluid was always sterile The Illinois Pellagra Commission Archieves Int Med Vol 10 Nos 2 and 3 reported that the cerebrospinal fluid of pel lagrins was negative but no details are given and apparently the number of cases examined do not justify a negative report In concluding this report I desire to express my appreciation for the uniform kindness shown me by you and all the mem bers of the Staff during the year I should also mention that Asst Surgeon R M Grimm U S P H Service spent a few days in the Laboratory during August and while here offered many suggestions that were greatly appreciated Very respectfully S S HINDMAN PathologistSIXTYNINTH ANNUAL EEPOET Report of Treasurer Milledgeville Ga January 2 1913 Dr L M Jones Superintendent Georgia State Sanitarium Dear SirI beg to enclose herewith a statement of my re ceipts and disbursements of my office for the fiscal year ending December 31 1912 Eeceipts Jan 3 1912 Balance on hand 2267979 Deo 31 1912 Eeceived from the State Treasurer 53000000 Eeceived from L J Lamar Steward 1575238 56843217 Disbursements Dec 31 1912 Total disbursements for 191253817016 Jan 2 1913 Balance on hand 3026201 I attach hereto certificate of the Merchants Farmers Bank which is made a part of my report Respectfully submitted L H ANDREWS Treasurer Milledgeville Ga January 2 1913 This is to certify that the balance to the credit of L H An drews Treasurer of the Georgia State Sanitarium and subject to his check at the close of business this day is Thirty Thousand Two Hundred Sixtytwo 01100 3026201 dollars Signed JNO T DAY Assistant Cashier Attest GUY UNDERWOOD N P B Co GaGEORGIA STATE SANITARIUM 97 Report of Steward Milledgeville Ga Deecember 31 1912 Dr L M Jones Superintendent Georgia State Sanitarium Dear SirPermit me to transmit through you to our Hon orable Board of Trustees this my report as Steward for the fiscal year ended December 31 1912 Exhibit AStatement of Resources and Liabilities at December 31 1912 Schedule 1Accounts Receivable Schedule 2Accounts Payable Schedule 3Outstanding Vouchers Exhibit BStatement of Institution Income and the Con sumption of Purchased Supplies also Farm Garden and Dairy Products During 1912 Exhibit CStatement of surplus as of December 31 1911 with Adjustments During 1912 Exhibit DStatement Per Capita Average Number Pa tients Total Amount Cash Disbursed and Average Monthly and Daily Disbursements for the Year Exhibit EStatement Amount of Money Expended Dur ing 1912 and Total Amount Paid Each Creditor of Institution During the Year In compliance with the law duplicate voucherchecks with duplicate invoices attached covering all paid purchases during the year also the required monthly certificate of expenditure approved by yourself and audited by the Board of Trustees have been filed in the Executive Department I have devoted my entire time as required by the rules to the Stewards work and have to the best of my ability dis charged the duties encumbent upon me Respectfully submitted L J LAMAR Steward March 26th 191398 SIXTYNINTH ANNUAL EEPOET Report of Storekeeper Mr L J Lamar Steward Dear SirYou will find below statement of receipts and issues from January 1 1912 to January 1 1913 Yours truly W H HUNTER S K To stock on hand January 1 1912 1363675 To Mdse from January 1 1912 to January 1 1913 24678162 26041837 By issues from January 1 1912 to January 1 191324660890 By credit memorandums 5173 By stock on hand January 1 1913 1300721 Shrinkage or loss 75053 26041837GEORGIA STATE SANITARIUM 99 Report of Engineer Milledgeville Ga January 1 1913 Dr L M Jones Superintendent Dear SirPlease find below the annual report of the En gineers Department for the year ending December 31 1912 Respectfully T H DeSAUSSURE Engineer Improvements The gas engine and pump mentioned in the annual report of 1911 as having been put in at the Colony to pump spring water up to the buildings did not come up to the guarantee under which they were bought and they were rejected after a tryout A new engine and pump has been furnished by the contractor and placed in commission This new outfit is work ing satisfactorily and is a decided improvement over the first set A new boiler room and kitchen has been built at the Negro Building the boiler room being 42x43 feet and the kitchen 50x62 feet This gives 1800 square feet more floor surface in the new kitchen than there was in the old one This increase in size has been made necessary by the additional number of patients being served from this kitchen and also by the need of a storeroom and other small rooms All of the steam cooking apparatus except one cast iron steam jacketed kettle and one copper steam jacketed coffee urn has been replaced with new apparatus and three steam roasters and four vegetable steamers have been added to the equipment There has also been built in this kitchen a Petersen continuous baking oven having a baking floor space of ten by twelve feet The insurance underwriters having condemned the three steam boilers used for heating the buildings cooking and for laundry purposes it was found necessary to replace them The new boilers are of the horizontal return tubular type 60 inches by 16 feet and are set with suspended settings two in one battery and the third by itself with provision for100 SIXTYNINTH ANNUAL EEPOET a fourth boiler in the future A brick chimney one hundred feet high having a fourfoot flue was built just outside the boiler room and the boilers connected to it with a sheet steel smoke flue A new water heating apparatus has been installed in that part of the old boiler room in which were the two heating boilers This apparatus consists of two 24 in x 96 in Berryman water heaters laid horizontally in cradles under two 48 in x 96 in pressure tanks to which they are connecteed by 3 in circulating pipes The temperature of the water is kept constant by an automatic thermostat which cuts off the steam supply when the water reaches a prearranged degree of heat A bath and toilet room has been made in both the kitchen and in the boiler room for the convenience of the operatives The operating room in the T 0 Powell building has been enlarged and improved two rooms having been added to it one 10x12 feet in which all of the sterilizing apparatus has been placed and another 8x12 feet fitted with sinks and lava tories and which is devoted entirely to the use of the surgeons in making ready The floor of the operating room when first made was of wood covered with a patented monolithic cement coating This floor had become defective and it has been re placed with one of reinforced concrete having a top surface of 2 in white hexagon asceptic tile This kind of floor was also laid in both the sterilizing room and in the wash room A wainscot 6 feet high of white enameled brick has been placed around the side walls of the three rooms Two pavilions for tubercular patients have been built during the year one of them for white females with a capacity of 36 beds the other for white males with accommodation for 26 patients In each building there are dining rooms diet kitchens sink rooms bath rooms toilet rooms and nurses rooms The buildings are of a permanent character The wood work is painted white on the outside and everything finished in white enamel on the inside The female building has two large piazzas running the length of each wing on the front into which the beds may be rolled if desired Both buildings including the piazzas are serened A continuous bath having a marble controller table with the necessary valves and thermometer has been placed in one of the rooms on the 2d white female ward This bath is suppliedGEORGIA STATE SANITARIUM 101 with hot water from a special and separate water heater which has a thermostat for keeping the water at a prearranged tem perature This water heater has a capacity for two baths should it be desired to put in a second one later Two sixroom cottages have been recovered during the year shingles being used The windows and doors of both the girls ward in the east de tached building and the boys ward in the Cabaniss building have been screened The ice machine has been thoroughly overhauled the more extensive repairs being three new pipe coils in the condenser tank and two in the poor liquor cooler A fiveroom cottage with bath room and pantry has been built on the grounds Besides the ordinary repair work of the institution the fol lowing articles have been made and repaired in the several shops Carpenter Shop 10 Hominy Paddles 12 Commodes 14 Rooms Floored 4 Bread Paddles 26 Wash Tubs 7 Voucher Boxes 1 Wire Guard 2 Large Voucher Boxes Stew ards Office 177 Mop Handles 1 Trunk Crated 5 Sewing Machines Crated 1 Large Guano Box 150 Mop Caps 1 Doubletree 1 Window Frame 2 Pair Steps 5 Chicken Coops 13 Meat Boxes 373 Table Legs 14 Large Tables 79 Small Tables 1 6Leaf Ironing Table 4 Sink Tables 9 Platforms to Chicken Coops 2 Cart Bodies 3 Window Sash 1 Bolster to Twohorse Wagon 20 Caps for Scrub Mops 1 Telephone Box 2 Hoe Handles 7 Centers 2 Flower Boxes 3 Hay Crates 4 Long Broom Handles 6 Wall Brush Handles 3 Large Hog Troughs 2 Stepladders 3 Large Valves Crated 6 Plow Beams 1 Wire Guard 3 Large Ice Boxes 1 Large Yard Gate 1 Yard Door 1 Large Screen Sash 1 Large Screen Door 113 Screen Windows 2 Panel Doors102 SIXTYNINTH ANNUAL REPORT 1 Double Lattice Door 6 Ironing Boards 200 Peach Crates 11 Yard Benches 1 Oak Wagon Tongue 1 Long Shovel Handle 3 Mantles 48 Oak Stakes 1 Cake Board 1 Pair Crutches 2 Large Cabinets 1 Kneading Board 1 Chopping Board 6 Flushing Tank Boards 1 Large Clothes Box 1 Ladder 1 Coal frame 603 Coffins 227 Boxes for Shipping Coffins Furniture Repairs Shop 2678 Chairs Bepaired 219 Dressers Repaired 649 Shades Repaired 314 Tables Repaired 20 Bridles Repaired 10 Sets Harness Repaired 8 Traces Repaired 8 Iron Beds Repaired 12 Safes Repaired 18 Lounges Repaired Linoleum Repaired on 19 Halls New Linoleum put down on 13 Halls 5 Lines Repaired 526 Window Shades put up 120 Window Curtains put up 8 New Carpets put down 3 Old Carpets Repaired 16 Bed Springs Repaired 302 Tables Varnished 207 Chairs Varnished 144 Dressers Varnished 18 Safes Varnished 8 Iron Bedsteads Painted 1 Medicine Case Made 2 Awnings Made and put up 268 Leather Chair Seats put on 924 Wood Chair Seats put on 336 Cane Chair Seats put on 30 Mirrors put in Dressers 98 Hame Strings 62 Back Straps 25 Lounges Upholstered 17 Chairs Upholstered GEORGIA STATE SANITARIUM 103 Report of Farm Steward Near Milledgeville Ga January 1 1913 Dr L M Jones Superintendent Dear SirI herewith hand you my report as Farm Steward for the year 1912 of the Farm Garden and Dairy We have lost from cholera 95 head of hogs also 12 cows and 1 bull from various and unknown courses Have received from the chicken yards and turned over to the various wards for the sick 3309 dozen eggs At market price would amount to 66180 226 pounds of turkeys 15c 3390 and 38 geese 50s 1900 Very respectfully GEO W HOLLINSHEAD Farm Steward Farm and Garden Report for 1912 Dr To Wages and Board Mr Massey 69600 Wages and Board Mr Simpson 57000 Wages and Board Mr Hobby 48600 Wages and Board Mr Bateman 48600 Wages and Board Mr Leonard 48600 Wages and Board of Hands 601530 Farm Implements 96850 Assorted Seed 24586 Seed Irish Potatoes 16838 Onion Sets 5588 Fertilizers 532050 149 lbs Cotton Rope 3008 1799 gals Gasoline 23886 500 Peach Trees 2596 100 Pecan Trees 8307 24 Mulberry Trees 720 220 rods Hog Wire 6160 938 lbs Barbed Wire 2345 35 lbs Wire Staples 141 Farm Level 1500 Spraying Material 2822 Posthole Digger 100 12 lbs B B Shot 150 1 Bridle 200 1 pr Stirrup Leathers 100104 SIXTYNINTH ANNUAL REPOBT By Timebook 10 Hog Cholera Serum etc 23600 Paris Green 1750 435 lbs Binder Twine 5003 100000 Potato Slips 17375 Horse Muzzles 144 Wagon Material 1345 Speying Pigs 900 98 ft Belting and Lacing 2510 2200 Meal Sacks and Twine 14902 205 Oat Sacks 2743 6 Galvanized Buckets 90 43 Bundles Hay Wire 4090 200 Peach Crates 3200 25 lbs Copperas 3g 2 Well Buckets 50 13 lbs Well Bope 133 Extra Labor Canning 8255 1 lb Bisulphide Carbon 50 4 Pitchforks 320 6 Pitchfork Handles 150 1 pr Steelyards 125 Ginning Bagging and Ties 55 Bales Cotton 13534 1 Tamworth Boar 2000 51 gals Gasoline Engine Oil 1445 1705639 t I i Farm and Garden Report for 1912 Cr By Corn 8745 bu 80 699600 Cottonseed 1815 bu 42 76230 Cucumbers 66 bu 100 6675 Beets 26 bu 50 1300 Beans Butter 190 bu 100 19025 Beans Snap 525 bu 75 39430 Kale 117 bu 20 2340 Bye 85 bu 200 17000 Oats Shelled 4398 bu 60 263880 Onions 672 bu 90 60502 Okra 162 bu 100 16225 Peas Field 581 bu 200 116200 Pepper 70 bu 50 3525 Potatoes Irish 622 bu 100 62200 Potatoes Sweet 8460 bu 60 507600 Radish 167 bu 50 8375 Bape 465 bu 20 9300 Squash 133 bu 50 6675GEORGIA STATE SANITARIUM 105 By Turnip Greens 4448 bu 20 88960 Turnips 287 bu 30 8610 Tomatoes 588 bu 50 29400 Lettuce 39 bu 20 780 Plums 18 bu 100 1800 Scuppernongs 11 bu 100 1150 Blackberries 2 bu 100 275 Corn Green 6347 doz 10 63475 Canned Tomatoes No 10 55 doz 300 16650 Canned Tomatoes No 3 254 doz 100 25450 Canned Peaches No 10 448 doz 300 134400 Canned Peaches No 3 120 doz 100 12000 Eggs 437 doz 8632 Fodder 77361 lbs 80 61889 Hay 206495 lbs 80 165196 Oats Sheaf 22215 lbs 80 17762 Pecans 9 lbs 20 180 Turkeys 294 lbs 15 4418 Pork 22925 lbs 10 229250 Grapes 707 lbs 05 3535 Chickens 89 No 2815 Watermelons 9207 No 05 46035 Sweet Milk 2524 gals 30 75735 Cabbage 15506 head 05 77530 Peaches 1384 crates 100 138400 Corn Silage 433 tons 300 129900 Cotton 55 bales 335758 3596067 By Balance in Favor of Farm and Garden1890428 Dairy Report for 1912 Dr To Wages Mr Russell 99996 Wages and Board Hands 241200 Cottonseed Meal 252 tons 623025 Ensilage 637 tons 191100 Cottonseed Hulls 630760 lbs 187537 Cotton Rope 16 lbs 320 Barbed Wire 332 lbs 860 Wire Staples 6 lbs 25 Grass Rope 4 lbs 41 Cottonseed Oil 128 lbs 978 Axes and Helves 5 366 Axe Helves 6 90 Lanterns 2 67106 SIXTYNINTH ANNUAL BEPORT To Grass Blades 2 250 Butcher Knives 3 75 Whitewash Brushes 2 192 LongHandle Shovels 4 342 Pitchforks 2 150 Lantern Globes 2 09 Calf Feeders 4 2000 Tin Buckets 3 99 Calf Nipples 6 100 Pick Helves 2 50 Ozone Salt 1 case 105 Water Hose 150 ft 1783 Soap 96 bars 309 Cheese Cloth 257 yds 1159 Salt 20 sacks 920 1353148 Dairy Keport for 1912 Cr By Sweet Milk 77424 gals 30 2322720 Sale Empty Sacks 1182 No Sale Bull Calves 8 No Beef 5273 lbs 691 Hides 354 lbs 08 Hides 485 lbs 10 Hides 10 lbs 12 03 3546 3850 36436 2832 4850 125 2374359 By Balance in favor Dairy 1021211 By total Credit Farm Garden and Dairy5970426 To total Debit Farm Garden and Dairy 3058787 By total Balance Farm Garden and Dairy 2911639GEORGIA STATE SANITARIUM 107 Report of Librarian Milledgeville Ga January 1 1913 Dr L M Jones Superintendent Dear SirPermit me to submit the following as my annual report for the year ending January 1 1913 No Books and Magazines January 1 1913 8794 Contributions received of books and magazines during the year ending January 1 1913 H S Jones magazines 10 Miss G C Whitney books 8 S W McCallie book 1 J E Chambers book 1 Thomas Garcia paper covered novels 33 P J Cline magazines 93 Miss Emma Styles magazines 18 J B Gambrell magazines 336 Geo D Case magazines 66 Wm O Byrne magazines 1 Macon Aid Society magazines 106 Dr E Green magazines 209 Mrs Alma Snipes book 1 Common Education W S book 1 Dr Chas H Strong book 1 N C Jenkins books 3 The following papers come to library free as complimentary copies sent by the editors Macon Telegraph daily Westminster Magazine weekly Atlanta Journal daily Uncle Remus weekly Augusta Herald daily Dawson News weekly Augusta Chronicle daily Thornwall Messenger weekly Savannah Press daily North Georgia Citizen weekly Albany Herald daily Eatonton Messenger weekly Columbus EnquirerSun daily Monroe Advertiser weekly Christian Index weekly Blackshear Times weekly Wesleyan Christian Advocate Liberal Enterprise weekly weekly Union and Recorder weekly Golden Age weekly Milledgeville News weekly D E KIBBBE Librarian108 SIXTYNINTH ANNUAL KEPOET Report of Natron Milledgeville Ga Dr L M Jones Superintendent Dear SirPermit me to submit the following as my report of articles made from January 1 1912 to January 1 1913 Respectfully MAE MIESSE Aprons Sleeve 110 Aprons Kitchen 1103 Aprons Operating 88 Aprons Homespun 50 BedPan Covers 50 Bed Ticks 1771 Bonnets 170 Burial Pillows 650 Capes Flannel 31 Chemise 5686 Covers Table 619 Coffee Strainers 5 Curtains 227 Coats 6 Caps Operating 6 Diapers 365 Drawers Pair 6775 Dresses Strong 1192 Dresses Gingham 3345 Dresses Homespun 3684 Gowns 3909 Mattresses Cotton 814 Napkins 711 Pillows Feather 57 Pillows Cotton 11 Pillow Ticks 1121 Pillow Cases 10987 Pants 5003 Pillow Burial Cases 282 Sheets14246 Sheets Bestoring 5 Sheets Bleached 1499 Sheets Draw 208 Sheets Strong 8 Sheets Examination 12 Shirts 7153 Shirts night 500 Skirts Under 3895 Skirts Flannel 90 Shoes Sleeping 21 Scarfs Bureau 530 Towels 6076 Waists 319 Waists Gingham 65 Fruit Report Canned gal 70 Jelly Glasses 897 Catsup gal 94 Preserves Gal 113 Pickles Gal 699 Bandages Cotton Bandages ft30868 Gauze Bandages ft80210 T Bandages 16 Many Tail Bandages 14GEORGIA STATE SANITARIUM 109 Report of Chaplain Milledgeville Ga January 1 1913 Having occupied the position of Chaplain for the year 1911 121 have the honor to submit my report During this period of twelve months I did the service per taining to this office namely preaching and holding devotional service each Sunday conducting funeral services when called and acting as Chaplain for the Board of Trustees The management in both superior officers and subordinates at all times and in every way manifested a truly praise worthy attitude toward this very important work of the State for the comfort of its unhappy wards I can not too strongly commend this feature in the conduct of Georgias Greatest Charity My experience has con vinced me that in very many cases the scripture reading the preaching the prayers the songs do for the insane the same ministry of comfort and inspiration that they serve for the sane Respectfully submitted ELAM P DEMPSEY Pastor First Methodist Church Milledgeville Ga110 SIXTYNINTH ANNUAL EEPOET EXHIBIT A Statement Resources and Liabilities at December 31 1912 Resources Cash in Hand and on Deposit L H Andrews Treasurer as per sworn statement 3026201 Deduct Outstanding Vouchers See Schedule No 3 279851 Balance in Treasurers hand at Dec 31 1912 as per books of Institution 2746350 L J Lamar Steward Working Fund 1000000 Total cash on hand and on deposit as per books 2846350 Accounts Receivable Officers Accounts Schedule No 1 3b842 Employees Payroll stoppages 25772 Creditors debit balances 3529 Other acounts Schedule No 1 1696 67839 Freight and express bills undistributed 535 Inventories StorekeeperClothing dry goods provisions groceries etc 1300721 EngineerMaterial supplies etc 758603 Farm StewardFertilizers cottonseed meal and hulls 435080 SewingroomDry goods clothing notions etc 227728 ApothecaryDrugs sundries etc 316538 FuelCoal and wood 7 05285 3743955 InventoryFarm Products 55 bales lint cotton 3 35758 1815J bushels cottonseed 76237 7400 bushels corn 80 592000 2650 bushels oats 60 159000 368 bushels peas 200 73600 3228 bushels sweet potatoes 60 193680 60855 lbs fodder 80 48684 65800 lbs hay 80 52640 1531599 Total current assets 81 90278GEORGIA STATE SANITARIUM 111 Property AccountFarm Stable and Grounds Live stock 1483400 Vehicles agricultural implements etc 476331 1959731 Total resources 10150009 Liabilities Accounts Payable Patients 466252 Approved invoices individuals and corpora tions 826883 1293135 Salaries and Wages December 1912 Salaries officers 362909 Wages employees 1327563 1690472 Total current liabilities 2983607 Surplus as of December 31 1911 Exhibit C 6845836 Excess of income above cost of maintenance for 1912 320566 Total surplus on hand December 31 1912 7166402 Total liabilities 10150009 EXHIBIT ASCHEDULE 1 Accounts Receivable at December 31 1912 Creditors Debit Balances Brown Shoe Company 135 Beck Gregg Hardware Company 100 Hightower Hardware Co 260 Hurt C C 200 Phillips Carey Co 210 Rosenheim Company Joseph 69 Standard Oil Company 80 Schofield s Sons Company J S 25 Sherwin Williams Company 840 Teasdale Company J W 1560 Williams J T 25 White Provision Company 25 3529112 SIXTYNINTH ANNUAL REPORT Officers Accounts Bivins Homer 1237 Cranston W J 1367 Cline B M 1599 Carrington D S 3031 DeSaussure T H 3915 Geo L Echols 1025 Green E M 2082 Garrard J 1 1000 Green G H 61 Hindman S S 2054 Hollinshead G W 4086 Hunter W H 726 Jones H 8 80 Little Y A 1094 Lamar L J 743 Longino L P 1966 Mobley J W 4483 Swint R C 1709 Tanner W P 807 Walker N P 2631 Yarbrough Y H 1146 Other Accounts Lawton Jordan Company 1546 Cason R M 150 Total 36842 1696 38538 EXHIBIT ASCHEDULE 2 Accounts Payable at December 31 1912 Debtor Amount Debtor Amount Armour Company 24000 Case G D 1435 Augusta Chronicle 117 Carr Company A J 10757 Bell E E 8208 Collette Mrs A L 4650 Buck J A 2265 Crocker Co Saml A 2568 Blanks W H 9240 Continental Coal Corp 28309 Burden Smith Co 8497 Crystal Springs Bleach Banks Henry Trustee 1250 ery Company 6751 Brantley J T Trustee 28344 Clark P R G 5881 Berckman s Co P J 8250 Chesterman Streeter 1650 Buist Co Robert 3281 Constitution Pub Co 105 Bostrom Brady Mfg Co 1500 Columbus Iron Wks Co 66462 GEORGIA STATE SANITARIUM 113 Amounts Payable at December 31 1912Continued Debtor Amount Debtor Amount Cook Bernheimer Co 3588 Parke Davis Co 6527 Dean H H Trustee 3750 Rainey E L Trustee 6850 Davies Company J P 32643 Rhoads Fillman 22000 37623 6587 Eatonton Supply Co 1862 61015 The Fleischmann Co 3150 Southern Express Co 3996 Fowler Flemister Coal Sharpe Dohme 44981 Co 1100 Stembridge J W 694 Franklin Co J W 510 Squibb Sons E R 6010 Gambrell P H Trustee 3055 3600 Hatcher R W 710 Treanor T 9705 Hargrove Company 855 Union Recorder 500 Hatcher R W Hard Underwood Typwriter 2865 Co Union Dry Goods Co 1000 Jaques Tinsley Co S 2370 R 111082 Van Range Co John 737 Johnson Richard Trus 3750 Whitfield Grocery Co 2096 Jackson J W Trustee 10956 West Disinfecting Co 4185 McCord Stewart Co 7008 Waxelbaum Produce Co 3330 McRee Mrs P H 625 Willingham Furniture Oconee River Mills elec Co P D 76666 57105 Wright Thos R Trus 2500 Oconee River Mills 16600 White Company J B 15300 Milledgeville Telephone Waxelbaum Brother Co 1080 Co E A 10290 Meinecke Co 500 Western Union Telegraph 1975 Co John E White Trustee 1169 Macon Telegraph Pub 6250 1 05 Mallary Mill Sup Co 2508 Total826883 EXHIBIT ASCHEDULE 3 Outstanding Vouchers at December 31 1912 In Favor of Amount No 1509 Mrs A L Collette 4350 No 1513 John Lewis Childs 1153 No 1522 J P Davies Company 1563 No 1531 Win H Guild Company 550 No 1532 Georgia State College Agriculture 7500 No 1541 Andrew Jergens Company 9500 No 1542 Jones Drug Company 485 No 1545 Love Roth Nulsen Company 2425 No 1546 Litchfield Lamp Manufacturing Company 110114 SIXTYNINTH ANNUAL REPORT Outstanding Vouchers at December 31 1912Con No 1548 P H McRee 1812 No 1562 Robert Parham 544 No 1565 Rhoads Fillman 31980 No 1589 White Provision Company 215122 No 1592 Georgia Railway Company 2757 Total279851 EXHIBIT B Statement of Institutions Income and the Consumption of Purchased Supplies Also Farm Garden and Dairy Products During 1912 Debits Salaries Wages and Labor Salaries Officers 4320096 Wages Engineer 2720298 Wages Farm Steward 866797 Steward 2253618 Medical 10251712 16092425 Total salaries wages and labor20412521 Maintenance Subsistence 15463289 Subsistence Superintendents Dining Room 96380 Subsistence Stewards Dining Room 322112 Total subsistence 15881781 Clothing and Dry Goods 3344759 Furniture and Bedding 2565542 Fuel 3286696 Maintenance of plant 2447060 Medical supplies 788830 Stationery and Postage 286423 Incidentals and Contingencies 2466892 ToUJ 15186202GEORGIA STATE SANITARIUM 115 Farm and Garden Fertilizers 469905 Feed 17404 Seed 69885 Sundries 235151 Total 792345 Dairy Feed 729658 Sundries 5797 Total 735455 Total salaries wages and consumption of purchased supplies53008304 Live Stock Vehicles and Implements Amount written off for worthless implements 38510 Amount written off for live stock dying and butchered during the year 81115 Total 119625 Total 53127929 ADDITIONAL MAINTENANCE Consumption of Farm Garden and Dairy Products During Year Subsistence 79948 y2 gallons sweet milk 30 gal 2398455 Fruits and vegetables 1294664 Bacon 43934 Lard 2750 22181 lbs pork 10 lb 221810 225 lbs hams 3262 6145 lbs beef 0691 42462 Poultry and eggs 15865 3030 bu meal 281475 572 galls syrup 19465 333 doz No 2 tomatoes 90 doz 30000 225 doz No 8 tomatoes 350 doz 78750 4432892 Farm and Garden Feed 5111 bu corn 480390 2562 bu oats 191740 185759 lbs hay 166935 50190 lbs fodder 46050 885115116 SIXTYNINTH ANNUAL BEPOET Dairy Feed 500 tons ensilage 300 ton 150000 Farm and Garden Fertilizers 2772 bu cottonseed 21 bu 58212 Farm and Garden Products Undistributed 741179 Total consumption of farm and garden and dairy prod ucts 6267398 Excess of income over expenditure for 1912 320566 Total Total debits 65878 59715f Credits Institution Income Board of officers 99985 Board special attendants 164138 Sales books 8490 Sales food 7305 Sales coal 6436 Sales Miscellaneous Old sacks 4116 Empty barrels 19397 Ice sold employees 516 Ice sold officers 3567 Empty goods box 75 Old iron 3000 Old bones 2500 Old brass and copper 1362 Sales Farm Garden and Dairy Poultry and eggs 3900 Hides green 8487 26 lbs pork 260 Wheat sold officers 825 Corn sold officers 13480 Oats sold officers 7130 Eye sold officers and others 11477 Hay sold officers 6450 264123 22231 34533 52009GEORGIA STATE SANITARIUM 117 Rents Cason R M stable 1800 Richardson W B land 1000 Gillman T H residence 6000 Summers C E residence 1050 Reed J C residence 3000 Durden D residence 1700 14550 Miscellaneous Income Fines 21910 Dental work and material 2007 Shop labor 4645 Five per cent shrinkage on sales to officers and employees 13761 Impounding cattle and hogs 4313 Sundries 100 Southern Express Co claim for broken crock ery 100 Premium for best brood mare with colt Bald win County Colt Show 900 Drayage on flour paid by Jaques Tinsley Co 375 Drayage on beef paid by Swift Company 100 Refund from railroad company account ticket Denver Colo 209 48420 Receipts from State Treasury Maintenance appropriation 53000000 Total Income from State Board Sales etc53435866 ADDITIONAL INCOME From Farm Garden and Dairy Products from farm and garden 3881572 Products from dairy 2398455 Total59715893118 SIXTYNINTH ANNUAL REPORT EXHIBIT C Statement of Surplus as of December 31 1911 with Adjust ments During 1912 Debits Accounts Payable Approved invoices individuals and corporations 586480 Salaries Wages and Labor Officers salaries 346661 Wages employees 1131398 1478059 Patients deposits 431155 Total 2495694 Balance being surplus as of December 31 1911 as per books 6857945 Total 9353639 Adjustments Made During Year 1912 But Applicable to Year 1911 Liabilities at Dec 31 1911 Not Established on Books at that Date Invoice J B White Company 8200 Invoice Lisk Manufacturing Co Oct 28 1911 5083 13283 Debit Balances Creditors Accounts Charged Off Joseph Dry Goods Company 01 Godman Shoe Company 25 26 Balance being surplus at December 31 1911 Ad justed Exhibit A 6845836 Total 6859145 Credits Cash in Hand and on Deposit L H Andrews Treasurer 1879607 L J Lamar Working Fund 100000 1979607 Accounts Receivable Officers accounts 39006 Employees payroll stoppages 13618 Creditors debit balances 27855 80479 Wages uncalled for 1250 Telephone and telegraph bills undistributed 715 Freight and express bills undistributed 3530 5495GEORGIA STATE SANITARIUM 119 Inventories Storekeeper 1363676 Apothecary 230769 Engineer 938386 Fuel coal and wood 850997 Sewingroom 183298 Farm Steward 271921 3839047 Farm Stable and GroundsProperty Account Live stock 1495700 Vehicles agricultural implements etc 434341 1930041 Farm products 1518970 Total 9353639 Jan 1 1912 balance surplus as per books unadjusted 6857945 Adjustments During Tear Applicable to 1911 July 31 1912 refund from railroad company account ticket to Denver Colo 700 Dec 31 1912 check from Fowler Flemister Coal Co overcharge on material purchased during 1911 500 1200 Total 6859145 EXHIBIT D Statement Per Capita Average Number Patients Total Cash Disbursed and Average Monthly and Daily Disburse ments for the Year Total Cash Disbursed52415406 Average Monthly Disbursement 4367950 Average Daily Disbursement 143211 Daily Per Capita 4182 Average Number Patients 3424 Annual Per Capita 15306120 SIXTYNINTH ANNUAL EEPORT EXHIBIT E Statement Amount of Money Expended During 1912 and Total Amount Paid Each Creditor of Institution During Year Andrews L H Treas urer 1 5fi 057 S7 Andrews L H Agent 32874 Arcadia Farms 2000 American Medico Psy chological Assn 500 Am Bakeries Candy Co 40225 Austin Nichols Co 21297 Ahrens Ott Mfg Co 30986 Anderson Hardware Co 6448 Armour Co 403191 Anderson Hardware Co 3575 Am Jersey Cattle Club 600 Am Enameled Brick Tile Co 43 13 Am Produce Co 13414 Am Metal Hose Co 3000 Augusta Hardware Co 75 Atlanta Metal Bed Co 33752 Am Watehmans Time Detector Co 300 100 Am Laundry Mach Co 18626 Augusta Chronicle 1761 Atlantic Ice Coal Co 1300 Augusta Broom Works 26972 Atlanta Dry Goods 855 3132 Athens Woolen Mills 30000 Byck M S D A 6776 Bell E E 380430 Bloodworth W F 500 36454 Brown Mrs P W 1480 Blanks W H 106590 Barnes W H H 3120 3719 Barrett C F 120 Babcock Wilcox Co 1750 Basshor Thos C Co 7030 Becker E C F 1545 Brown Tobacco Co W A 92765 Berckmans Co B J 3220 Buerck J E 975 Bahnsen Peter F 16100 Brown Shoe Co 114024 BrownPerrymanGreen Co 2113 Burrow Jones Dyer 1315 Byington Carswell Co 381055 41608 Brown D W 120 Burkenroad Wilcox Co 68 Burden Smith Co 353595 Burke Co J W 9275 Beck Gregg Hdw Co 14193 Burke Co J W 1150 BurkenroadGoldsmith Co 98127 Beavers J L Chief Po lice 4 10 20847 Brown Company D W 197 400 Bernd Company G 5368 13098 Burton Taylor Wise Co 207451 Banks Henry Trustee 15000 Burke T C 11746 Bashlin Company The 18452 Barnhall Deane Co 1800 Baker Vawter Co 6467 BrownPerrymanGreene Co 20645 Central By of Georgia 134028 Coxwell T B 12150 Case G D 12840 Cotton States Belting Supply Co 61867 Conn Co John 43174 GEOBGIA STATE SANTTAKIUM 121 Conkliu Tin Plate Metal Co 95506 Columbia Mill Ele vator Co 555900 Carr Company A J 142925 ClarkMarchmanBradley Co 28550 Collette Mrs A L 53108 Crocker Co Samuel A 45621 Crane Co 60027 Crystal Springs Bleach ery Co 9000 Callaway Lumber Mfg Co 17547 Cole Mfg Co E D 36002 Childs Jno Lewis 1578 Cameron Barkley Co 1208 Childs Davis 4025 Continental Coal Corp 2970090 Columbus Broom Factory 63526 CubbedgeEedding Hdw Co 33455 Columbus Wire Iron Works 13000 Clarke P E G 20402 Clarke Marchman Bradley Co 10862 Carson Pirie Scott Co 55369 Cudahy Packing Co 382310 Continental Clay Co 6000 Churchwell Brothers 146 Curtis Curtis Co 1500 Chesterman Streeter Co 3864 Cook Bernheimer Co 3500 Cline H T 2493 Carter Electric Co W E 2094 Constitution Pub Co 2220 Columbus Iron Wks Co 250 Crandall Packing Co 546 Clow Sons J B 39970 Colburn Birks Co 12334 Chandler Brothers 13534 Callaway Fowler Agts 23300 Clarke Company 12000 Culver Kidd 1000 Dannenberg Co 916779 Davis Sons F A 23040 Deason J H 2000 J H Day Co 125 Deane H H Trustee 16250 Dunn Machinery Co 3772 Christian C M 740 Daniel J B 235 Davis Sons LB 3402 Davies Company J P 184958 Dixie Packing Co 2042 Doody Co W A 168900 Dozier Gay Paint Co 11460 Dow Wire Iron Wks 8772 Ennis J H 159814 Edwards Warren P M 3887 Epstein Bro Co I 916 Ezell Griffin Co 25179 Eatonton Supply Co 18862 Edelstein Baron 45047 Ennis J H 6075 Elberta Crate Co 3200 Eimer Amend 1200 EnquirerSun 3180 Fowler Flemister Coal Co 316304 The Fleischman Co 36400 Folendore W M 3710 Fulton Bag Cot Mills 2696 Fink Henry J 750 Foy Paint Glass Co 12645 Fairbanks Morse Co 648 Fairbanks Co 850 Farmers Warehouse Co 12550 Foote Davies Co 15935 Fay Eagan Co J A 685 French Saml H Co 16530 A D Freeman 2525 Finney Backet Store 470 Fielder Allen Co 2600 Ferrell Lewis 120 Ga Eailroad Banking Co 191229 P H Gambrell Trustee 16180 Guild Wm H Co 12700 Garner Blakeley Co 176023 Gulf Eefining Co 15796 Gershon Brothers 119 Gans Bros Lipman 26046122 SIXTYNINTH ANNUAL REPORT Gilbert C M Co 81383 General Fire Ex Co 19047 Garlock Packing Co 6652 7380 Godby T K 7000 150 9594 90 Hall T W 500 General Reduction Co 2550 Hollingshead G W 4305 Gray Dudley Hdw Co 2700 Hall G W 2960 Green River Distilling Co 29684 Ga State College Agri 7500 Hatcher R W 183922 Hardman R G 700 36578 Hardy W H 500 875 8351 Hall W H 1575 Hotel Hos Sup Co 160 Hall F A 3000 Hall W H 9135 Hopkins Press John 500 Hotel Equipment Co 3180 Harley W I 1800 310574 Hirsch Cotton Waste 74145 Heller Brothers Co 255 Hall Dental Supply Co 700 18411 Haug Shoe Co Fred 75 75992 Hendrickson F W 37031 Hall Dental Sup Co 750 31260 Hatcher Hdw Co R W 23476 Hurt C C H M 128612 Hicks Company J W 5809 Heard J P Trustee 13520 Hartford Steam Boiler 15000 Hall Brick Co 8100 Home Andrews Com Co 99320 Humphrey Cannon Co 2208 Ivey B W 500 Jaques Tinsley Co S R2437842 Jarnagin J C Trustee 17810 Jackson J W Trustee 11456 Jones Dr L M 9196 Jergens Co Andrew 66500 Jackson J E 100 Johnson Richard Trus 49024 Holmes Johnson Fuel Co 1400 Jones Drug Co 2310 Joseph Dry Goods Co 15024 Hodges Broom Works 82 Kawanee Boiler Co 1036 King Hardware Co 21800 Kress Co S H 755 Knoxville Tinware Mfg Co 17950 Kiser Co M C 74271 Kny Scheerer Co 14204 Kingsberry E C Agent 20500 LamarTaylorRiley Drug Co 136441 Lombard Iron Works Supply Co 48204 Lamar L J Steward 4999137 Lumpkin Co T B 31806 Lawrence J H 200 Lee Wells Co 3371 Lowrey Thos H 1213 The Lumpkin Co 8437 The Lisk Mfg Co 14474 Lester Book Sta Co 11512 Lewis Mfg Co 8050 Lesher Warner Dry Goods Co 150776 Leiding C B 48 Loomis L W 48600 Lansing Co 1125 Love Roth Nulsen Co 2425 Litchfield Lamp Mfg Co 110 McCordStewart Co 250844 McMillan Seed Store 1350 GEOEGIA STATI SANITAEIUM 123 McComb Dray Line 8636 National Packing Co 47602 McComb Co E H 5625 Nitrate Agencies Co 269020 McArthur Miss Lillian 150 465 5175 News Printing Co 19241 McEee P H 22249 Nisbet A D Agent 2240 McKesson Bobbins 72298 Oconee Eiver Mills elec McEee Mrs P H 3000 756084 McElwee Thos Dry Our Husbands Mfg Co 2100 110761 Orr Shoe Co J K 269016 1 McClure Ten Cent Co 459 Orr Stationery Co 137 1 Milledgeville Oil Mills 1107735 Oconee Brick Tile Co 250 Milledgeville Telephone Oconee Eiver Mills 94503 Co 14505 14649 Merchant Evans Co 9808 58264 3300 Parke Davis Co 37941 Merritt Hardware Co 58584 Phillips Crew Co 9140 Murphy E W 650 Psychological Beview Co 800 47550 Postal TelegraphCable 5125 Co 238 Milledgeville Buggy Pittsburg Plate Glass Co 21006 Furniture Co 6678 1623 Palmer J F Peterson N Trustee 7808 2500 Mueller Mfg Co H McKinley G C 3000 Putnams Sons G P 2040 10500 Platt Iron Works Co 635 17267 Pettigrew Mrs W A 250 38654 73379 51682 Quinn Marshall Co 16235 25301 Bothschild Co David 253343 Mullarky Co J A 34664 Both Packing Co Jno C 123156 Middleton Hat Co 158 Eoby H E 8675 Martin Co E A 6750 Eobinson Co A M 86445 Morning News 63815 Eemington Typewriter Milledgeville Brick Wks 34618 Co 700 92413 6700 Milledgeville News 13325 Eemington Typewriter Morris W 0 6044 Co 4835 Morris Co1426884 Eosenheim Shoe Co Jos 42556 Macon Tel Pub Co 3660 Eobertson L M 173480 27713 258767 Mullarky Sullivan Co 26535 Eenfroe J D 6556 Milledgeville Hdw Co 150 29239 Macon Cracker Candy Eandall Faichney Co 18917 Co 16952 Swift Co 3523539 Meinhard Bro M S 4070 Southern Express Co 48485 Macon Grocery Co 9450 Sherwin Williams Co 326 Newton Bro Co C E 5660 Sibley J L P M 125957 National Carbon Co 2085 119634 124 SIXTYNINTH ANNUAL EEPOET Seabury Johnson 77676 Squibb Sons E B 53935 Stevens Bros Co 12875 Scheiffelin Co 3600 Scheaffer Budenburg 1982 Southern Cotton Oil Co 174496 Southern Express Co 4195 Stembridge J W 25272 Standard Oil Co 37219 Sharpe Smith 6220 Sibley Jas L 27072 Sou Label Box Wks 1800 Southern Overall Co 10548 Saul Co J 151347 Savannah Press 3400 Summerour H H 1000 Savannah Woodenware Co 3979 Sumter Tel Mfg Co 2064 Sulzberger Sons Co 82261 Southern Wesco Sup Co 6220 Stovall Pace Co 203264 Sou Buying Syndicate 13769 Silvey Co Jno 323057 Southern Spring Bed Co 3270 Smith H M Trustee 5750 Schmid Edw S 1200 Stone Mt Granite Corp 65743 Smith H A 200 Saunders W B Co 7862 Silver Mfg Co 1053 Sell C G 13500 Shepherd Minor 8850 Singer Sewing Mach Co 4800 Sharpies Separator Co 610 Sibley Mrs J L 1720 Schofields Sons Co J S 22338 Putney Shoe Co Stephen 1315 Schweigert Co William 8100 Sutton Publishing Co 150 Scott J W 5000 Schield Mfg Co Wm 17640 Thomas Co A H 6393 Tennille A S 2520 Treanor T 103965 Trussed Concrete Steel Co 141457 Troup County Poultry Pet Stock Assn 150 Tenn Coal Iron Bail road Co 6156 Times Printing Co 2520 Thomas J A 8268 Talmages Sons Co Dan 109676 Teasdale Co J W 59500 Union Beeorder 4960 Union Carbide Sales Co 1845 U S Cast Iron Pipe Foundry Co 106251 Union Dry Goods Co 2280 Union Dry Goods Co Macon 35370 Union Oil Co 40429 Underwood Miss C A 28724 United Cot Woolen Co 11250 Vaughan s Seed Store 1645 Vonnegut Hardware Co 536 Veal T J 1937 Von Kamp Vaughan Gerald 61831 Van Horn Sawtell 18990 Vange Eange Co Jno 38289 Visor Knitting Mills 5250 Whitfield Grocery Co 2558273 West Disinfecting Co 144721 Western Electric Co 24668 Waxelbaum Produce Co 6190 Wilson W T 3570 Witt Shoe Co G D 1785 Wood W T 5063 Willingham Furniture Co P D 82342 Wootten E H 9311 Williams Jno T 5693 Wright Thos B Trustee 20670 Worthington Henry E 3440 Washburn Crosby Milling Co 250250 Weil Co E A 4510 Webb Sons Co Jas A 50704 Wachtel Clothing Co Chas 44514 Weinges Wise Co 308 Wood Co B D 1100GEORGIA STATE SANITARIUM 125 Whiteley Co J W 235109 White Co J B 125710 Waxelbaum Bro Co E A Inc 276888 Western Union Tel Co 20071 Wolf Co Fred W 63346 White Jno E Trustee 10556 Wheeler Miss Janie R 1950 White Provision Co 651931 Warren Paint Color Co 1671 Williams Dixon 25 Willett Seed Co N L 5775 Yale Towne Mfg Co 34427 Young Co R S 8528 Total52415406SixtyNinth Annual Report OF THE BOARD OF TRUSTEES OF THE Georgia State Sanitarium MILLEDGEVUXE GEORGIA FOR THE YEAR ENDING DECEMBER THIRTYFIRST 1912H DATE DUE 71 VI xzuxuz J 3 DEMCO 382 7 UNIVERSITY OP GE O RGIA LI gRFj S 3 ElDfl DSt63 QD3D