Stanislaus River, Ca. July 1st, 51
The United States Indian Department
To W. M. Ryer, M.D., Dr.
To medical services rendered by order of Colonel Adam Johnston, United States Indian agent, California, to the Indians of the We-chil-la, Sue-ca-ah, Co-ta-plane-mis, Chap-po-sans and Sage-nom-nas tribes, located on this reserve, in the month of June, for the vaccination of two hundred and thirty-six men and boys, and for the treatment of them during the diffferent stages of the vaccine disease--------$472.00
For the vaccination of two hundred and four women and girls, and treatment during the vaccine disease--------------------$408.00
For the treatment of thirty-five cases of primary syphilis---$210.00
Total $1090.00
In submitting this bill, I would very respectfully call your attention to the expenses incident to the treatment of the above. Thus, in addition to the medicines and adjuvants which I furnished for the curation of disease, I have also found it necessary, because of the ignorance of the Indian, to temploy persons as attendants upon the sick; so that I may be able to insure success to my practice and prevent accidents in the administration of the medicines. These and my individual expenses are so large, that I cannot, consistently with justic to myself, submit a bill of less price than the within.
I have the honor to be, very respectfully, your obedient servant.
W. M. RYER.
