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Mailed, empty envelope, with Orlando postmark, bearing two parallel lines of evenly spaced vertical nail holes and discolorations, indicating it was fumigated in response to yellow fever outbreak. Per Florida Times Union newspaper of August 20, 1888: "... A little mallet, the end of which is fill with sharp spikes, is used to perforate the mail matter so as to admit the purifying fumes. A large tin boiler is filled with sulfur... lighted, and the door tightly closed... The letters remain in the fumes for about six hours."

Responding to an order of Planisphere sets. Highlights the high-power telescope that is being offered for $50, referring to it as “first class in every particular.” Written on printed stationery for the “Office of Wm. T. Cooper, Executor of the Estate of Henry Whitall, Astronomer. Inventor and Manufacturer of Whitall’s Planispheres, Etc.” Enclosing a circular advertising “A Directory of the Starry Heavens, Being a KEY to Unlock the Mysteries in the Changing Firmament.” Includes an illustration of a moveable planisphere. Circular states that “To Schools or Classes that will use the PLANISPHERE, the Author will explain it freely and fully without additional costs” and includes recommendations and contact information to place an order.

Enclosing his introductory circular and card recommending the services in his Exercise Department (both included). "While you may not need it especially as a curative, you will find in a half hour's invigorating exercise at my rooms, a pleasant way to make a restful, hygienic punctuation mark in the mental labor or sedentary confinement of the busy day." Circular advertises the office of Dr. L. J. Cherrington, Hygienic Physician offering services like "Swedish Movement Cure, Massage, Electricity, Electric Massage (original), Dr. Butler's System of Invigorating Exercise, the Roman Bath and Mental Treatment." Includes descriptions of the services.

Third page of a series of notes regarding gynecology, with mention of uterine dropsy, discharge, and labor pains. Written on the verso of a circular from E. P. Noll & Co., "Map Publishers and Mounters" of Philadelphia, Pennsylvania, on illustrated letterhead depicting a globe, atlases, and a pull-down wall map.

Receipt for the arrival of medicines to be sold on consignment for the Morley Bros. Medicines ordered include “Two-Bit” Cough Syrup, “T-X-S” Liver Pills, and “Dr. Kay’s Kentucky Kondition Powder” for a total of $9. Includes a stipulation regarding reselling these medicines being permitted without the consent of Morley Bros. Articles available for purchase but not bought by Karstedt include hair dyes, “Universal Blackberry Balsam,” “Elixir of Ginger,” and Sarsaparilla.

Solicitation for the sale of two books: Sexual Debility and Atrophy. A Book for Men, Married or Single, and A Treatise for Men Only. The works promise to cure sexual, physical, and emotional difficulties, restoring manhood. Includes separate printed advertisements for each volume, an order form, and a return envelope. Written on Erie Medical Co. illustrated stationery.

Detailed account of consultation with a female physician, possibly a clairvoyant, who described the internal health of Nellie's acquaintances and recommended treatments of Ida’s bladder.

Advertising that Dr. Holmes’ Private Sanitarium for Diseases of Women is officially ready to accept patients. The intent of the sanitarium is for it to feel home-like, and that "Any patients that you will entrust to my care shall have the best attention that can be given them." On illustrated letterhead showing a drawing of the exterior of the building. The floor plan of the sanitarium is printed on the back side of the letter.

Small collection of printed items relating to “Dr. T. A. Dutton’s Vegetable Discovery.” Double-sided circular seeking agents, stating it is “The BEST WAY to provide for yourself and those dependent on you.” Blank application to become an agent for Fairchild selling the Vegetable Discovery, including a Certificate of Character. Double-sided broadside advertising the medicine and providing reviews. Refers to the medicine as the “world famed Blood Mixture,” being a "guaranteed cure for all blood diseases" such as skin diseases and blemished, glandular swellings, sores, hip and spinal diseases, ringworms, sore eyes, eczema, and more. Copy of Fairchild’s Journal with images of H. L. Fairchild, Dr. T. A.Dutton, and the residence and laboratory on the front page. Documents feature the trademark of the Vegetable Discovery, a star with a lamp in the middle and symbols in each point. Includes pre-printed return envelope.

Cannot visit Ma as she remains ill. Cured of the grippe, but has a bronchial “affection” and works with a lung specialist. Calls herself a “medicated carcass.” Illustrated letterhead: “Battle Creek Sanitarium.”