7 3/4 x 5 1/4, manuscript in ink. Itemized account by date, and the doctor services provided. Includes medical visits for the negroes, the extraction of teeth for a negro woman, and boy, and mileage charges to visit the negroes. This account was for the slave owner Daniel Crawford, from Doctors Graham & Smith. Signed by the doctor on the reverse, "Recd. payment in full, Jan. 3, 1859, A.D. Graham." There is also a docket that reads, D. Crawford, Acct., $19.00. Light wear and staining. Very desirable slave related medical document.