Partly-printed vellum DS, signed "Theodore Roosevelt" as president and "Wm. H. Taft" as secretary of war, one page, 15.5 x 20.5, December 20, 1904. President Roosevelt appoints Howard Houghton Baily as "Assistant Surgeon with the rank of First Lieutenant in the service of the United States." Signed at the conclusion by Roosevelt and Taft. The crisp blue seal affixed to the lower left remains fully intact. In fine condition, with Taft's signature a bit light but fully legible.
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