DS as president, one page, 13.75 x 18, April 2, 1811. Military appointment of Richmond Johnson to Surgeon in the Navy. Signed by Madison at the conclusion and countersigned by Paul Hamilton. Intact seal with portion of red satin ribbon. Several storage folds, scattered overall toning, and signature a shade or two light, otherwise fine condition. COA John Reznikoff/PSA/DNA and R&R COA.