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Receipts.
From balance on hand, as per last report,...

State Treasurer-appropriations,...

$ 2,375 21 62,000 00

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$64,375 21

Payments.

4

For bath tubs, water closets, etc.,...
" apothecary shop, stock and fixtures,

barn, out-buildings, etc.,...
unclassified construction,....
boiler and laundry,.
furniture,...
reconstruction of centre building,.
gas main and fixtures,.
additional tanks, etc.,.
heating and ventilating,
interest,.....
contingent expenses,
clearing wood lot,.....
fencing and grading,...
construction of north wing,..

$ 153 62

45 61 1,538 64 4,649 10

166 24 2,960 98 18,543 40

22 95 1,960 24 4,741 93

303 54 196 02

630 57 1,004 54 10,479 26

$47,396 64

SUMMARY

Receipts. From receipts on general expense account,...... $54,655 64 receipts on construction account,...

64,375 21 Stato Treasurer, for officers' salaries, .

7,006 25

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$126,637 10

Payments.
For payments on general expense account,

payınent of loan of '61 and '63,..
payments on construction account,....
payments of officers' salaries,.
cash in treasurer's hands, Nov. 30, 1864,....

$62,635 63

3,000 00 47,396 64 7,006 25 5,998 58

$126,637 10

FRLD'K W. CURTENIUS,

Treasurer. Treasurer's Office, Dec. 1st, 1864.

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We have carefully examined the foregoing statements of Frederick W. Curtenius, Treasurer of the Asylum. We have compared the same with his books and vouchers, and verified the same by a still further comparison with the books of the Steward, and hereby certify to the entire correctness thereof.

DANIEL L. PRATT,
W. BROOKS,
C. W. PENNEY,

Auditing Committee.

1

!

REPORT OF THE MEDICAL SUPERINTENDENT.

To the Board of Trustees of the Alichigan Asylum for the

Insane : GENTLEMEN—The accompanying tables, arranged from our records, exhibit the operations of the Institution during the biennial period, closing November 30, 1864:

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The largest number of patients under treatment on any one day was 182. The daily average has been 174. The rated capacity of those portions of the Institution now in use, is 120; we have, consequently, had under treatment during the entire two years, 54 patients beyond our capacity.

The condition of those discharged was as follows:

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Although the claims of the insane to the special care and treatment they have been found to require, was many years since duly recognized and acknowledged in this State, it is but five years since an institution was opened, and then with such limited capacity as scarcely to meet one-third of the demand upon it. The fact is, that this State has been, and still is, largely in arrears in the discharge of its obligations to this class, and in obedience to natural and invariable laws, is suffering severely from the neglect. This failure to secure prompt medical treatment, of the character universally acknowledged to be required in this particular disease, has resulted as it always does, in the accumulation of a large number of incurable insane, to be maintained somewhere during the remainder of their lives—a fact of which any one will be fully satisfied,

& by referring to the returns of the census, which, imperfect and incomplete as they are, clearly show that such has been the result in our State.

Although the larger number of this class are now in the county poor-houses and jails, still, many have been forced into the Asylum, to the exclusion of recent and curable cases. They have occasionally been received when the condition of the warda rendered their admission a matter of no inconvenience; but they have generally come to us under circumstances which absolutely compelled us to provide for them. We have from time to time discharged as many of this class, and as rapidly as seemed prudent, and still have, at no time, been able to provide for more than one-third of those desiring admission. To this circumstance, in addition to the embarrassment, discomfort and unpleasantness it entails, is attributable the small number of admissions and discharges. Nothing can more forcibly demonstrate the necessity of the early completion of the entire Institution, and until this is accomplished, our capacity for usefulness must continue sadly restricted.

Through ignorance of the arrangements of Asylums and the classification so essential to successful treatment, county officers and private individuals are frequently led to make and urge suggestions which are altogether impracticable. They imagine that if there be a vacant bed in the Institution, it can

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