-Application for Admission To Asylum, In the matter of the alledgedins anity of Salina Graves in Probat Court. The State of Ohio , VintonCoun ty office of the Probate Judge of said County. To W. P.(illedgble)? su perintendent of asylum for the insane at Athens. Thesaid Salina Graves h aving been, on the 3 day of May 1892 by thefinding of the probate judg e of said county,ajudged to be insane, andall the procedings by law to e ntitle herto such admission,application is hereby made that she admitt ed to the asylum for theinsane at athens. In consequce of her insanity , s he being at largeis dangerous to the community. Witness my hand and of ficial seal this3 day of May 1892. E. Radcliff, Probate Judge.
Afidavit- State of Ohio, Vinton County, in the probate of said county,I nquest of lunacy upon Salina Graves alledged to be insane. WMRandall t he undersigned, a citizen of Vinton County ,Ohio, beingsworn, says tha t he belives she is insane being at large dangerous tothe community. S he has a legal settlement in Eagle Township in saidCounty. dated this 3 d ay of May A.D. 1892. Wm Randall(sig) Sworn tobefore me and subscribed i n my presence the day above stated. (sig)E. Randall, Probate Judge
Physicians Certificate-The State of Ohio , Vinton County. I, (sig)Jno. E . Sylvester, Physician, resident of Elk Township, in saidCounty,being d uly sworn acccording to law, do hearby certify , that Ihave carefully e xamined Mrs. Salina Gravesand the patient is insane.
1. Name of patient, with christian name at length? Answer Mrs. SalinaG raves
2. Sex, Age, Married, Sigle or widowed? Answer female, 55 years,widowe d
3. Condition of life and previous occupation, if any? Answer housewifei n fair circustances
4. Religious persuasion, so far as known? Answer Disciple"Campbellite"
5. Previous place of abode? Answer Eagle Twp.
6. Whether first attck? Answer Yes
7. Age(if known) on first attack? Answer 54
8. When and where previously under treatment? Answer at home
9. Duration of existing attck? answer about six months
10. Supposed cause? Answer the climactive two years ago and Lagrippe13 w eeks ago
11. Whether subject to Epilepsy? Answer No
12. Whether suicidal? Answer Yes, she jumped in the creek last week
13. Whether dangerous to others? Answer No
14. Facts or symptoms indicating insanity, observed by examingPhysicia n? Answer A very melancholy manner and irrational ideas as tothe cause o f her condition
15. Physical causes? Answer poor health and the effects of Lagrippe
16. Moral causes? Answer None
17. Predisposing causes? Answer the influence of the climactive
18. Habits of patient? Answer Good
19. Habits of Parents? Answer Good
20. Heriditary or not? Answer Yes
21.Whether the patient is freeor not from infectious disease? AnswerYe s
Witness my signature this 3 day of May A.D. 1892 (sig) Jno. E.Sylveste r MD Physician
