Receipt, printed with ms. additions. For £5 for registration of medical qualifications from George Langley Tuthill to the Branch Medical Council for Ireland, 6 Aug 1889. Signed for registrar by H. Houghton. Rubber stamped in purple, Branch Medical Council/ 6 Aug 89/ Ireland. Red oval stamp duty embossing, 10 over a crown/ one/ Penny/ 6 87(in bed of roses shamrock and thistle. Taken from a book of receipts. Up left edge Browne & Nolan, Printers, Nassau St. Dublin