Dr. Samuel Crumbine kept this letter press book of outgoing correspondence during the first two years of his tenure as secretary of the Kansas State Board of Health. The letters proceed in chronological order. A partial alphabetical index to correspondents is available at the back of the volume. The letters in this volume were "pressed" from the originals onto copy paper using water and a heavy weight at the time of their creation. The impression process was a crude form of preservation and was prone to error. Too much or too little water, or weight, could result in a poor copy. Many of the letters in this volume will be difficult to read, and some may not be legible, but they accurately reflect the condition of the letter pressings. Some pressings that were impossible to read in grayscale were scanned in color to help bring out the text.