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Charity and donations were important sources of revenue for hospitals and other social causes. During the 1700s and 1800s, hospitals relied upon charitable donations for money to pay staff and purchase medical supplies. These ivory tallies were possibly attached to collection boxes and are inscribed with the name “Mrs. Vaughan”.

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Glossary: tally

A ticket or label for identification; a total score or an amount; A stick or rod, usually squared, marked on one side with transverse notches representing the amount of a debt or payment.

Glossary: charity

The noble act of voluntarily giving goods, money or time to those in need.