This medical bill is an itemized list of the services provided by Dr. Harvey Black to the family of Rev. William A. Wade between 1865 and 1867. Many of Black's visits were for Wade's wife and children, but the list also notes service to a Black woman named Rachel. Black provided such services as cupping while also administering prescribed medicines, such as olive oil, rhubarb, chalk, and brandy.

While the price of each service and/or prescribed medicine is listed and totaled, Black wrote the following at the end, dated 1879: "The Rev W.A. Wade being engaged in the active work of the ministry the above balance is hereby canceled. The bond of $36.39 named in his statement cannot be found. While it is probably among my papers at Blacksburg, its payment is hereby acknowledged."