18, Savile Row
Burlington Gardens W
June 30. 1864
In reply to your note I beg to say that Miss Agnes Jones suffered from debility of the nervous apparatus of each ear, which debility is likely to be increased by strain of mental or bodily work.
Unless the relinquishment of her present duties would cause great mental discomfort to Miss Jones, it is better for them to be at once given upon.
After rest and change of air Miss Jones might try the workhouse duties, but they must terminate if the deafness increases.
I am Madam,
Yours Most Faithfully,