[ Autograph ] Willlam Mckinley Unusual D.S. as President, lp. folio, Washington, June 14, 1901, an appointment of Mrs. Anna Gangewer to be a "Visitor to the Government Hospital for the Insane' for a periodof six years. Co-signed by Secretary of the Interior Ethan A. Hitchcock. Unusual in that Mckinley was killed by a crazed anarchist Two tiny tears in blank areas with no paper loss and insignificant never folded, very clean.