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Subject is exactly "Institutional care"

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Media high railroad bridge, top

http://mediahistoricarchives.org/source/Appleton/AP-8068.jpg

Location: Upper Providence (Delaware County, Pa. : Township)

Date: 1900 (circa)

Looking northwest; shows Elwyn Institute buildings in distance

Pennsylvania Training School for Feeble Minded Children [Now Elwyn Institute]

http://mediahistoricarchives.org/source/Lees/P-01433E.jpg

Address: Elwyn, Middletown (Delaware County, Pa. : Township) (Pa.)

Date: 1880 (circa)

Back of card reads: "Thirty minutes by R.R. from Philadelphia. Media and Vicinity. Photographed by Samuel McMullin, Landscape Photographer, No. 1128 South Ninth Street, Philadelphia. Taken by request of James R. Cummins, Residence, Media, Penna."