THE PEOPLE'S LEDGER NO. 5, Lowell Massachusetts  A newsletter "Devoted to Preparedness for Health & Prevention of Sickness" as noted in the dateline, which--by the way--has no date. But a bit of investigating indicates the date is about January, 1916.  It is produced by the "C. I. Hood Company" which makes a variety of health-related products, most receiving some attention within this issue.
Still attached is a postcard to be mailed in to receive free information.
Four pages, 10 1/2 by 16 3/4 inches, some light dirtiness and water stains, minor margin tears, archival mends at folds inside.