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This fresco is located on the west wall of the Pellegrinaio in the Spedale di Santa Maria della Scala. The Pellegrinaio is a fourteenth-century room took the form of a long vaulted hall situated on the ground floor of the hospital. Between 1441 and 1442, Domenico di Bartolo executed three large mural paintings on the west wall - the Care of the Sick, the Reception of Pilgrims and the Distribution of Alms and the Rearing and Marriage of Female Foundlings - all of which recorded the hospital's main activities, as clearly set out in the surviving fourteenth-century statutes.
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