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Fallout: New Vegas Hints
(Optional) Confront Dermot or Saint James with the evidence you've gathered.
1 of 3: You can just skip this objective if you want, since it doesn't get you anything except an optional combat.
2 of 3: Talk to either Dermot or Saint James about the ledger you found in Dermot's room to get them to attack you. Kill them both to get some combat XP and loot.
3 of 3: TIP: Talk to Sweet Sarah in the apartment building and show her Dermot's ledger to get 4 med-x.