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I respectfully enclose herewith the list of the names of the poor of Forsyth Co. amongst whom you will find one of the venerable age of one hundred and three years.

Very Respectfully
Your Obedient Servant
AW Bolenius
Capt. V.R.C. and Bvt. Maj U.S.V.
Sub Assistant Commisioner
Bureau R. F. and A. L.