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Bu' R. F & AL. Office A. S. A. C.
Rocky Mount N. C. July 4th 1868

Bv't Lieut Col Jacob F. Chur

Sir
I have the honor to request that I am furnished with forage for one horse. The duties of my office require me to travel a great deal through my District; and it will necessarily involve some expense for horse hire. - If I am furnished with forage, I will keep a private horse; and thereby save the Government the much greater expense of horse hire. - Hoping that this application may meet a favorable endorsement.

I am sir, Very respectfully,
Your obedient Servant,
[[signature]] Robert G. Heiner [[/signature]]
1st Lieut' 29th U. S. Infty
A. S. A. C. Bu' R F. & A. L.