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[[preprinted]]
Bureau of Refugees, Freedmen & Abandoned Lands, 
Office Agent Sub-District Raleigh
Raleigh, N.C., ^[[May 21st]] 1868
[[/preprinted]]

Col. Jacob F. Chur
A. A. A. Gell

Colonel

I have the honor to request transportation for Stamford Mitchell (col) from Raleigh to Salisbury N. C. to the U. S. General Hospital to have his foot amputated.

Very respectfully
Your Obdt servt.
[[signature]] H. G. Vogell
Agent B. R. F. & A. L.

Transcription Notes:
in closing, "obdt" for "obedient" servant (not sure about "Gell" as abbreviation for "General")