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Bu R. F. and A. L.
Wilmington NC
Jany 6th 1869

Col. J. F. Chur
Asst. Commissioner
Raleigh N.C

Colonel
I have the honor to request that I be furnished with the necessary Blank Forms for applications for Back Pay, Bounty, &C due Soldiers.  I have written direct to the Commissioner but have not rec'd the Blanks.

I Am Colonel
Very Respectfully
Your Obed. Servant
Allan Rutherford
Capt and Bvt. Maj 44 [[?]] U.S. Infy
Asst - Sub - Asst - Com^r^