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[[preprinted]]
2
Accounts for such transportation will be paid on the order of the Commissioner, and will be made up in the following form:

THE UNITED STATES,
To [[blank line]] Dr.

Date.
For cost of transportation at Government rates from [[blank line]] to [[blank line]], as per annexed statement.
Dolls.
Cts.

I CERTIFY that I performed the above journey for the purpose of entering upon my duties as teacher in Freedmen's Schools, at [[blank line]] in the State of [[blank line]], in accordance with the terms of my commission, and that it was impracticable to avail myself of the transportation orders issued on my behalf for the reason that [[blank line]], and that I paid the cost of my transportation between the points named above.

A- B-, Teacher.

I CERTIFY that A. B., duly commissioned as a teacher in Freedmen's Schools, by [[blank line]], has been transported from [[blank line]] home in [[blank line]] to [[blank line]], where [[blank line]] is now employed as such teacher.

C- D-, Agent.

I CERTIFY, on honor, that the above-named A.B. is a teacher of Freedmen's Schools employed by [[blank line]], in the State of [[blank line]].

[[blank signature line]]
Supt Education, State of [[blank line]] 

Approved and ordered paid.
[[blank signature line]]
Commissioner.

RECEIVED at [[blank line]] this [[blank line]] day of [[blank line]], 186 [[blank space]] , of [[blank line]], the sum of [[blank line]] dollars and [[blank line]] cents, in full of the above account.

[[underlined]] Hereafter the cost of transportation will not be refunded except in cases where application for transportation shall have been made as above contemplated, [[/underlined]] nor under any circumstances will return transportation be furnished or the cost thereof refunded by this Bureau.

O. O. HOWARD,
Major-General, Commissioner.

OFFICIAL:
[[blank signature line]]
Bvt. Brig.-Gen., C.Q.M., Bu. R., F., & A.L.
[[/preprinted]]