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Bureau of Refugees, Freedmen, and Abandoned Lands,
OFFICE DISBURSING OFFICER OF CLAIMS,
Knoxville, Tenn., June 15th 1869.

E. Whittlesey
A.A.A. Genl Bureau R.F.A.L.
Washington D.C.

Sir:

I have the honor to request that I may be furnished with the following blank forms, to wit:

Six (6) Sets form No. (15) Officers Manual

Very Respectfully
Your Obt Servt
Saml Walker
Lt U.S.V. & D.O.[[C?]].