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by the Medical Department of the Army to attend troops By order of Major General O.O. Howard Commissioner (Signed) A.P. Ketchum Actg Asst Adjt General Brt. Brig Gen C.H. Howard Assistant Commissioner District of Columbia Bureau Refugees Freedmen & Aband Lands Head Quarters. Asst Commr DC Washington. April 17th 1867 Official Wm W. Rogers. A.A.A. General Official copy furnished for the information of Lt. Col. Wm M. Beebe Jr Local Supt DC