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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