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Bureau of Refugees, Freedmen, and Abandoned Lands.
THE UNITED STATES,
To A [[?]] B. C[[?]]  Dr.

1869
April 30"
WASHINGTON, D.C.

For Services as Supt of Education, Bureau R.F. and A.L. for the State of from April 1" to April 30" 1869 - inclusive one month at one hundred and fifty dollars per month.

150.00
3.33
---------
146.67

One hundred and forty six 67/100 Dollars

I CERTIFY, ON HONOR, that the above account is correct and just; that the services were rendered as stated, and were necessary for the public service.

Approved, and ordered paid.
A.A.A. General
Bureau RF & AL

[[blank signature line]] Bvt. Maj. Gen., U.S.A., Commissioner

Received, at Washington, D.C., this [[blank]] day of [[blank]] 18 [[blank]], from Bvt. Brig. Gen. GEORGE W. BALLOCH, Chief Disbursing Officer, One hundred and forty six Dollars and sixty seven Cents, in full of the above account, by Check No. [[blank]] on the United States Treasury, dated [[blank]] 18 [blank]].

[SIGNED IN DUPLICATE.]
A.B.C.