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[Form 4.]
War Department, 
Bureau of Refugees, Freedmen, and Abandoned Lands
Office Chief Disbursing Officer
Washington, D.C., June 29th 1870

Wm M. Colby
Supt of Ed
Little Rock 
Ark

Sir:
Enclosed please find my Check No. 9640 on the Assistant Treasurer at New York for $321.42/100 to pay the following Couchers, viz:

Wm M. Colby    Supt of Ed       170 42
Wm M. Colby    Trans Off & Agt   36.00
M J G. Colby   Clerk             75.00
Richd Bragg    SH & Asy          20.00
Richd Bragg    SH & Asy          20.00
$321.42

Very Respectfully
Geo W. Balloch
Bvt. Brig.-Gen. & Chief Dis. Officer.
pr B.