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Freedmens Hospital Selma Alabama May 5th 1866 Sir, I have the Honor through you to apply for the appointment of a Board of Survey. To examine & fix the responsibillity for losses in two invoices & Medical & Hospital stores recently received at this hospital. I am Sir Very Respectfully Your Obt Servt Charles H. Hood A.A. Surgeon U.S.A. the Cty Freedmens Hospt. Surg C. J. Kipp U.S.A. the Chief Bureau R.F. & A.L.
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Edited: removed Archive stamp per Si not required to transcribe, corrections