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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.

Transcription Notes:
Edited: removed Archive stamp per Si not required to transcribe, corrections