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Office Superintendent, District of Selma.
Bureau of Refugees, Freedmen and Abandoned Lands,
Selma, Ala., 24 Dec 1866

Lieut J.F. Conyngham A A A Gen.
Sub Dist of Ala

I have the honor respectfully to request you to send me as follows

50 Forms Declarations for arrears of pay and bounty (Dischg Soldiers).
50 Applications of Dischg Soldiers for additional bounty
25 Declarations for Invalid pensions

Very Respy
Your Obt Servt
Geo Shorkley
1st Lieut 15th U.S. Infantry
Superintendant