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Office Superintendent, District of Selma
Bureau of Refugees, Freedmen and Abandoned Lands,
Selma, Ala., Febry 20 1867

Lieut J.F. Conyngham
AAA Genl Bu of RF and A.L
Montgomery Ala

Lieutenant, I have the honor respectfully to request you to send a general assortment of blanks for this Bureau, except Land Reports and Monthly Reports; also fifty forms declarative of arrears of Pay and Bounty Disch Soldiers.
Very Respectfully
Your Obt Servant
Geo. Shorkley
1st Lieut 15th Infantry
Supt.