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651-8-67
651
Hd Qrs Sub Dist. of Selma
Selma. Ala. Aug 19th 1867

Shorkley Geo"
1st Lt & Sub Asst Comr

Applies for (25) forms of Declarations for arrears of pay & Bounty

(25 Forms forwarded Aug 20th/67)

Recd Aug 20th/67.