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Sworn to and subscribed before me this Twenty Third day of July, One Thousand Eight hundred and Sixty Seven.

Thomas H Norton 
Capt. 24 US. Infty.
Bvt. Maj. USA.
Sub. Asst. Com'r.
Bu. R.F. & A L.

[[stamp]] Bureau of R.F. C.Q.M. AUG 28 1867 [[/stamp]]