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[[3 columned table]]
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|1869 Novem 5. ✓5.|Yeatman A. (From War Dept. Bui &c) * (L.S.1001,2d vol.1869) Filed.|Oldhams X Roads, Va. Oct 30/69, Requests that $40. be refunded to him for rent paid for School House for years 1867 & 1868.|

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Transcription Notes:
not sure about the columns that the first contributor did, but didn't want to alter them.