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Bureau of Refugees, Freedmen, and Abandoned Lands.

The United States,

To David Jones D&.

[[4 columned table]]
|1869|   |DOLLS.|CTS.|
|---|---|---|---|
|April 30"|For services as clerk to Supt. of Education, Bureau R. F. and A.L. for the state of Va. from April 1st to April 30" 1869-inclusive-one month at one hundred dollars a month|100|00|
|Washington, D.C.|Less Int. Revenue tax|   |83|
|   |   |$99|17|
|   |   $|   |   |
|   |Ninety nine 17/100 Dollars,|   |   |
[[\4 columned table]]

I certify, on honor, that the above account is correct and just; that the services were rendered as stated, and were necessary for the public service.

R. M. Manly
Supt. of Education State of Va.
Approved, and order paid.
Bvt. Maj.-Gen., U.S.A.., Commissioner.

Received, at Washington, D.C., this__day of__18  , from Bvt. Brig.-Gen. George W. Balloch Chief Disbursing Officer, Ninety nine- Dollars and seventeen- Cents, in full of the above account, by Check No.__on the United States Treasury, dated__18  . 

[signed in duplicate] David Jones