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No. [[strikethrough]] 40. [[/strikethrough]] 31 BWL+L

Special Requisition.
For


I CERTIFY that the above requisition is correct; and that the articles specified are absolutely requisite for the public service, rendered so by the following circumstances: 

[[crossed out]]

__ Quartermaster, U.S. Army, will issue the articles specified in the above requisition. 

__ Commanding. 

RECIVIED at _ the _ of, _, 186, of _ Quartermaster U.S. Army, _ in full of the above requisition. 

[SIGNED IN DUPLICATE] 

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