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Form 4
War Department
Bureau of Refugees, Freedmen, and Abandoned Lands
Office Chief Disbursing Officer
Washington D. C., May 4th 1870

R M Manly
Supt of Ed
Richmond Va

Sir:
Enclosed please find my Check. No 1674 on the Assistant Treasurer at Washington for $50. of 100 to pay the following Vouchers, viz:

John M. Taylor  [[SH tithy?]] 10.00
Bartlett Jefferson ditto 10.00
Ditto ditto 10.00
Ditto ditto 10.00
Ditto ditto 10.00
====================
          $ 50.00

Very Respectfully,
Geo W. Balloch
Bvt. Brig. Gen. of Chief Dis. Officer
[[Rcr.B.?]]