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[Form 4.] Bureau of Refugees, Freedmen, and Abandoned Lands, Office Chief Disbursing Officer Washington, D.C. May 11th 1870 R M Manley Supt of Ed Richmond Va Sir: Enclosed please find my Check No. 1119 on the U.S. Treasurer at Washington for $5,216.20/100 to pay the following Vouchers, viz: J E Lazenby SH & Asy ✓ 10.00 ✓ J Thomas SH & Asy ✓ 10.00 ✓ M A. Conyers SH & Asy ✓ 7.00 ✓ M A. Conyers SH & Asy ✓ 7.00 ✓ Otway Harris SH & Asy ✓ 40.00 ✓ M L. Brooks SH & Asy ✓ 60.00 ✓ 134 00 Thomas Robinson ✓ SH & Asy 50.00 ✓ Wm Tolliaferro ✓ SH & Asy 35.00 ✓ J J. Fowler ✓ SH & Asy 200.00 ✓ John Fitzhugh ✓ SH & Asy 48.00 ✓ Jos Allard Jr SH & Asy 4749.20 ✓ $5216.20 ✓ 5216.20 4749.20 ------- 467.00 Very Respectfully, Geo W. Balloch Bvt. Brig.-Gen & Chief Dis Officer per B.