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[Form 4.] War Department, Bureau of Refugees, Freedmen, and Abandoned Lands, OFFICE CHIEF DISBURSING OFFICER, Washington, D.C., May 21", 1870. R.M. Manly Supt of Ed Richmond Va Sir: Enclosed please find my Check No. 1173 on the [[strikethrough]] Assistant [[/strikethrough]] US Treasurer at Washington for $290. 00/100 to pay the following Vouchers, viz: Miles Black SH & Asy 60.00 James A Fields SH & Asy 20.00 C F. Putnam SH & Asy 200.00 $290.00 Very Respectfully, Geo. W. Balloch Bvt. Brig.- Gen. of Chief Dis. Officer. per B.