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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.