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[Form 4.]

War Department,
Bureau of Refugees, Freedmen, and Abandoned Lands,
OFFICE CHIEF DISBURSING OFFICER,
Washington, D.C., June 28th 1870

RM Manly
Supt of Ed
Richmond Va

170.42
146.67
80
25
422.09

Sir:
Enclosed please find my Check No. 1504 on the [[strikethrough]] Assistant [[/strikethrough]] US Treasurer at Washington for $507.08/100 to pay the following Vouchers, viz:

RM Manly Servies 170.42 Wm M. Manly Laborer 397.09
25.00/422.09
RM Manly Postage 24.99  K. Cummings SH & Asy 40.00
Cha's Spencer Clerk 146.67  MF Armstead SAT SH & Asy 10.00
Jas M. Wayt Clerk 80.00 MF Armstead SH & Asy 10.00
397.09

Very Respectfully, 
Geo W. Balloch
Bvt. Brig.-Gen. & Chief Dis. Officer.
per B.