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Pungoteague Virginia
June 30th 1869

R.M. Manly Esq.

Respected Sir.

I recieved two blanks to day June the 30th. I immediately filled one and forwarded it to your Office. I did not know but what you intended one for May and the other for June but as I was not certain of this. I only sent the one for June  Should you wish the one I have filled for May you will please inform me.

Very Respectfully
LA Spivery