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[[stamp]] THE NATIONAL ARCHIVES OF THE UNITED STATES [[/stamp]] Bureau of REfugees, Freedmen, and Abandoned Lands. THE UNITED STATES, To __________Dr [[4 Columned Table]] | 18 | | DOLLS. | CTS. | |---|---|---|---| | | For rent of ___ at ___ County ___, occupied as a Freedmen's School from ___, 18___, to ___18 ___, inclusive, being ___ month ___ days, at ___ dollars a month | | | | | /100 Dollars,| | | I CERTIFY, ON HONOR, that the above account is correct and just; that the building was occupied as stated, and was necessary for the public service. ______________________ Supt. Education State of ______ _______________________________ Bvt. Maj.-Gen., Commissioner of refugees, Freedmen, &c. Received, at Washington, D.C., this ___ day of ___ from Bvt. Brig.-Gen. GEORGE W. BALLOCH, Chief Disbursing Officer, ___ dollars and ___ cents, in full of the above account, and by Check No.___ on ___, dated ___ 18__. [SIGNED IN DUPLICATE.] E D ROWE
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Please read instructions, dont have to add lines on page, ... I think you read that wrong: Please include empty cells where appropriate, but do not feel the need to add empty rows.