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Bureau of Refugees, Freedmen, and Abandoned Lands. THE UNITED STATES, To ...............Dr. [[4 Columned Table]] | 18 | For | Dolls. | Cts. | | --- | --- | --- | --- | | Washington, D.C. | | | | | | $ | | | | | /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. ________________________ Approved and ordered paid. __________________________________________________ Bvt. Maj.-Gen., U.S.A. Commissioner Received, at Washington, D.C., this ____ day of ___ 18__ , from Bvt. Brig.-Gen. GEORGE W. BALLOCH, Chief Disbursing Officer,___________ dollars and ____ cents, in full of the above account, by Check No._____ on the United States Treasury, dated 18__ . [SIGNED IN DUPLICATE.] Conner Wood & McIrby