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Bureau of Refugees, Freedmen, and Abandoned Lands.

THE UNITED STATES,

To T. G. Fowler   Dr.

[[4 Columned Table]]
| 1869 |   | Dolls. | Cts. | 
| --- | --- | --- | --- |

| Nov 1st Washington, D.C. | For rent of Two Houses at Uniontown Perry County Ala, occupied as a Freedmen's School from Oct 1st, 1869 , to Nov 1st, 1869, inclusive, being One month - days, at $15 00 fifteen dollars a month. Each - | 30 | 00 |

|   | Thirty /100 Dollars, | 30 | 00 | 

[[stamp]] THE NATIONAL ARCHIVES OF THE UNITED STATES[[/stamp]]

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 
Approved and ordered paid. 
__________________________________________________
Bvt. Maj.-Gen., Commissioner of Refugees, Freedmen &c.

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 _____, dated 18__  . 

[SIGNED IN DUPLICATE.]
T. G. Fowler