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

Bureau Refugees, Freedmen, and Abandoned Lands,
THE UNITED STATES,
To Thos H. M. Harvey ....... Dr.
[[4 columned table]]
| 186 |   | Dollars | Cents |
| --- | --- | --- | --- |

|   | For Rent of building used for Freedmens School at Glenvill Russell Ala from March 1st to March 31st inclusive being one month at Ten Dollars per mo. | 10 | 00 |
|   |   | $10 | 00 |

I CERTIFY, ON HONOR, that the above account is correct and just; that the services were rendered as stated, and were necessary for the public service. 

Asst. Supt of Schools

Approved and ordered paid.

RECEIVED at ____________, this _____day of _____, 186_, from ________, _________ dollars and ______cents, in full of the above account by Check No. ______ on the United States Treasury, dated __________186_.

Thos. H. M. Harvy

[SIGNED IN DUPLICATE.]