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Bureau Refugees, Freedmen and Abandoned Lands.
Chattanooga Sub-District.
Sub-Assistant Commissioner's Office.
Knoxville, Tenn., Nov 30th, 1867

Lieut. S.W. Groesbeck
AAA Genl BRF. & AL.
Nashville Tenn.,

Lieutenant
In compliance with circular No 13. C.S. Asst. Comrs. Office State of Tennessee requiring officers & Agents of the Bureau in this State to forward on the last day of each month a Report of all Back-Pay. Bounty or other claims paid through them I have the honor to respectfully submit the following Statement

[[4 columned table]]
| Number Claims paid | Kind of Claim | Amount Dolls | Amount Cts |
|---|---|---|

| 7 | Back-Pay & Bounty | 1.846 | 69 |

I certify that the above is correct

Sam'l Walker
Bt. Capt. & S.A. Comr.