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Bureau Refugees Freedmen and A.L.
Asst. Sub-Asst. Comrs Office
Chattanooga Tenn, Nov. 30th 1867

S.W. Groesbeck
Liut. & A.A.A.G.
Nashville Tenn

Liut
In compliance with circular No 13 A.C.O. dated Nashville Tenn, Oct. 10th 1867 I have the honor to report the amount of back pay & bounty paid through this Office during the month ending November 30th 1867, as follows:

[[11 columned table]]
| No | Name of claimants | Rank | Co | Regt. | Amount of certificate $ | Amount of certificate cts | Notarial fees & Advances $ | Notarial fees & Advances cts | Amount Paid Claimant $ | Amount Paid Claimant cts |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |

| 1 | Lou Ann Gray |   |   |   | 234 | 44 | 12 | 50 | 221 | 94 |

| 2 | William McKinney | Pri | B. | 1st U.S.C.A. (H) | 300 | - |  10 | 50 | 289 | 50 |

| 3 | William Lyons | Pri | B | 16th U.S.C.I. | 300 | - | 12 | 00 | 288 | 00 |

| 4 | William Maykex | Pri | H | 1st U.S.C.A (H) | 200 | - | 13 | 00 | 187 | 00 |

|    |    |    |    |    | 1034 | 44 | 48 | 00 | 986 | 44 |

I certify that the foregoing statement is correct.

James M. Johnson
Asst. Sub-Asst. Comr