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Bureau Refugees, Freedmen &c
Hd Qrs. Asst Commissioner
Baltimore. Md. Sept 17, 1866

Personally appeared before me, Casper Erek who says he resides 234 Saratoga Street Baltimore and that the within statement is true.

Edw'd. C. Knower
Capt V.R.C.
& A.A.A.G.

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