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WAR DEPARTMENT,
BUREAU OF REFUGEES, FREEDMEN, AND ABANDONED LANDS,
Office of Chief Medical Officer,
Washington, Oct 26, 1867

Sir:-
I have the honor to request fifteen (15) day's leave of absence, commencing the 31st inst.

Very respectfully,
Your obedt. sevt.
Henderson Hayward

Bvt: Brig: Gen: E. Whittlesey,
A.A.A. Gen'l, Bureau R., F., & A.L.

Thro'
Bvt: Col: L.A. Edwards,
Surgeon U.S.A. Chief Medical Officer.