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1869 # LR No 1014
Mason Depot, Tenn
Febr 18th 1869.
Alexander, Rachel Teacher
Transmits Affidavit for (3) three months. viz. Novbr and Decbr 1868 and January 1869.

[[Stamp]] A.C.O. Bureau R.F & A.L Tenn. Nashville Rec'd Feb 26 1869[[/stamp]]