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Form No. 1

NOTICE TO CLAIMANTS:
Money will be sent in accordance with such instructions as may be given below, at Claimant's risk and expense; directions must therefore be clear and explicit; must state whether money is desired by Express, Draft, Postal Order or otherwise, and give the address fully and distinctly. Signatures if made by mark must be witnessed. Neglect of these particulars, or omission to date this letter, will subject the Claimant to delay in getting his money.

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

  187
Col. F. A. SEELY,
D. O. Bureau R. F. and A. L.
ST. LOUIS, MO.

Sir:
Please find enclosed herewith, Vouchers duly executed for 100 Dollars, due me on Tr. certificate No. [[blank]]
as per statement in margin thereof. You are requested to send me this amount at your earliest convenience, by 
[[blank]]

I acknowledge receipt of my discharge. 
Yours Respectfully, 

Late [[blank]] Co. [[blank]] Reg't, U. S. C. T.

Signed in the presence of