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Bureau of Refugees, Freedmen, and Abandoned Lands,
Branch Office of Claim Division, 
No. 14 Main Street in Freedmen's Bank,
Norfolk, Va. September 30, 1871.

Brev. Brig. Gen.
Geo. W. Balloch Chief D.O.

General:-
I have the honor to forward herein my Report of Bounties received, disbursed, and on hand for month of September, 1871.

Very Respectfully
H.C. Percy
Asst. D.O.

Transcription Notes:
H.C. Percy