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[Ed. Form, No. 4.]

Monthly Report of Sub=Assistant Commissioner (or Agent).

Division [[strikethrough]] District [[/strikethrough]] of Cuthbert
State of Georgia
November, 1868.

[[stamp]] The National Archives of the United States [[/stamp]]

Forwarded Dec. 1st. ~ , 1868.
Received, S.D.  , 1868.

[[stamp]] Bureau R.f. & A.L. Office Ass't. Comm'r. Georgia Rec'd Dec 8 68 [[/stamp]]