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Bureau of Refugees, Freedmen, &c., 
Head Quarters Assistant Commissioner State of Virginia.

Richmond, Va., Dec 8th, 1865

I I Dr [[Lander?]]   }
Surgeon in Chief     }

Sir

From reports that reach me from Fredericksburg I think immediate steps should be taken to attend to the Medical wants of the Freedmen in that neighborhood

Yours Respectfully
O Brown
Col Assoc Commr