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W. 626. R.F. & A.L. Va. 3d V. 1866.
War Department
Bureau R. F. & A. L.
Washington Aug 13/66

Fowler Wm
A. A. A. G.

Acknowledges receipt of papers and check for $270 in case of Mrs Martha Moore

[[stamp]] STATE OF VIRGINIA. BUREAU OF R.F & A.L. RECD. HD. QRS. ASST. COMMISSIONER. AUG 14 1866 [[/stamp]]