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No. 22.

The United States,
To Thomas Gibbens (Col'd)  Dr.

[[4 Columned Table]]
| 1866. |   | Dollars. | Cents. |
| --- | --- | --- | --- |

| Sept 26. | To services in Hospital at Wmsburg Va. from May 20/62 to Sept 9/62 3 and 2/3 mos. @ $21 per mo | 73 | 33 1/3 |
|   |   | 73 | 33 1/3 |

I certify that the above account is correct and just; that the services were rendered as stated; and that they were necessary for the public service.
P Wager.
A.A. Surg: U.S.A.

Received at  , the  of  , 186 .  Quartermaster United States Army, the sum of  , dollars and  cents, in full of the above account.

(Duplicate.)

Transcription Notes:
---------- Reopened for Editing 2023-10-05 12:57:21 ---------- Reopened for Editing 2023-10-05 13:20:53