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A. 638. R.F. & A.L. Va. 3d. Vol. 1867. ~

Bureau R.F. & A.L.
Hd. Qrs. 5th. Sub - Dis't.
Fort Monroe, Sept. 30th., 1867.

Armstrong, S. C.
Ag't. in Charge 5th. Sub - Dist.

Makes application for Blanks, for reports.

[[stamp]] State of Virginia. Bureau of R.F. & A.L. Recd. Hd. Qrs. Asst. Commissioner Oct 2 1867 [[/stamp]]

Blanks sent Oct 2nd. 1867