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B. 542. R.F. & A.L. Va. 3d Vol 1867
Bureau R.F & A.L.
Hd. Qrs. 5th Div. 5th Sub. Dist.
New Kent C.H. Oct. 19th 1867

Brooks, N.M.
Capt. & A.S.A.C.

Applies for leave of absence, for twenty (20) days, in accordance with enclosed, Surgeon's Certificate.

[[stamp]] STATE OF VIRGINIA. BUREAU OF R.F & A.L. RECD. HD. QRS. ASST. COMMISSIONER. OCT 22 1867 [[/stamp]]

S.O. 112. Par. 1 dated Oct 22d 1867

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