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Bureau of R.F and A.L
Head. Qr's. 5th Div. 5th Sub. Dist. Va
New Kent Court House.
Oct 19th 1867

Bv't. Brig. Gen'l. O. Brown
Asst. Com. Dist of Virginia

Sir
I have the honor to apply for leave of absence for twenty (20) days, in accordance with the Surgeon's certificate.

Very Respectfully
Your Ob'd't Servant
N. M. Brooks.
Capt. V.R.C. A S A. Commissioner