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J. 18. R.F.&A.L. D of P. 1st Vol. 1867

Farmville Hospital
Farmville Va Jan 24/67

Jos. Jorgenson
A.A. Surg. U.S.A.
In charge

Respectfully requests an order for admission of one Insane Freedwoman (Frances Wiley) to Howard's Grove Hospital.

File

Transportation sent Jany 28th 1867.

Bureau RF. & AL Dept Potomac
Office Surg in Chf Dept
Richmond Va Jany 28, 1867

Respectfully forwarded to A A A Genl Brig Genl O Brown Bureau R.F. & AL. Dept of the Potomac approved,
an order for admission to Hospital enclosed
JJ De Lamater Surg USV
Surg in Chf Bureau 
RF & AL Dept Potomac

[[stamp]] STATE OF VIRGINIA. BUREAU OF R. F. & A. L. *** RECD. HD. QRS. ASST. COMMISSIONER. JAN 28 1867 [[/stamp]]