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Farmville Va.
October 18th 1867
J. 213. R.F. & A.L. Va. 3d Vol. 1867.

Jorgenson Jos.
A.A. Surg.

Requests transportation for Judy Hill an insane freedwoman to Richmond Va. Also for John Jones, an attendant and return.

[[stamp]] STATE OF VIRGINIA. BUREAU OF R.F & A.L. RECD. HD. QRS. ASST. COMMISSIONER. OCT 21 1867 [[/stamp]]   
Trans. sent Oct 23d 1867

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