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0899 M.579. R.F. & A.L. Va. 3d Vol. 1867. Bureau R.F. & A.L., Hd. Qrs. 9th Sub-Dist., Winchester, Va., Dec. 10th 1867. McDonnell, Jno. A. Capt. & S.A. Com'r. Makes application for ten (10) blank declarations, of Discharged Soldiers, for Pensions. [[stamp]] STATE OF VIRGINIA. BUREAU OF R.F & A.L. RECD. HD. QRS. ASST. COMMISSIONER. DEC 12 1867 [[/stamp]] Blanks sent Decr. 12th/67