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Hd Qrs Bureau R.F. and A L
Office Asst Sub: Asst Commissioner
Farmville Va Aug 31, 1867

I hereby certify that the withing statements are correct and taken from the Records of this Office.

Jno W. Jordan
Bvt Lt Col USV
Asst Sub: Asst Comr
& Mil Commissioner

[[stamp]] STATE OF VIRGINIA BUREAU OF R.F. & A.L. RECD HD. QRS. ASST. COMMISSIONER. SEP 8 1867 [[/stamp]]
[[stamp]] RECEIVED OFFICE [[strikethrough]] SUPT. [[/strikethrough]] SUB DIST. SEP 1 1867 [[/stamp]]

S.277.R.F.&.A.L.2d.S.Dist.Va/1867
Hd Qrs A.S.A.C. Bu R.F. &c
Farmville Aug 31, 1867.

Jordan Jno W.
Bvt Lt Col & A.S.A.C.

Report under Circular No 12 C.S. Hed Qrs Asst Com Va for August 1867.