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S. 504. R.F. & A.L. Va. 3d Vol. 1867.
J 282 (R.F. & A.L. 2d S.Dist Va)1867
Hd Qrs A.S.A.C. Bu RF &c
Farmville Va Sept 4 1867

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

In compliance with endorsement of the Asst. Commr. dated Augst 30/67, makes application for authority to hire a clerk at not to exceed $50.00 per month. Also requests that he be reimbursed the amount paid for same from July 10th to  Sept. 1 67, viz: $83.34.

[[stamp]] STATE OF VIRGINIA. BUREAU OF R.F & A.L. RECD. HD. QRS. ASST. COMMISSIONER. Oct 1st 1867 [[/stamp]] 
[[stamp]] RECEIVED OFFICE 2d Sub. DIST SEP 4 1867 [[/stamp]]