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[[stamp]] RECEIVED OFFICE SUPT. 2d Sub. DIST. [[/stamp]]

Head Quarters A.S.A.C.
Bureau of R.F. & A L.
Farmville Va Oct 31 1867

I hereby certify that the within "Reports" are correct and taken from the Records of this office.

Jno W Jordan.
Bvt Lt Col. U.S.V.
A.S.A. Com'r.

[[stamp]] STATE OF VIRGINIA. BUREAU OF R.F & A.L. RECD. HD. QRS. ASST. COMMISSIONER. NOV 7 1867 [[/stamp]]

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