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Bureau of Refugees, Freedmen and Abandoned Lands.
THE UNITED STATES,
To Fanny Williams Dr. widow of Thomas Williams
late Private Co. C , 37th Regiment United States Colored Infantry.

[[four column table]]
|(date) | -- | DOLLS. | CENTS.|
|1867 Oct. 23d | For amount  of Bounty retained from him at the time of his enlistment, in accordance with General Order, No. 90, Department of Virginia and North Carolina, Current Series, 1864 | 100 | 00|
[[end table]]

I CERTIFY that the above account is correct and just; that the amount above specified was retained from the Bounty of this soldier, as appears by the records of this office.
O Brown
Bvt. Brig. Genl. Assistant Commissioner for Virginia.

Approved and payment ordered}
Major Gen'l, Commissioner

Received at WASHINGTON, D.C.,   , the  of  , 186 , from Brevet Colonel GEO. W. BALLOCH, Chief Accounting and Disbursing Officer  dollars  and   cents, in full of the above account.
SIGNED IN DUPLICATE]
[Witness.]

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