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W.640.R.F.&.A.L.Va.3d Vol 1867
Washington, D.C.

War Department
Bureau R.F. & A.L.

Whittlesey, E.
Act. Asst. Adjt. Genl.

Furnishes official copy of endorsement on "Leave of Absence" granted to R.S. Lacey, Agent, by order from the Asst Comr of Va. of date Nov 12th 1867

[[stamp]]
STATE OF VIRGINIA
BUREAU OF R.F. & A.L.
NOV 24
1867
[[/stamp]]