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WIDOW's CLAIM
FOR
Retained
BOUNTY [[strikethrough]]& BACK PAY[[/strikethrough]]

[[strikethrough]]
This blank is published for the sole and exclusive use of 
CHIPMAN, HOSMER & CO.
ATTORNEYS, 
446 14th Street, Washington, D.C.
[[/strikethrough]]

Transcription Notes:
11.28.2023 - Added missing strikethroughs; Marking for review ---------- Reopened for Editing 2023-11-28 09:35:25