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D. 89.R.F. and A.L. Va. 2d V. 1868.
Bureau R. F. & AL Dist Va
Office Surg in Chief Dist
Richmond Va Nov 7th 1868

Dr Lamater J.J. Surg in Chief
Dist Va
Respectfully requests transportation for Rockford Stevens Steward of Hampton Hospital from Hampton to Richmond Va, to which he is entitled

Approved
[[stamp]] STATE OF VIRGINIA. BUREAU OF R. F. & A. L. * * * REC HD. QRS. ASST. COMMISSIONER NOV 7 1868 [[/stamp]]

Transpn issued Nov 7/68