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L.228 R.F.& A.L. Va 2d Vol. 1868
Lynchburg Va. Oct 6th 1868
Lacey R.S.
Sub Asst Comr.

Requests to be furnished with a supply of Blank Forms.

File
[[stamp]] STATE OF VIRGINIA BUREAU OF R.F.& A.L. RECD. HD. QRS. ASST. COMMISSIONER OCT 8 1868 [[/stamp]]

Blanks sent Oct 8/68.