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S. 103. R.F. & A.L. Va. 1st Vol. 1868.
Bureau R. F. & A.L.
Hd. Qrs. 2nd Sub-Dist.,
Petersburg, Va., April 11/68.

Stone, J. R.
Sub-Asst. Comr

Request to be furnished with 20 sets blank claims for arrears of "Pay and Bounty".

[[stamp]] STATE OF VIRGINIA. BUREAU OF R.F & A.L. RECD. HD. QRS. ASST. COMMISSIONER. APR 13 1868 [[/stamp]]

Blanks sent April 13/68