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BUREAU OF REFUGEES, FREEDMEN AND ABANDONED LANDS, 
HEAD QUARTERS 2ND SUB-DISTRICT, VIRGINIA,
Petersburg, Va., August 18th 1868.

Brevet Brig. Gen'l O. Brown
Assistant Commissioner
Richmond, Va.

General:-
I would respectfully request to be furnished with twenty (20) Blanks "Declarations for Arrears of Pay and Bounty."

Very Respy
Your Ob't Servant
J R Stone
Sub Asst Comr