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Bureau Refugees Freedmen & AL
Office Chf Med Off State Va
Richmond, Va Nov 9th 1865

Respectfully returning the accounts of F.W. Parker, for Med. Services in Dinwiddie Co Va, with endorsement, - I think it proper further to suggest, that from the face of the papers, without explanations, the charges would appear to be excessive - and that it is desirable [[strikethrough]] that [[/strikethrough]] that special agreement should be made, when calling upon extra medical aid outside of Bureau.

In my judgement two thirds of the fee rendered in this case would be abundant compensation for the services.

J.J De Lamater Surg USV
Chf Me Off. Bureau RF & AL
State Va