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Surgeon General's Office, 
Dec. 2, 1865.
Respectfully referred to [[strikethrough]] Surgeon [[/strikethrough]] Bvt. Col. J. Simons U.S.A Medical Director, Department of Virginia for investigation and approval, if found correct. 

By Order of the Surgeon General:
J S Billings
Assistant Surgeon, U.S.A. 

M.D.O Dept Va
Richmond Dec 7/65
Respectfully referred to Surgeon Paige U S A for investigation & report. 

J Simons
Bvt Col of Army and Med Director

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