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2
FORM No. 1.
                                
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----------,186 :

To
Captain -------------
Commissary of Subsistence,

SIR:
Please furnish me, for my own use, the following subsistence stores:
-------pounds of --------
-------pounds of --------
I certify that the above - mentioned stores are required for my own
use; that, not being in funds, it is necessary that I purchase them on credit, and that I am now actually "serving in the field."

                              
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Lieut.______ Reg. _____

Transcription Notes:
---------- Reopened for Editing 2024-02-01 10:55:23 this is a blank "Form 1" Remember to left justify, don't indent (it goes really wonky when changing from landscape to portrait, and when resizing)