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A 5 69 R F & A L 7th Sub Dist of Va
[[?]] Bedford  [[?]]  Cos
[[6th?]] Div 7th Sub Dist Va
Liberty Va. April 30th [[67?]]

[[Shaum?]] B.A.
Bvt. Capt. V. R. L. O. S. A. C.

Reports in compliance with circular No 6 series
1866, for April 1867

[[stamp]] STATE OF VIRGINIA. BUREAU OF R. F. & A. L. RECD. HD. QRS. ASST. COMMISSIONER. MAY 4 1867 [[/stamp]]

Bureau of R. F. & A. Lands 
Head quarters 7th Sub Dist Va
Lynchburg Va. May 2d 1867
Respectfully forwarded  to
Bvt Brg [[Genl?]] O Brown
Assistant Commissioner
RS. Lacey
Agent in Charge