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Bureau R.F. and A lands
Office 4th Div 1st Sub Dist Va. 
Jerusalem Va. Sept 30th 1867

Deacon A.G. 2nd Lieut
A.S.A.C. 

Reports in compliance with Cir No. 6. dated Hd. Qrs Asst Comr State of Va, Richmond Va Jany 29th 1866 for month of September 1867. 

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[[stamp]] STATE OF VIRGINIA. BUREAU OF R. F. & A. L. *** RECD. HD. QRS. ASST. COMMISSIONER OCT 3 1867 [[/stamp]]