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NARA 340

Form 7.
We, the subscribers, do hereby acknowledge to have received, at----of----, the sums set opposite our names, being in full of our services for the time herein expressed, having signed duplicates hereof.

[[15 columned table]]

| NO. | NAMES. | OCCUPATION. | PERIOD OF SERVICE. FROM: 1867 | PERIOD OF SERVICE.  TO. | RATE OF PAY. DOLLARS. | RATE OF PAY CENTS. | STOPPAGE. DOLLARS. |STOPPAGE. CENTS. | TOTAL AM'T DUE. DOLLARS. | TOTAL AM'T DUE. CENTS. | AMOUNT REC'D. DOLLARS. | AMOUNT REC'D CENTS. | SIGNATURES. | WITNESS. |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |

| 1 | James H Pierce | Clerk | Sept 1st | Sept 30 | 100 | 00 |   | 83 | 99 | 17 | 99 | 17 |James H. Pierce |   |

| 2 | Wakefield Hedgeman | Carpenter | Sept 1 | Sept 30 | 30 | 00 |   |   | 30 | 00 | 30 | 00 | Wakefield Hedgeman his mark |   |

| 3 | James Montgomery | Carpenter | Sept 1 | Sept 30 | 30 | 00 |   |   | 30 | 00 | 30 | 00 | James Montgomery his mark |   |

| 4 | David Phillips | Blacksmith | Sept 1 | Sept 30 | 25 | 00 |   |   | 25 | 00 | 25 | 00 | David Phillips his mark |   |

| 5 | Larkin Mitchell | Teamster | Sept | Sept 30 | 15 | 00 |   |   | 15 | 00 | 15 | 00 |   Larkin Mitchell his mark |   |

| 6 | Edward Carlyle | Teamster | Sept 1 |Sept 30 | 15 | 00 |   |   | 15 | 00 | 15 | 00 | Edward Carlyle his mark |   |

| 7 | Allen Moore | Sept 1 | Sept 30' | 15 | 00 |   |   | 15 | 00 | 15 | 00 | Allen Moore his mark |   |

| 8 |Frank Halbert | Laborer | Sept 1 | Sept 30 | 15 | 00 |   |   | 15 | 00 | 15 | 00 | Frank Halbert his mark |   |

| 9 | David Swan | Laborer | Sept 1 | Sept 30 | 15 | 00 |   |   | 15 | 00 | 15 | 00 | David Swan his mark |   |

 | 10 | Ceasar Whitfield | Laborer | Sept 1 | Sept 30" | 15 | 00 |   |   | 15 | 00 | 15 | 00 | Ceasar Whitfield his mark |   |

| 11 | William Moore | Laborer | Sept 1 | Sept 30" | 15 | 00 |   |   | 15 | 00 | 15 | 00 | William Moore his mark |   |

| 12 | Anthony Mitchell | Laborer | Sept 1 | Sept 30" | 15 | 00 |   |   | 15 | 00 | 15 |00 | Anthony Mitchell his mark |   |

|   |   |   |   |   |   |   |   |   |   |   | 394 | 17 |   |   |

I certify that the above Receipt Roll is correct and just, 

Approved and payment ordered, 
Col. 64th U.S.C.I., 
Ass't Commissioner Freedmen's Bureau, State of Miss.

Transcription Notes:
I'm not sure that I've laid out the table headings correctly. A few column headings are divided into two headings (dollars and cents).-- now corrected In the "period of service"/"to" column there appears to be something written after "Sept 30" which I assume to be "th" but I don't want to add that if I am incorrect. I can't read some of the entries in the table; in particular names and some job titles. ---------- Reopened for Editing 2024-04-04 08:46:28