Viewing page 196 of 240

This transcription has been completed. Contact us with corrections.

NARA 730

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. | 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 | Israel Deemer | Steward | Aug 1 /66 | Aug 31 /66 | 75 | 00  | 1 | 25 | 73 | 75 | 73 | 75 | Israel Deemer | D M White |
| 2 |  Sally Parker | Matron  | Aug 1 /66 | Aug 31 /66 | 18 | 00  |   |   | 18 | 00  | 18 | 00  | Sally Parker her X Mark | Geo. Lt. C. Hussey Jr. |
| 3 | George Washington | Ward Master | Aug 1 /66 | Aug 31 /66 | 15 | 00 |   |   | 15 | 00 | 15 | 00 | George Washington his X Mark | Geo. S. H. Hussey Jr. |
| 4 | Simon Taylor | Nurse | Aug 1 /66 | Aug 31 /66 | 10 | 00 |      |   | 10 | 00 | 10.00 | Simon Taylor his X Mark | Geo. S. H. Hussey Jr. |
| 5 | Jemina Peters | Nurse | Aug 1 /66 | Aug 31 /66 | 12 | 00 |      |   | 12 | 00 | 12 | 00 | Jemina Peters his X Mark | Geo. S. H. Hussey Jr. |
| 6 | Jemina Ricks | Nurse | Aug 1 /66 | Aug 31 /66 | 10 | 00 |   |   | 10 | 00 | 10 | 00 | Jemima Ricks her X Mark | Geo. S. H. Hussey Jr.  |
| 7 | Emiline Ferrell | Nurse | Aug 1 /66 | Aug 31 /66 | 10 | 00    |   |   | 10 | 00 | 10 | 00 | Emiline Ferrell her X Mark | Geo. S. H. Hussey Jr. |
| 8 | Eliza Cockrell | Nurse | Aug 1 /66 | Aug 31 /66 | 10 | 00 |   |   | 10 | 00 | 10 | 00 | Eliza Cockerell her X Mark | Geo. S. H. Hussey Jr. |
| 9 | Elsie Finch | Nurse | Aug 1 /66 | Aug 31 /66 | 10 | 00 |   |   | 10 | 00 | 10 | 00 | Elsie Finch her X Mark | Geo. S. H. Hussey Jr.  |
| 10 | Mary Lockwood | Nurse | Aug 1 /66 | Aug 31 /66 | 10 | 00 |   |   | 10 | 00 | 10 | 00 | Mary Lockwood her X Mark | Geo. S. H. Hussey Jr. |
| 11 | Madison Jones | Nurse | Aug 1 /66 | Aug 31 /66 | 10 | 00 |   |   | 10 | 00 | 10 | 00 | Madison Jones his X Mark | Geo. s. H. Hussey Jr. |
| 12 | John Culijon | Nurse | Aug 1 /66 | Aug 31 /66 | 10 | 00 |   |   | 10 | 00 | 10 | 00 | John Culijon his X Mark | Geo. S. H. Hussey Jr. |
| 13 | [[strikethrough]] James Smith | Baker | Aug 1 /66 | Aug 31 /66 | 10 | 00 |   |   | 10 | 00 | 10 | 00 | James Smith his X Mark | Geo. S. H. Hussey Jr. [[/strikethrough]] |

I certify that the above Receipt Roll is correct and just,
Geo. S. H. Hussey M.D.
A.A. Surg USA in charge Howard Hospital

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

Transcription Notes:
---------- Reopened for Editing 2024-04-03 10:04:49 Pls read instructions on how to format tables, there are 15 columns in this table not 11, other corrections ---------- Reopened for Editing 2024-04-03 10:43:20