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NARA 742
FORM 7.

WE, THE SUBSCRIBERS, do hereby acknowledge to have received, at, of Capt. C. R. TYLER, A.Q.M., U.S. Vols., Receiving and Disbursing Officer, Freedmen's Bureau, State of Mississippi, 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. Dolls. | RATE OF PAY. Cents. | TOTAL AMOUNT DUE. Dolls. | TOTAL AMOUNT DUE. Cents. | STOPPAGE. Dolls. | STOPPAGE. Cents. | AMOUNT RECEIVED. Dolls. | AMOUNT RECEIVED. Cents. | SIGNATURES. | WITNESS. | 
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |

|   | George St. C. Hussey Jr. | Steward. | Sept. 1st. 1866. | Sept. 30th. 1866. | 40. | 00 | 40. | 00 |   |   | 40. | 00 | Geo. St. C. Hussey Jr. | Geo. St. C Hussey |

|   | George Washington. | Ward Master. | Sept. 1. 1866. | Sept. 30th. 1866. | 15. | 00 | 15. | 00 |   |   | 15. | 00 | Geo. Washington. his X mark | Geo. St. C Hussey Jr.|

|   | Mary Howard. | Matron. | Sept. 1st. 1866. | Sept. 30th. 1866. | 18. | 00 | 18. | 00 |   |   | 18. | 00 | Mary Howard her X mark | Geo. St. C Hussey |

|   | Simon Taylor. | Nurse. | April. 1st. 1866. | Sept. 15. 1866. | 10. | 00 | 10. | 00 |   |   | 5. | 00 | Simon Taylor his X mark by his agent G. St C Hussey | Geo. St. C Hussey |

|   | Jamima Peters. | Nurse. | June. 18th. 1866. | Sept. 18. 1866. | 10. | 00 | 10. | 00 |   |   | 6. | 00 | Jamima Peters her X mark | Geo. St. C Hussey |

|   | Jamima Ricks. | Nurse | Sept 1st 1866 | Sept. 18. 1866. | 10. | 00 | 10. | 00 |   |   | 10. | 00 | Jamima Rick her X mark | Geo. St. C. Hussey Jr. |

|   | Mary Lockwood. | Nurse, | Sept 1st 1866 | Sept. 18. 1866.| 10. | 00 | 10. | 00 |   |   | 4. | 66 1/3 | Mary Lockwood by her daughter her X mark | Geo. St. C. Hussy Jr. |

|   | John Callican. | Nurse | Sept 1 1866 | Sept 30 1866 | 10.00 | 10.00 | John Calican his X mark | Geo. St. C. Hussey Jr. |

|   | Elisebeth Raines. | Cook. | May 15th, 1866. |   | 10. | 00 | 10. | 00 |  |  | 10. | 00 | Elisebeth Raines her x mark | Geo. St. C. Hussy Jr. |

|   |  Sally Killingsworth. | Laundress. | May 1st, 1866. | Sept. 30. 1866. | 10. | 00 | 10. | 00 |   |   | 10. | 00 | Sally Killingsworth her x mark | Geo. St. C. Hussy Jr. | 

|   | Nettie Houston. | Laundress. | June 18th 1866 | Sept. 30. 1866. | 10. | 00 | 10. | 00 |   |  | 10. | 00 | Nettie Houston her X mark | Geo. Lt. C. Hussy Jr. | 

|   | Caroline Battle. | Laundress. | Aug. 1st 1866. | Sept. 25. 1866. | 10. | 00 | 10. | 00 |  |  | 8. | 33. 1/3 | Caroline Battle by her husband his x mark | Geo. St. C. Hussy Jr. | 

|   | Dick Battle. | Cook. | Sept. 10th 1866. | Sept. 30. 1866. | 10. | 00 | 10. | 00 |  |  |  6. | 66. 2/3 | Dick Battle his x mark | Geo. St. C. Hussy Jr. | 

|   | Parker Matheny. | Nurse. | Sept. 1st 1866. | Sept. 30. 1866. | 10. | 00 | 10. | 00 | | | 10. | 00 | Parker Matheny his x mark | Geo. St. C. Hussy Jr. | 

|   | Fanny Matheny. | Cook. | Sept. 1st 1866. | Sept. 30. 1866. | 10. | 00 | 10. | 00 |  |  | 10. | 00 | Fanny Matheny her x mark | Geo. St. C. Hussy Jr. | 

|   | Marie Segarts. | Laundress. | Sept. 1st 1866. | 10. | 00 | 10. | 00 |   |  | 10. | 00 | Marie Segarts her x mark | Geo. St. C. Hussy Jr. | 

|  | Harriet Finly. | Cook. | Sept. 1st 1866. | Sept. 30th 1866. | 10. | 00 | 10. | 00 |  |  | 10. | 00 | Harriet Finly her x mark| Geo. St. C. Hussy Jr. | 

|   |   |   |   |   | 10. |   |   |   |   |   |   |   |   |   |   | 

I certify that the above Receipt Roll is correct.
Geo. St. C Hussey
Act. Asst. Surg Howd Hospital
Lauderdale, Miss.
Approved and payment ordered: 
Assistance Commissioner, State of Mississippi.

Transcription Notes:
Reopened for Editing 2024-04-06 02:24:40 added spaces between lines. Why does this KEEP being sent back for review when the request from SI was to complete the rest of the rows? Please completely transcribe these last rows, leaving a blank line between each row, then return for review. :-) ---------- From SI: only the first 7 rows are transcribed, please complete 8-17 rows. ---------- Reopened for Editing 2024-04-05 05:00:58 ---------- Reopened for Editing 2024-04-05 13:26:44 ---------- ---------- Reopened for Editing 2024-04-06 12:43:18 corrected spelling, formatting