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NARA 752

Form 7.

We, the subscribers, do hereby acknowledge to have received, at ________ of ______ 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.  

[[left margin]] Freedmen Fund | Congressional [[opp]] [[/left margin]]

[[15 Columned Table]]
| No. | Names. | Occupation. | Period of Service. From - 1867 | period of Service. To - 1867 | 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. | 
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1 | Wakefield Hedgeman | Carpenter | July 1 | July 31 | 30 | 00 | 30 | 00 | 30 | 00 |  |  | 30 | 00 | Wakefield his mark Hedgeman | James H. Pierce |   
| 2 | Jack Burton | Carpenter | July 1 | July 31 | 30 | 00 | 30 | 00 |  |  | 30 | 00 | Jack his X mark Burton | James H. Pierce |  
| 3 | Frank Campbell | Carpenter | July 15 | July 31 | 30 | 00 | 35 | 00 |  |  | 15 | 00 | Frank his X mark Campbell | James H. Pierce |  
| 4 | Davy Phillips | Blacksmith | July 1 | July 31 | 25 | 00 | 25 | 00 |  |  | 25 | 00 | David his X mark Phillips | James H. Pierce | 
| 5 | Larkin Mitchell | Teamster | July 1 | July 31 | 15 | 00 | 15 | 00 |  |  | 15 | 00 | Larkin his mark Mitchell | James H. Pierce |    
| 6 | Edward Carlyle | Teamster | July 1 | July 31 | 15 | 00 | 15 | 00 |  |  | 15 | 00 | Edward his mark Carlyle | James H. Pierce |   
| 7 | Allen Moore | Watchman | July 1 | July 31 | 15 | 00 | 15 | 00 |  |  | 15 | 00 | Allen his X mark Moore | James H. Pierce |  
| 8 | Ceasar Whitfield | Laborer | July 16 | July 31 | 15 | 00 | 7 | 50 |  |  | 7 | 50 | Ceasar his X mark Whitfield | James H. Pierce |     
| 9 | Melvin Hand | Laborer | July 16 | July 31 | 15 | 00 | 7 | 50 |  |  | 7 | 50 | Melvin his mark Hand | James H. Pierce |
| 10 | William Moore | Laborer | July 16 | July 31 | 15 | 00 | 7 | 50 |  |  | 7 | 50 | William his mark Moore | James H. Pierce |
| 11 | Anthony Mitchell | Laborer | July 16 | July 31 | 15 | 00 | 7 | 50 |  |  | 7 | 50 | Anthony his mark Mitchell | James H. Pierce |    
| 12 | Frank Hulbert | Laborer | July 1 | July 31 | 15 | 00 | 15 | 00 |  |  | 15 | 00 | Frank his mark Hulbert | James H. Pierce |    


Approved, and payment ordered: 
Bvt Maj Genl U.S.A. Assistant Commissioner State of Mississippi 
I certify, that the above receipt roll is correct. 
Jas W. Sunderland
Capt V.R.C. Sub Asst Commissioner
$190.00

Assistant Commissioner, State of Mississippi.  

Transcription Notes:
Still columns to go.