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NARA 754

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 her of.

[[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. | 
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1 | James H. Pierce | Clerk | July 1 | July 31 | 100 | 00 | 100 | 00 |   | 83 | 99 | 17 | James H. Pierce | R. T. Reed |
|   |   |   |   |   |   |   |   |   |   |   | 99 | 17 |   |   | 

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 

Transcription Notes:
4/2 - fully transcribed - pls review ---------- Reopened for Editing 2024-04-02 22:08:56