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NARA 756

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. Both dates included From - 1867 | Period of Service. Both dates included 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 | J H Pierce | Clerk | Aug 1 | Aug 31 | 100 | 00 | 100 | 00 |   | 83 | 99 | 17 | James H Pierce |   |
| 2 | Wakefield Hedgeman | Carpenter | Aug 1 | Aug 31 | 30 | 00 | 30 | 00 |   |   | 30 | 00 | Wakefield Hedgeman |  |
| 3 | Jack Burton | Carpenter | Aug 1 | Aug 31 | 30 | 00 | 30 | 00 |   |   | Jack Burton |   |
| 4 | David Phillips | Blacksmith | Aug 1 | Aug 31 | 25 | 00 | 25 | 00 |   |   | 25 | 00 | David Phillips |   |
| 5 | Larkin Mitchell | Teamster | Aug 1 | Aug 31 | 15 | 00 | 15 | 00 |   |   | 15 | 00 | Larkin Mitchell |   |
| 6 | Edward Carlyle | Teamster | Aug 1 | Aug 31 | 15 | 00 | 15 | 00 |   |   | Edward Carlyle his mark |   |
| 7 | Allen Moore | Watchman | Aug 1 | Aug 31 | 15 | 00 | 15 | 00 |   |   | 15 | 00 | Allen Moore |   |
| 1 | Frank Hulbert | Labor | Aug 1 | Aug 31 | 15 | 00 | 15 | 00 |   |   | 15 | 00 | Frank Hulbert |   |
| 2 | Ceasar Whitfield | Labor | Aug 1 | Aug 31 | 15 | 00 | 15 | 00 |   |   | 15 | 00 | Ceasar Whitfield |   |
| 3 | Meloil Hand | Labor | Aug 1 | Aug 31 | 15 | 00 | 15 | 00 |   |   | 15 | 00 | Meloil Hand |   |
| 4 | William Moore | Labor | Aug 1 | Aug 31 | 15 | 00 | 15 | 00 |   |   | 15 | 00 | William Moore |   |
| 5 | Anthony Mitchell | Labor | Aug 1 | Aug 31 | 15 | 00 | 15 | 00 |   |   | 15 | 00 | Anthony Mitchell |   |
| 6 | Moses Williams | Labor | Aug 1 | Aug 15 | 15 | 00 | 7 | 50 |   |   | 7 | 50 | Moses Williams |   |
|   |   |   |   |   |   |   |   |   |   | 311 | 67 |   |   |

I certify that the above Receipt Roll is correct.
Approved and payment ordered: Duplicate Copies forwarded to Asst Comm
August 30th 1867
Assistant Commissioner, State of Mississippi.

82.50
229 17
$311 67

Jas W. Sunderland
Capt V.R.C. Sub asst Comm'r

Transcription Notes:
Could you check the table heading is set out correctly? I also can't read the handwritten word under Period of Service. I'm not sure about how to include the notes to the left side of the table so haven't added them. Across Edward Carlyle and Allen Moore's signatures there is written the words "his mark" I have added them but would be grateful if someone could check that I have done that correctly. I can't read some of the names in the second part of the table. I think the final figure is 321.67. I'm unsure of the signatures at the bottom of the page