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NARA 827

Bu. R. F. and A. L.
Form 11.
The United States,
To N.J, Chappell Dr.

[[4 columned table]]
| 186... |   | Dolls. | Cents. |
| --- | --- | --- | --- |
|   | For rent of building occupied as [[strikethrough]] office [[/strikethrough]] School for freedmen Bureau Refugees, Freedmen, and Abandoned Lands, at Oak Grove Noxubee Co, State of Mississippi, from the 1st of November 1867, to the 30th of November, 1867, inclusive at the rate of $50, per month. | 50 | 00 |
|   | Fifty Dollars | 50 | 00 |

I certify, on honor, that the above account is correct and just; and that the building was used as stated; and that the same was necessary for the public service, and that it has been reported, as per my report of persons and articles, for the month of November, 1867.

Approved and Payment Ordered:

.............
Brevet Major General U.S.A., Assistant Commissioner.

[[strikethrough]] Geo. S. Smith Sub Ass't Com'r [[/strikethrough]]

Received.........186..., of  ........ 
Disbursing Officer, Bureau Refugees, Freedmen and Abandoned Lands, State of Mississippi, ......... dollars and ......... cents, in full of the above account.

(SIGNED IN DUPLICATE)
N.J. Chappell

Transcription Notes:
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