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NARA 321

[This illustrates the form in cases where one or more claimants are dead or absent and do not, therefore receive payment.] 

(No. 6)

Received at Columbia S.C., this 1st day of January, 1878, from Lieut J.K. Hyer 18th Infty Disbursing Officer, Freedmen's Branch, Adjutant General's Office, Forty three dollars and fifty five cents in full for my share of Arrears of Pay and Bounty, as per Treasury Certificate No. 111222, after deducting Attorney's fees for collection.

John Jones
Brother of George Jones, dec'd.
[Image] $43.55/100
Late Pvt Co. A. 1st. Reg't U.S.C.T.

$43 55/100

Witness: To signature of, and payment to claimant in full of above amount in "current funds."
John Smith
Henry Johnson

Statement.
Number of Treasury Certificate 111222
Amount of Treasury Certificate $141.17
Amount of Fees $10.00
Notarial Fees $.50
Advances $
Amount held belonging to William Jones & Samuel Jones $87.12
Balance paid Claimant John Jones $43.55

Transcription Notes:
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