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NARA1275

Received, at Louisville Ky, this 20th day of October, 1877, from Capt H.S. Hawkins, 6th Infantry
Disbursing Officer, Freedmen's Branch Adjutant General's office.
One hundred and Twenty six dollars and fifty-six cents, in full for Arrears of Pay and Bounty, as per Treasury Certificate No. b30.296 for $140.00 after deducing $13.00 for attorney's and notarial fees paid for collection.

Sarah her x mark Kofer
mother of
Jackson Kofer
Late Pvt Co. J 123 Reg't U.S.C.T.

$126.00

We hereby certify that we have witnessed the above signature and payment to claimant, in full of above amount, in "current funds."
S.K. Stuart
N.M. Lytton