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NARA 399

[[preprinted]]No. 6.[[/preprinted]]
No. 58, March 17 1874.

RECEIPT--BOUNTY, &c.
(ACT OF MARCH 29, 1867.)

John Teriven
88 Dolls. 50 Cents.

CHECK.
No. __________________
Date _________________
Amount _______________
______________________
____________ Discharge

Transcription Notes:
Agreed that the name is Teriven. Removed [?]