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[[preprinted]]
Office Superintendent Bureau Refugees, Freedmen and Abandoned Lands,
CENTRAL DISTRICT,
Raleigh, N.C., [[line for entry of date]]
[[/preprinted]]

October 1st, [[preprinted]] 1866. [[/preprinted]]

Captain 

I have the honor to acknowledge receipt of Requisitions Nos. 79 and 80 for the following named freedpersons Viz:

Jackson King, Raleigh to Hillsboro No. Ca. and 
Candis Rice and two (2) children from Raleigh to Franklinton N.C.

Very respectfully
Your Obdt Servant
A.G. Bready
Bvt. Col. and Supt.

Capt. Jacob F. Chur
A.A.A.G-B. R.F & A.L.  
Raleigh N.C. 
   
L.B. P.208.
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