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Office Superintendent Bureau Refugees, Freedmen and Abandoned Lands
Raleigh, N. C.[[line for date]] [[/preprinted]] October 8th, [[preprinted]]1866.[[/preprinted]]


I have the honor to request that transportation may be furnished the following named destitute freedmen 
Viz:-[[underline]]Henry Powell[[/underline]] from this City to Anson Anson County N.C. and [[underline]]William Leek[[/underline]]to "Old 10th" Rockingham County N.C.

Very Respectfully
Your Obdt. Servant
Capt Jacob F. Chur [[indent]]Bvt.Col.and Supt.

[[margin]][[double underline]]L.B.P.214[[/double underline]] [[/margin]]

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