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No. 12
The United States,
To . . . John Green . . . DR.
Date of purchase Nov 21st (57) Fifty Seven Bushels Corn @ 60c per Bushel
DOLLAR 34 CENTS. 20
The Owner of said property will be entitled to be paid for the same after the suppression of the rebellion upon proof that he has from this date, conducted himself as a loyal Citizen of the United States, and has not given aid or comfort to the Rebels.
I certify that the above account is correct and just, and that the articles have been accounted on my property return for the quarter ending on the 30th of November 1862.
J. N. [?] [?] Quartermaster.
RECEIVED at . . . . . , the . . . of . . . . . , 186 , of . . . . . Quartermaster U. S. Army, . . . . . dollars and . . . . . cents in full of the above account. . . . . . . . . . .
(SIGNED IN DUPLICATE.)