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Status: Complete

No 40
Special Requisition

For
1000 Rifle Carbine Cartridges

I Certify that the above requisition is
correct and that articles Specified are
absolutely requisite for the public
Service rendered so by the
following circumstances for
the use of my Company

P. Fox
Capt Comdg Maclins Lt Battery

C. S. A. will issue the
articles specified in the above requisition

Comdg

Received of ___ the ___ of ___ 186_
of : C. S. A,
_________
in full of the above requisition
P. Fox
Capt Comdg M Batt

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