(DATE.)
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[DATE.) SIR: request that my claim to Bounty Land, under the 9ih section of the act of the Huh of February, 1S47, entitled '.An act to raise for limited time an additional military force, and for other purposes" may be ex- amined; and if am entitled to Land, wish to ielinquish. and do hereby relinquisb, my right thereto, and in lieu thereof to receive Treasury Scrip for one hundred dollars. Attest: am, respectfully,

 your obetient sev't To the Commissioner of Pensions,

 Washington City.

 B.

 It is hereby certified, that satisfactory proof has been exhibited before the f- for the county of---in the State of- by the affidavits of---antl-- who are persons entitled 10 credit, that -and--are the only surviving ! children of--2-who was a---in the United States service.

 In testimony whereof have sel

 my hand and seal of office this

 day of--in the year