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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, lSi7, entitled .'An act to raise for a limited lime aa additional military force, and for other purposes" may be ex- anlined; and if am entitled to Land, wish to leIinquish. anu do hereby relinquish, my right thereto, and in lieu thereof to receive q Treasury Scrip for one hundred dollars. Attest am, respectfully,

 your obedient sey't. To the Commissioner of Pensions,

 Washington Cify.