Document 03

THE UNITED STATES,

ON WHAT ACCOUNT. COMMENCEMENT AND EXPIRATION. FROM TO

PAY. For myself - For 2 private servant 0 not soldier 0

CLOTHING. For 2 private servant 0 not soldier 0

FORAGE. For _ horses

SUBSISTENCE. For myself for _ year _ service For 2 private servant 0 not soldier 0

I HEREBY CERTIFY, That the foregoing account is accurate and just; that I have not been absent without le[page torn] received money in lieu of any part thereof, for any part of the time therein charges; [that I am they ned and kep in serv?] during the term so charged or any part thereof, keep or employ a soldier as a waiter or servant; that the annexed is an acc appointment and did duty in the department; that I was the actual and only commanding officer at the double ration post the period charged; that for the whole time brevet pay is claimed I had the command stated; that I was actually in the com for which I claim or have received extra compensation during the time an additional ration is charged for; that I have

DESCRIPTION OF SERVANTS.

NAMES.	COMPLEXION.	HEIGHT.		EYES.	HAIR.
		Feet.	Inches.
Frank Geizen	Light	5	11	Light	Light
Wm Osborn	"	"		"	"

[column break] RECAPITULATION.

Pay ...	208
Subsistence ...	109	80
Forage ...
Clothing ...	10
Amount ...$	327

[page turned, written across the center of the page] The First day of April 1863

Thirty first day of May 1863

Voucher No. 425

Paid the 4th of June 1863 [illegible] W. Fell [illegible] U.S. Army

From the 1st of April 1863 To the 31st of May 1863

Pay ... 208 Subsistence ... 109.80 Forage ... Clothing ... 10.00 Amount ... $ 327.80

Return $6.83 [Tax?] on $227.80