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We, the subscribers, do hereby acknowledge to have received of

pay and allowances for the period herein

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We certify that we actually employed the servants, and owned and kept in service and did not, during any part of the time, employ a soldier as a servant. The names officers and privates of the company to which we belong, who are made up for pay, paid for, although, in some cases, they may not have been valued. We also certify

(PAY ROLL OF MILITIA.)

Paymaster, the sums annexed to our names respectively, being the full of our expressed, having signed duplicates thereof.

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the horses, for which we have received payment, for the whole of the time charged,

and description of our servants are below. We also certify that the non-commissioned &c., as having horses and arms, actually owned and had them in service for the time that we witnessed the payment of the whole company.

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Date.

FORM 9.

Statement of moneys received and expended, and on hand, for the month ending

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Remarks.

1

1

Paymaster.

APPENDIX.

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