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Soldier's discharge : to all whom it may concern : know ye, that [blank] a [blank] of Captain [blank] Company, [blank] ... is hereby honorably discharged from the Army of the Confederate States : [3 blank lines] : Said [blank] was born in [blank] ... [blank] eyes, [blank] hair, and by occupation when enlisted, a [blank] : Given at [blank] this [blank] day of [blank] 186[blank].

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