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Certificate recommending extension of furlough : [blank] of [blank] Co. [blank] Reg't. [blank] Brigade, (Post Office [blank]), having been granted a furlough on the [blank] 186[blank] at [blank] by [blank] and having appeared before this board for recommendation for extension of furlough, we do hereby certify that we have carefully examined him, and find that (make a full statement of the case) [blank]. And in consequence thereof, he will not, in our opinion, be fit for duty in a less period than [blank] days, for which time we recommend an extension of his furlough.

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