To all whom it may Concern:
The bearer hereof, ——, Private, of Captain ——’s Company [——], Regiment of New York State Volunteers; aged —— years, —— feet —— inches high, —— complexion, —— eyes, —— hair, and by profession a —— born in —— of ——, and enlisted at —— in the —— of —— on the —— day of ——, eighteen hundred and —— to serve for the period of —— years, is hereby permitted to go to ——, in the county of ——, State of —— he having received a furlough from the —— day of —— 186—, to the —— day of ——, 186—, at which period he will rejoin his Company and Regiment at ——, or wherever it then may be, or be considered a deserter.
Subsistence has been furnished to said —— —— to the —— day of ——, 186— and pay to the —— day of ——, 186—, both inclusive.
Given under my hand at —— this —— day of ——, 186—.
R. F. TAYLOR,
Commanding Regiment.
FURLOUGH.
——, a Private of Company ——, Thirty-third Regiment New York State Volunteers.
Recommended for —— days, for the following reasons: Absent at present two (2).