Sworn and subscribed to, at this day of 18 before

Received of of the United States army, this day of 18 dollars, in part of my bounty for inlisting into the army of the United States for five years.

Signed duplicate receipts.

DOLLS. 100

Witness,

(B.)

MUSTER ROLL of a Company of under the command of
in the of the United States, commanded by
from when last mustered, to
No.NAMES.Rank.Dates of
appointment
or inlistm’t.
To what time
engaged or
inlisted.
NAMES
Present.
Remarks and
alterations
since the last
Muster.

RECAPITULATION.

Cap-
tain.
Lieu-
tenants.
En-
signs.
Ser-
jeants.
Corpo-
rals.
Musi-
cians.
Pri-
vates.
TOTAL
Present fit for duty,
Sick present,
Sick absent,
On detachment,
On command,
On extra service,
On furlough,
In confinement,
Missing,
Deserted,
Dead,

[This recapitulation goes on the back of the Return, and should properly appear on the head of the quarter-fold.]