Transcription: [No. 21.] {PACS} THE CONFEDERATE STATES To {Act. Asst. Surg L.C. Crump} Dr. DATE. [underscore] {March 1865} {[illegible]} For commutation of quarters at {Richmond Va} from the {1st} of {March} 18{65}, to the {31} of {March} 18{65}, inclusive, {3} rooms, at [blank] dollars each per month, For commutation of fuel for the same period- For myself, - - - Cords. [underscore] | Feet. [underscore] | Inches. [underscore] 3 | [blank] | [blank] | Being - - - - Cords. [underscore] | Feet. [underscore] | Inches. [underscore] 3 | [blank] | [blank] | at $[blank]/100 per cord, DOLLARS. [underscore] [blank] CTS. [underscore] [blank] I certify, on honor, that there were no quarters owned or hired by the public, at the above station, which could be assigned to {Act. Asst Surg L.C. Crump} during the above period; and that the fuel is charged at the average market price for the month. [signature illegible] Quartermaster. I certify, on honor, that the above account is correct and just; that I have been regularly stationed on duty at {Chimborazo Hosp} by {Med. Dir.} during the period charged for; that I have not been furnished with quarters, rent, or fuel, by the public, nor received a commutation of money in lieu thereof. [signature illegible] RECEIVED at {Richmond Va} the [blank] day of {April} 186{5}, of {Capt'n P.F.B. Darsey} Quartermaster C.S. Army, the sum of [blank] Dollars and [blank] Cents, in full of the above account. [signature illegible] (SIGNED IN DUPLICATE) [Endorsement] [No. 21] No...................Abstract B.................Qr. 186 ------------------------------------------------------- COMMUTATION OF QUARTERS AND FUEL. DOLLARS__________________________________________/100 Paid..................of............................... [marginal note] {Stacke} [underscore]