This is a printed form and handwritten form from the Medical Examining Board for Private C.J. Cook by order approved & registered (handwritten on reverse). C.J. Cook was a member of the Blackmer Lodge No. 127. Transcription: Soldier's Certificate of Extension of Furlough Medical Examining Board General Hospital No. Private C. J. Cook Company Malletts Batt. of ? having been carefully examined by the Medical Examining Board, in obedience to Paragraph III, General Orders, No. 141, A. and I. G. Office, 1863, has been recommended for an extension of his furlough for days. Richard O'Connelly Surgeon, C. S. A. Approved & Registered John N. Prior S. A. & Chf ? W. H. Schull Clk Regist4ered Thos. N. ? Lt. & E. O. ? Oct 12th 1864 Extrension of furlough recommended for fifteen days when party will report to Col. Mallett A. R. ? Troy N. C. Oct 27 -64 extension of furlough recommended forteen days ?