This is a printed form and handwritten form from the Medical Examining Board in Salisbury, N.C. 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. Salisbury N. C. July 19, 1864 Private C. J. Cook Co. ? Batt. Brigade 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 (30) thirty days. J. W. Hall Surgeon, C. S. A. J. M. Abernethy Surgeon C. S. A. Approved & Registered by order John W. Prior 1st Lt. ? C. D. W. C. ? Benton Clk ? Office ? August 19th 1864 Private C. J. Cook is hereby ordered to present himself before a hospital board for examination without delay ?