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The Civil War Ambulance Corps records and Graham family accounts are housed in a single bound volume. Forty pages of reports concern the actions of the Union ambulance corps from 1863-1865, and 41 pages of household accounts (1870-1884) pertain to the Graham family.

The ambulance corps records (pages 1-41) consist of copied correspondence addressed to various chiefs of ambulance operations. Numerous ambulance corps commanders wrote about their activities along the front, sometimes including statistics, for battles such as Gettysburg (August 28, 1863), Wapping Heights [Manassas Gap] (September 2, 1863), and the Wilderness (July 1864). The records cover a variety of divisions of the Army of the Potomac, and several of the later reports originated from John R. Pancoast of the 110th Pennsylvania Infantry Regiment. The final item in this series is dated April 22, 1865, and mentions several skirmishes during the last stages of the war.

The second part of the volume contains financial records tracking the household and private expenditures of the Graham family (pp. 43-84). Total household expenditure for this family totaled $2,018.94 in 1871, including expenses for food, fabrics, and other goods. Family members whose specific expenses were recorded include: J. J. Graham, Jane P. Graham, Anna M. Graham, George H. Graham, Carrie Bell Graham, and Rose Clarke.