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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.

The diary of Confederate Private Joshua Johnson, Jr., covers his service in the 13th Virginia Volunteer Infantry Regiment between January 1 and May 18, 1862. The diary discusses treatment received at the hospital located within the converted Culpeper Court House in January 1862, picket duty near Sangster's Station, participation in the Skirmish at Sangster's Station (March 9, 1862), and encampment near the Rappahannock River. The volume also contains personal accounts dating between 1859 and 1861, a library book list, a crossed out sketch of a woman's portrait, and a quoted passage from James Kent's Commentaries on American Law. Laid into the front cover is a two-page letter, dated March 11, 1861, regarding border states, secession, and politics.

The diary of Confederate Private Joshua Johnson, Jr., covers his service in the 13th Virginia Volunteer Infantry Regiment between January 1 and May 18, 1862. The diary discusses treatment received at the hospital located within the converted Culpeper Court House in January 1862, picket duty near Sangster's Station, participation in the Skirmish at Sangster's Station (March 9, 1862), and encampment near the Rappahannock River. The volume also contains personal accounts dating between 1859 and 1861, a library book list, a crossed out sketch of a woman's portrait, and a quoted passage from James Kent's Commentaries on American Law. Laid into the front cover is a two-page letter, dated March 11, 1861, regarding border states, secession, and politics.