[front of certificate]


Provost Marshal's Office,
Head Quarters Department Virginia and North Carolina,
FORT MONROE, VA.


Guards Will pass Mr. [begin handwritten text] Elias Pierce [end handwritten text]


To [begin handwritten text] Hampton [end handwritten text] and return [illegible]


BY command of MAJOR GENERAL BUTLER: [stamped] JOHN CASSELS, Aug 5 1864, CAPT. and Provost Marsh.


[back of certificate]


[begin handwritten text] McClelan Hospitle [McClellan Hospital]
Chesapeak [Chesapeake] [end handwritten text]