From the National Archives, RG 109, Ch. 6, Vol. 337, “Letters Received & Sent, General Hospital #9, 1864-65.” p. 5

Medical Director’s Office
Richmond Va May 19 1864

Surg. J. J. Gravatt
   in charge Receiving Hospital
      Richmond, Va

 Sir:

St. Francis de Sales Hospital will be opened for the reception of Wounded.

            I desire that you only transfer to it cases in which Amputations or resections have been performed.

Thirty (30) cases can be received. They are now only prepared for the reception of fifteen (15) cases.

You are further directed to place this class of cases when in the hospital under your charge in the same ward and under the charge of one or two Assistant Surgeons who have been found most expert dressers.

Very Respectfully
   Your Obdt Servt
      Wm. A. Carrington
         Med. Dir.