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[[preprinted]] No. Page Date Name Age , No. of dependents Residence Occupation Formerly belonged to Issued by Freedmen's Certificate of Enrollment, issued in accordance with General Order No. 5, Paragraph V, office Assistant Commissioner Freedmen's Bureau for the State of Mississippi. No. Office Sub-Commissioner Freedmen's Bureau, Meridian, Miss., day of 1865. , age , No. of dependents Residence, Occupation, Sub Commissioner ☞ This Certificate to be renewed monthly or upon change of residence. ☜ [[/preprinted]]