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[[pre-printed form]] 
-------(F. B. S. M.-------)      186
[[/pre-printed form]]

Corinth Miss.
July 12 [[pre-printed form]] 186 [[/pre-printed form]]7.

Walker William
Prest. Board Registration
Tishomingo County.

Makes report in compliance with circular letter from office Asst. Commissioner of the Bureau for Miss., requesting information regarding distribution &c. 

[[pre-printed form]] 
[[/pre-printed form]]

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