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Signed and witnessed this the 28th day of June 1865

J.D. McCormack

Witness
R.J. McCormack

[[3 columned table]]
| Names | age | sex |
|---|---|---|

| Jacob X his mark McCormack | 35 | male |
| Phebe X her mark McCormack | 30 | female |
| Lotsy X her mark McCormack | 30 |   |
| Harriet X her mark McCormack | 50 |   |
| Elsie X her mark McCormack | 17 |   |
| Adaline X her mark McCormack | 60 |   |
| Henrietta X her mark McCormack | 70 |   |

Apprvd
O.R. Foster
Lieut. & Pro. Mar. Freedmen
Yazoo City Miss