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[[4 Columned Table]]
| Names. | Age. | No. of Dependents | Remarks |
|---|---|---|---|
| Kittie | 35 | 7 |  |
| Richard and Wife | 27 | | Ruptured  |
| Charlotte | 24 | 2 |  |
| Elizabeth | 30 | 5 | of but little service |
| Peggy | 26 | 3 |   |
| Margaret | 21 | 1 |  |
| Julia | 22 | 1 |  |
| Marry | 28 |  |  |
| Bobb | 12 | 2 |  |
| Morse | 13 |  | Idiot |
[[/4 columned table]]

Executed in Presence of ...........................................

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Contracted with John Morris 
No 2
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Okolona Miss 
[[strikethrough]] S [[/strikethrough]] Aug 21 65

Approved by James M Buel Lt 12th
Ind Cav Sub Com Freedman
[[/left margin]]

Transcription Notes:
Please look up names of towns and Counties.