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No. 22.
Actg. Pro. Marshal Office
Raymond Mise Aug 22. 1865.

Approved
Peter S. Jacobs.
1" Lt. 50th U.S.C.I.
and Actg Pro. Marshal of
Freedmen. 

[[6 column table with no headers]]
|---|---|---|---|---|---|
|Laissir Hoover|  6| " |   |   |   |
|Madison Hoover|  5|Male|   |   |   |
|Henry Hoover|  8|Male|   |   |   |
|[[strikethrough]] Mary Sims [[/strikethrough]]|  6|Female|   |   |   |
|   |   |   |   |   |[[footnote 1]]|
[[/6 columned table]]

EXECUTED IN PRESENCE OF-,
Saml J. Heigpen
J.P. Strong

[[footnote 1]] Emaline is an invalid & has been for four [[?]] not able to sit up

Transcription Notes:
Neither the table nor the note are what is important on this page. The info at top is important. All other info found again on a following image. But we are to transcribe it anyway. *You needed one more space between pipes - should be three, not two.