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No 398
Josua Perry
and
Freedmen
Hinds Cty
August 23. 1865


Pat 10
Clary 30

DEPENDENTS.
[[4 columned table]]
|NAMES.|AGE.|NAME.|AGE.|
|Agincy|30|   |   |
[[/4 columned table]]
I do agree to give the a fore [[strikethrough]]me[[/strikethrough]] name hans 20 acres of acrage corn for the service [[illegible]] 

Transcription Notes:
Agree not to transcribe the extraneous data on the slip of paper -instructions say to transcribe everything as you see.