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In Testimony Whereof; The said parties have affixed their names to this agreement, at Westville Simpson County, State of Mississippi on the day and date aforesaid.

[[5 columned table]]
|NAMES.|AGE.|SEX.|MONTHLY RATE OF WAGES.|INTEREST IN PROFITS.|
|---|---|---|---|---|
|Ann Her X Mark|17|Female|Board & Clothing|  |
[[/5 columned table]]
DEPENDENTS:
[[6 columned table|
NAMES.|AGE.|SEX.|NAMES.|AGE.|SEX.|
|---|---|---|---|---|---|

EXECUTED IN PRESENCE OF - Geo. W. Tool Capt. and Actg. Provost Marshal Freedman

[[right margin]]
Paid
Aug. 7. 65
Simpson Co.
J.H. Bune
[[/right margin]]