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

[[5 Columned Chart]]
|NAMES.|AGE.|SEX.|MONTHLY RATE OF WAGES.|INTEREST IN PROFITS.|
|---|---|---|---|---|
|Bob his X mark Grubbs 60|  |}|vituals and clothes|          
|Ann her X mark May|45|}|vituals and clothes                         
[[/5 Columned Chart]]

DEPENDENTS:
[[4 Columned Chart]]
|NAMES.|AGE.|NAMES.|AGE.|
|---|---|---|---|
|Sina|5|  |  |
[[/4 Columned Chart]]

EXECUTED IN PRESENCE OF- [[Blank]]

[[left margin]] Paid [[/left margin]]
[[right margin]] 
Aug.25.65
Simpson Co
Jno May 
[[/right margin]]