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[[4 column table]] |NAMES.|AGE.|No of Dependents| Remarks| |---|---|---|---| |Adison X|15| | | |Esther X|32| | | |Charlotte X|25|1| | |Eliza |30|4| | |Miles X|20| | | |Bill X|14| | | |Ellick X|12| | | |Mariah X|12| | | |Sam |12| | | |Malinda |22|3| | [[/4 column table]] Executed in Presence of William G Jordan William B. Richy Ruben Jordan [[sideways bottom of page]] Jordan, Wm. G August 4" 1865 [[/sideways bottom of page]]