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[[4 columned table]] | Names | Age | No. of Dependents | Remarks | | Landers his X mark | 53 | 1 | | | Milly her X mark | 45 | | Has done no work for five years and will not be able to do anything because of diseases | | Peter his X mark | 12 | | | | Columbus his X mark | 11 | | | | Tom his X mark | 29 | | | | Halda hr X mark | 28 | | | | Jim his X mark | 11 | | | | Wash his X mark | 25 | | | | Mary her X mark | 28 | 4 | [[strikethrough]] Eight Months [[/strikethrough]], pregnant | [[/4 columned table]] Executed in Presence of G.W. Brame R.S. Harris No. 173 Rebecca Brock B 173 15-9