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July 18/68
Jackson W
Soldier 1812

Certificate of
Sheriff

[[left margin]]
Maj. Hay Esqr
at officer
[[/left margin]]

[[right margin]]
 7 60
-----
88 97
25 00
-----
63.97

  5.00
  5.00
  7.50
  7.50
------
$25.00
[[/right margin]]