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United States of America
I, G.S. Nuckolls of the Country of Walton, State of Ga. do solemnly swear or affirm in presence of Almighty God that I will henceforth faithfully support and defend the Constitution of the United States and the Union of the States thereunder and that I will in like manner abide by and faithfully support all laws and proclamations which have been made during the existing rebellion with reference to the emancipation of Slaves So Help me God.
G.S. Nuckolls

Subscribed and Sworn to before me at Monroe Ga this 27th Day of Sept A.D. 1856
Jesse Mitchell
Ordinary of Walton County Ga

The above named has Fair complexion Black hair and Black eyes. is 6 feet 3 inches high aged 21 years by profession a Farmer.