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That... of the County of... State of... held and firmly bound to the UNITED STATE OF AMERICA in the sum of... Dollars, for the payment of which... bind... HEIRS, EX-ECUTORS and ADMINISTRATORS firmly by these present in this contract: that... to furnish the persons whose names are subjoined (freed laborers) quarters, fuel, substantial and healthy rations, all necessary medical attendance and supplies in case of sickness, and the amount set opposite their respective names per month, during the continuation of this contract. The laborers to be paid in full before the final disposal of the crop, which is to be raised by them on... plantation in the County of... State of...

[[10 column table]]
|No.|Names.|Age.|Rate of Pay per month Dolls.|Rate of Pay per month CTS.|No.|Names.|Age.|Rate of Pay per month Dolls.|Rate of Pay per month CTS.|
[/table]]

This contract is to commence with this date and close with the year. 
Given in duplicate, at...
this... day of... 186...

WITNESS: 

Bvt. Col. U.S.V., & Supt. Bureau R.,F. & A.L.,
District of Northern Alabama. 
Registered at... 186...