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Fort Johnson S.C. June 19, 1867

I, Anneke Price, a resident of Brunswick County, North Carolina, am personally acquainted with Anny Holden widow destitute who resides in Brunswick Country, North Carolina, and state, to the best of my knowledge and belief, that unable to maintain herself and has no friends to assist her and is worthy of charity from the government and is in danger of starvation if relief is not given. 

Anneke Price [SEAL]

Proven and subscribed to before me, (?) this 19 day of June, 1867.

(?)

Note. - This Certificate must be signed and sworn to before some officer or agent of this Bureau. (?)