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I, E Legg, a resident of Smithville Brunswick County, N.C., am personally acquainted with Mrs E Savage a destitute woman, who resides in Smithville Brunswick County, N.C., and state, to the best of my knowledge and belief , that Mrs E Savage is unable to maintain herself and she has no friends to assist her, and that she is worthy of charity from the government.

E Legg {Seal}

Sworn and subscribed to before me,  , this   day of , 1866.

Note. - This Certificate must be signed and sworn to before some Magistrate, Justice of the Peace, or officer of the army.