This transcription has been completed. Contact us with corrections.
I, Rufus Gallonay , a resident of Brunswick County, N.C., am personally acquainted with Mrs Mary Potter that she is, destitute and that she, [[strikethrough]]who[[/strikethrough]] resides in Brunswick County, N.C., and state, to the best of my knowledge and belief , that she is unable to maintain herself, and that she has no friends to assist her, and that she worthy of charity from the government. Rufus Gallonay {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.