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I hereby certify that Mrs. Almira West is a resident of New Hanover Co. and is in a destitute condition that said destitution is in consequence of her inability to obtain work, that the County Authorities are unable to relieve her & that she is worthy of relief from the Government.
E. Wescott
Warden of the Poor
New Hanover County N.C. 

July 6th 1867
M Carly
Issue to this person for 5 days for herself only.
A Rutherford
Supt