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I, Louis A. Galloway a Resident of Smithville Brunswick County North Carolina am personally acquainted with Delia Price and Four children that she is destitute, resides in Smithville Brunswick County North Carolina and state to the best of my knowledge and belief that she is unable to maintain her self and children and that she has no friends to assist her and that she is worthy of charity from the Government. 

L. A. Galloway {Seal}
Sworn to before me 20 day March 1867

Wm. R. Dosher {JP}