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I, J.A. Sanders, a resident of New Hanover County, N.C am personally acquainted with Delila a Free Woman, destitute, who reside in New Hanover County N.C and state to the best of my knowledge and belief she, that she unable to maintain and has no friends to assist her, and worthy of charity from the government.

J.A. Sanders  {SEAL}

Sworn and subscribed to before me, this 8th day of Feb, 1867.

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