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I, Stephen Hall, a resident of Wilmington County, N.C., am personally acquainted with Anny Hall, destitute Freedmen, who resides in Brunswick County, N.C., and state, to the best of my knowledge and belief, that she is unable to maintain herself, and has no friends to assist her, and that she is worthy of charity from the government.
Stephen Hall {SEAL}

Sworn and subscribed to before me, Lt. E.H. McQuigg Asst. Supt., this 9 day of July, 1866.

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