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I, .... , a resident of .....  County, N.C., am personally acquainted with Kate Walker, destitute Freedwoman, who resides in Brunswick County, N.C., and state, to the best of my knowledge and belief, that she is [[strikethrough]] un [[/strikethrough]] unable to maintain her children, and has no friends to assist her, and that she is worthy of charity from the government. (3 Children)
....... {SEAL}

Sworn and subscribed to before me, ......, this 21 day of July, 1866.
J.A. Walker

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