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I, F J Lord Dpt Collr of Customs, a resident of New Hanover County, N.C., am personally acquainted with Betty Hill & Rachel her Daughter, destitute freedwomen, who reside at Orton Brunswick Co N.C., and state, to the best of my knowledge and belief, that Betty is unable to maintain Rachel who was born blind and has no friends to assist her, and that 
they are worthy of charity from the government.
F J Lord Dpt Collr {SEAL}

Sworn and subscribed before me, E.H. McQuigg Lieut. Asst Supt, this 22 day of June, 1866.

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