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States that the following mentioned persons belong to the Klan: 

John Piggott, Jim Hughes, Monk Barr, Jim Aiken, Milton Voorhees, Bill Halkum, John Halkum, Allen Halkulm, Walter and Bill Pillow, Hugh Aiken, Charley Gorden, Willie Littlefield, Bob and Mack Frierson, Joe Walker, and Bob McMinus.

Gilbert Aiken his x mark

Attest: A.W. Walter

Sworn to and subscribed before me this 17th day of July 1868.

Signed: Geo E Judd
Capt V.R.C.
and Sub. Asst. Comr
B.R.F. and A.L.