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Before me personally appeared the undersigned Eliza Robinson and being duly sworn deposes as follows.

My name is Eliza Robinson. I live in the City of Memphis Ten. on Ecles Street between Vance and Elliott Streets  On the night of the 2" of May 1866 a number of men came to my house set it on fire burned it up with [[strikethrough]] with [[/strikethrough]] all its contents  My loss would amt to $170.00

Eliza Robinson Her x mark

Subscribed and Sworn to before me this 14" day of May 1866

(Signed) M. Walsh
Capt & A.A.A. Genl
and Prov. Mar. Freedman

True Copy 
F.M.H. Kendrick
Capt & A.I.G.