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Before me personally appeared the undersigned Francis Perkins and being duly sworn deposes as follows

My name is Francis Perkins  I live in the city of Memphis Tenn. on the night of the 1st of May 1866 a party of white men came to my house set it on fire and burned it down with all of its contents they shot at me five times while trying to stop the fire. My loss amounts to about ($250) Two hundred and fifty Dolls

Francis his X mark Perkins

Subscribed and Sworn before me at Memphis Tenn this the 10th day of May 1866
(signed) Michl Walsh
Capt and AAA Genl
& PM Freedmen

True copy
F.M H Kendrick
Capt and Asst Insp Gen'l